References

emcardio

Неотложная кардиология и кардиоваскулярные риски

Emergency Cardiology and Cardiovascular Risks journal

2616-633X

Белорусский государственный медицинский университет

emcardio-265

Research Article

Обзоры и лекции

Reviews and lectures

Антиаритмическая терапия: риск и польза

Antiarrhythmic therapy: harm and benefit

Саливончик

Д. П.

Salivonchik

D. P.

Учреждение образования «Гомельский государственный медицинский университет»Gomel State Medical University

2018

13112025

22439449

2025

Саливончик Д.П.

Salivonchik D.P.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://emcardio.bsmu.by/jour/article/view/265

Широкое использование антиаритмической терапии при распространенных нарушениях ритма и проводимости привели к регистрации проаритмогенных проявлений данных препаратов на ЭКГ с формированием устойчивых желудочковых тахиаритмий и, как следствие, фатальным исходам . Проведение рандомизированных исследований позволило изменить стратегию и тактику в лечении аритмий и стратифицировать перед лечением пользу и вред антиаритмической терапии, вероятность наступления внезапной сердечной смерти. Контроль факторов риска , оптимальная медикаментозная терапия, стратификация риска внезапной смерти, реваскуляризация, катетерная аблация, имплантация кардиовертеров-дефибрилляторов позволяют в разы снизить смертность от желудочковых аритмий и потребность в антиаритмической терапии.

The widespre ad use of antiarrhythmic therapy for common rhythm and conduction disorders led to the registration of pro-rhythmogenic manifestations of these ECG preparations with the form a tion of stable ventricular tachyarrhythmias and, consequently, fata loutcomes. Conducting randomized studies allowed changing the strategy and tactics in the treatment of arrhythmias and stratifying the benefit and harm of antiarrhyth mic therapy before treatment as well as the likelihood of sudden cardiac death. Control of risk factors, optimal drug therapy, stratification of the risk of sudden death, revascularization, catheter ablation, implantation of cardioverter-defibrillators can reduce deaths from ventricular arrhythmias and the need for antiarrhythmic therapy.

антиаритмическая терапияжелудочковая аритмияпобочные эффектыосложнениявнезапная сердечно-сосудистая смертьоптимальная медикаментозная терапия

antiarrhythmic therapyventricular arrhythmiaside effectscomplicationssudden cardiovascular deathoptimal drug therapy

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The authors declare that there are no conflicts of interest present.