emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университет10.51922/2616-633X.2024.8.1.2163emcardio-50Research ArticleИнтересный клинический случайAn interesting clinical caseКлинический случай уcпешной стимуляции проводящей системы сердца после радиочастотной аблации тракта махайма у пациента с атриовентрикулярной блокадой и аритмогенной кардиомиопатиейA clinical case of successful heart conduction system pacing after radiofrequency ablation of maheim tract in a patient with atrioventricular block and arrhythmogenic cardiomyopathyКадочкинВ. О.KadochkinV.

Минск

Minsk

vitkadok@gmail.comПилантД. А.PilantD.

Минск

Minsk

ДроздовскийК. В.DrozdovskiK.

Минск

Minsk

РудичЕ. К.RudichE.

Минск

Minsk

ГУ «Республиканский научно-практический центр детской хирургии»Republican Scientific and Practical Center of Pediatric SurgeryУЗ «2-я городская клиническая больница»2<sup>nd</sup> City Clinical Hospital2024200620258121632167Copyright &#x00A9; Кадочкин В.О., Пилант Д.А., Дроздовский К.В., Рудич Е.К., 20252025Кадочкин В.О., Пилант Д.А., Дроздовский К.В., Рудич Е.К.Kadochkin V., Pilant D., Drozdovski K., Rudich E.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/50

   Представлен клинический случай стимуляции проводящей системы сердца (области левой ножки пучка Гиса) после радиочастотной аблации дополнительного пути проведения редкой локализации и свойств (тракт Махайма) у пациента с атриовентрикулярной блокадой и аритмогенной кардиомиопатией. Обсуждены вопросы диагностики и лечения синдрома предвозбуждения желудочков, обусловленного трактом Махайма, и возможности современного метода физиологической электрокардиостимуляции – стимуляции области левой ножки пучка Гиса.

   The article presents a clinical case of heart conduction system pacing (left branch of bundle (LBB)area) after radiofrequency ablation (RFA) of an accessory pathway with rare localization and features (Maheim tract) in a patient with atrioventricular block (AV-block) and arrhythmogenic cardiomyopathy. We have also covered the issues of diagnosis and management of the ventricular pre-excitation syndrome determined by Maheim tract and prospects of the new method of physiological electrocardiostimulation, i. e. of LBB areapacing.

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