Simultaneous surgical treatment of paroxysmal atrial fibrillation in patients with coronary artery disease during coronary artery bypass grafting

Cherniavskiĭ A.M.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

Pak I.A.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia imeni akademika E.N. Meshalkina Ministerstva zdravookhraneniia i sotsial'nogo razvitiia Rossiĭskoĭ Federatsii

Kareva Iu.E.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia imeni akademika E.N. Meshalkina Ministerstva zdravookhraneniia i sotsial'nogo razvitiia Rossiĭskoĭ Federatsii

Rakhmonov S.S.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia imeni akademika E.N. Meshalkina Ministerstva zdravookhraneniia i sotsial'nogo razvitiia Rossiĭskoĭ Federatsii

Simultaneous surgical treatment of paroxysmal atrial fibrillation in patients with coronary artery disease during coronary artery bypass grafting

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Cherniavskiĭ A.M., Pak I.A., Kareva Iu.E., Rakhmonov S.S.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2014;7(4): 39‑44

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Cherniavskiĭ AM, Pak IA, Kareva IuE, Rakhmonov SS. Simultaneous surgical treatment of paroxysmal atrial fibrillation in patients with coronary artery disease during coronary artery bypass grafting. Russian Journal of Cardiology and Cardiovascular Surgery. 2014;7(4):39‑44. (In Russ.)

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The results of simultaneous surgical treatment of 96 patients with coronary heart disease and paroxysmal atrial fibrillation are presented in the article. Radiofrequency ablation was performed in all patients during coronary artery bypass grafting. It was analyzed clinical efficiency of ablation, the results of invasive electrophysiological investigation, long-term rhythm monitoring by using of implantable devices (Reveal XT) and quality of patients' life. Follow-up period was 48 months. It is shown that in patients with ischemic heart disease and paroxysmal atrial fibrillation radiofrequency isolation of pulmonary veins conducted during coronary artery bypass grafting provides the preservation of sinus rhythm in long term in 82.4% of cases, radiofrequency modified surgery mini-maze - in 83.9%, anatomical ganglionic plexus ablation - in 74.2%.

Keywords:

coronary heart disease

atrial fibrillation

radiofrequency ablation

coronary artery bypass grafting

invasive electrophysiological study

Reveal XT

Authors:

Cherniavskiĭ A.M.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

Pak I.A.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia imeni akademika E.N. Meshalkina Ministerstva zdravookhraneniia i sotsial'nogo razvitiia Rossiĭskoĭ Federatsii

Kareva Iu.E.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia imeni akademika E.N. Meshalkina Ministerstva zdravookhraneniia i sotsial'nogo razvitiia Rossiĭskoĭ Federatsii

Rakhmonov S.S.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia imeni akademika E.N. Meshalkina Ministerstva zdravookhraneniia i sotsial'nogo razvitiia Rossiĭskoĭ Federatsii

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