НОВЫЕ ТАХИАРИТМИИ У КРИТИЧЕСКИХ ПАЦИЕНТОВ
DOI:
https://doi.org/10.31379/2411.2616.11.1.4Ключові слова:
сердечные аритмии, фибрилляция предсердий нового типа, сепсис, септический шокАнотація
Прогрессирующее сердечно-сосудистое ухудшение играет главную роль в патогенезе множественной органной недостаточности, вызванной сепсисом. Доказательства наличия различных сердечных аритмий у септических пациентов были продемонстрированы несколькими клиническими отчетами и наблюдениями. Описаны различные типы тахиаритмий у тяжелых пациентов с сепсисом. Новые эпизоды фибрилляции предсердий были связаны с высокой смертностью и плохими результатами (инсульт, сердечная недостаточность, длительное использование вазопрессора и т. д.) у пациентов с тяжелыми заболеваниями септического типа по сравнению с несептическими больными. Потенциальные механизмы развития новых сердечных аритмий при сепсисе сложны и недостаточно изучены. Сердечные аритмии у критически больных с сепсисом, скорее всего, являются показателем тяжести предшествующей болезни.
Посилання
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