Yu.E. TEREGULOV^1,2, F.R. CHUVASHAYEVA^1,2, S.D. MAYANSKAYA², A.Yu. TEREGULOV^1,2, V.A. FADEYEV¹, A.A. FADEYEV³, G.F. ABZALOVA²

¹Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation 420064

²Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation 420012

³Emergency Medical Service Hospital, 18 Naberezhnochelniinskiy Prospekt, Naberezhnye Chelny, Russian Federation 423803

Teregulov Yu.E. — Cand. Med. Sc., Head of the Department of Functional Diagnostics, Associate Professor of Hospital Therapy Department, tel. +7-917-264-70-04, e-mail: tereg2@mail.ru^1,2

Chavashayeva F.R. — cardiologist of Distant-Access Diagnostic Center of Republican Clinical Hospital, Assistant Lecturer of Hospital Therapy Department of Kazan State Medical University, tel. +7-917-398-87-54, e-mail:faridaram@mail.ru^1,2

Mayanskaya S.D. — D. Med. Sc., Professor, Vice Rector on Science and Innovations, tel. +7-905-316-99-66, e-mail: smayanskaya@mail.ru²

Teregulov A.Yu. — doctor for roentgen-endovascular methods of diagnosing and treatment, Assistant Lecturer of the Department of Oncology, Radiodiagnostics and Radiotherapy, tel. +7-917-269-58-40, e-mail: tereg@yandex.ru^1,2

Fadeyev V.A. — doctor for roentgen-endovascular methods of diagnosing and treatment of the Department of Roentgen-surgical Methods of Diagnosing and Treatment. tel. +7- 919-643-14-92, e-mail: doktorfadeev@rambler.ru¹

Fadeyev A.A. — doctor for roentgen-endovascular methods of diagnosing and treatment of the Department of Roentgen-surgical Methods of Diagnosing and Treatment. tel. +7-903-307-81-88, e-mail: aa1313@yandex.ru³

Abzalova G.F. — postgraduate student of Hospital Therapy Department, tel. +7-906-320-70-79, e-mail:guzelka88@bk.ru²

The article is devoted to the study of location of ventricular arrhythmia focuses in patients with coronary heart disease with a post-infarction cardiosclerosis. The technique of a noninvasive three-dimensional heart mapping with Amikard system was used.

12 patients with coronary heart disease and post-infarction cardiosclerosis were surveyed. In all patients the politopy ventricular extrasystolia was registered. The location of the extrasystolia focuses in the scar zone is revealed in 66,7% of cases, out of scar zone — in 33,3% of cases. The epicardial location is revealed in 5 patients (41,7%) and in all patients the focuses localization coincided with a scar zone of a myocardium. The endocardial location of the focuses coincided with the scar zone in 3 patients, in 4 patients the ventricular extrasystolia focuses were localized out of the scar zone only. Thus, the scar zone was ventricular extrasystolia source in 8 (66,7%) patients, in 33,3% of cases the only out of a scar zone location of the focuses is revealed.

Conclusions:

1. Noninvasive three-dimensional mapping of heart with Amikard system in patients with ischemic heart disease with post-infarction cardiosclerosis allows to define localization of the ventricular extrasystolia focuses both in the field of a scar zone and in an ischemic myocardium.
2. Epicardial localization of the focuses is characteristic for a scare zone, endocardial — both for an ischemic myocardium, and for a scar zone. (Проверено, исправлено, но этого нет в русском тесте – Прим.переводчика)

Key words: ischemic heart disease, post-infarction cardiosclerosis, ventricular arrhythmia, heart mapping.

 

 

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