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Articolul urmator |
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Ultima descărcare din IBN: 2021-04-22 13:30 |
SM ISO690:2012 MARCENCOV, Evghenii, CALISTRU, Andrei, MĂRII, Elena. Factorii trigger în declanșarea aritmiilor și blocurilor cardiace la adulții cu defect septal atrial. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 319. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 319-319 | ||||||
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Rezumat | ||||||
Background. Atrial septal defect (ASD) is a congenital heart malformation, more frequently diagnosed in adults, representing 13% of congenital heart diseases (CHD), with an incidence of 1-3 cases per 1000 newborns, 65-75% of all defects being second type. Objective of the study. Studying of triggering factors in arrhythmias and blocks in adults with atrial septal defects. Material and Methods. The prospective - retrospective study was performed on a group of 116 patients, 66.4% women and 33.6% men, with a mean age 48 ± 1.8 years, hospitalized and treated in the department of "Surgery of congenital heart malformations” of the RCH " Timofei Moșneaga ”. Results. Adults with ASD developed cardiac rhythm and conductivity disorders in 67%, of which predominated: atrial fibrillation (37.3%), sinus tachycardia (21.6%), supraventricular and ventricular extrasystoles (19.6% and 13.7%, respectively), the right and left bundle branch block (62.5% and 23.4%, respectively). Disiritmia more frequently installed in patients with ostium primum (77.8%) and sinus venosus (70%), with defect size 5-10 mm (36.2%) and > 10 mm (48.3 %), with right-to-left shunt (100%) vs to left-right (68.4%), III and IV degree regurgitation at the tricuspid valve (74.3%) and with severe pulmonary hypertension (82.5%), being directly proportional to aging. Conclusion. Cardiac rhythm and conductivity disorders in adults with ASD can be caused by: advancing age, type and size of defect, remodeling of the right parts of the heart, pulmonary hypertension and comorbidities. |
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Cuvinte-cheie atrial septal defect, arrhythmias, blocks, defect septal atrial, aritmii, blocuri |
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