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  1. Article ; Online: CORONAVIRUS DISEASE (COVID-19) TREATMENT ALGORITHMS IN PATIENTS WITH QT INTERVAL PROLONGATION

    Kalatsei L. V. / Snezhitskiy V. A. / Ardashev A. V.

    Žurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta, Vol 18, Iss 2, Pp 203-

    2020  Volume 210

    Abstract: Since the frst cases of coronavirus disease (COVID-19) have been identifed, the search for effective drugs for its treatment has not stopped. The most promising in the treatment of COVID-19 are antimalarial, antiretroviral drugs and macrolide antibiotics. ...

    Abstract Since the frst cases of coronavirus disease (COVID-19) have been identifed, the search for effective drugs for its treatment has not stopped. The most promising in the treatment of COVID-19 are antimalarial, antiretroviral drugs and macrolide antibiotics. A common side effect for these groups of drugs is their ability to prolong the QT interval and induce paroxysms of polymorphic ventricular tachycardia torsades de pointes, especially in patients with genetic defects of ventricular myocardial repolarization. This article provides management algorithms of COVID-19 in patients with QT interval prolongation and risk of life-threatening ventricular arrhythmias, developed with the support of the EurAsian Arrhythmology Association (EURA-3).
    Keywords coronavirus disease (covid-19) ; hydroxychloroquine ; qt interval ; polymorphic ventricular tachycardia torsades de pointes ; Medicine ; R ; covid19
    Language Belarusian
    Publishing date 2020-05-01T00:00:00Z
    Publisher Grodno State Medical University
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article: [Combined Approach for Management of the Chronic Heart Failure with Preserved Left Ventricular Ejection Fraction and Permanent Atrial Fibrillation: a Case Report].

    Ardashev, A V / Zhelyakov, E G / Kocharian, A A

    Kardiologiia

    2020  Volume 60, Issue 4, Page(s) 157–160

    Abstract: The article described a clinical case of a patient with chronic heart failure (CHF) with preserved ejection fraction (CHF-PEF) and permanent normosystolic atrial fibrillation (AF). A 73 year-old man (body mass index, 26.4 kg /m2) with permanent ... ...

    Abstract The article described a clinical case of a patient with chronic heart failure (CHF) with preserved ejection fraction (CHF-PEF) and permanent normosystolic atrial fibrillation (AF). A 73 year-old man (body mass index, 26.4 kg /m2) with permanent normosystolic AF (duration, 10 years) was hospitalized for augmenting of CHF symptoms. The patient had NYHA II-III functional class CHF and a history of long-standing arterial hypertension. The patient received chronic therapy according to the effective guidelines (angiotensin receptor blockers, diuretics, beta-blockers, and new oral anticoagulants). Transthoracic echocardiography showed a normal ejection fraction (EF) (57 %), a moderate enlargement of the left atrium (48 mm), and moderate left ventricular (LV) hypertrophy. Radiofrequency catheter ablation (RFCA) of left atrial AF was performed. For preparation to the RFCA, the patient was administered propanorm two weeks prior to the procedure. Following external electrical cardioversion (ECV) after RFCA, sinus rhythm did not recover. The patient was prescribed amiodarone, and repeat ECV was performed in a month, which resulted in successful recovery of sinus rhythm. However, due to an increase in serum thyrotropic hormone, amiodaron was replaced with the sotalol therapy (240 mg/day). This resulted in development of symptomatic sinus bradycardia and AF relapse at 3 days after ECV. A dual-chamber cardioverter defibrillator was implanted to the patient; in another three months, repeat AF RFCA was performed with successful recovery of sinus rhythm. During the cardioverter testing for one year, the patient had one more AF episode, which was stopped by external ECV. Also, a 6-hour AF episode occurred at three months after the repeat RFCA. Symptoms of CHF disappeared by the 12th month. The combination therapy administered to the patient with normosystolic permanent AF and preserved EF, which included a pathogenetic therapy for CHF, antiarrhythmic drugs, implantation of a dual-chamber ECV, two sessions of AF RFCA, and repeat external ECVs, provided considerable improvement of CHF symptoms and stable sinus rhythm during a one-year follow-up. The return to sinus rhythm after 10 years of permanent AF necessitated changing the arrhythmia diagnosis to long-standing, persistent AF.
    MeSH term(s) Aged ; Atrial Fibrillation ; Catheter Ablation ; Heart Failure ; Humans ; Male ; Stroke Volume ; Treatment Outcome ; Ventricular Function, Left
    Language Russian
    Publishing date 2020-03-30
    Publishing country Russia (Federation)
    Document type Case Reports ; Journal Article
    ZDB-ID 131029-x
    ISSN 0022-9040
    ISSN 0022-9040
    DOI 10.18087/cardio.2020.4.n1096
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: [Atrial Fibrillation and Mortality: Prognostic Factors and Direction of Prevention].

    Ardashev, A V / Belenkov, Yu N / Matsiukevich, M Ch / Snezhitskiy, V A

    Kardiologiia

    2021  Volume 61, Issue 2, Page(s) 91–98

    Abstract: This review focuses on major causes and risk factors for death of patients with atrial fibrillation (AF). The authors analyzed current therapeutic strategies for managing patients with AF with respect of their effects on prediction and mortality. Special ...

    Abstract This review focuses on major causes and risk factors for death of patients with atrial fibrillation (AF). The authors analyzed current therapeutic strategies for managing patients with AF with respect of their effects on prediction and mortality. Special attention is paid to the strategy of rhythm control and the clinical significance of catheter ablation in the treatment of patients with AF and heart failure.
    MeSH term(s) Atrial Fibrillation/complications ; Atrial Fibrillation/surgery ; Catheter Ablation ; Heart Failure/surgery ; Humans ; Prognosis ; Treatment Outcome
    Language Russian
    Publishing date 2021-03-06
    Publishing country Russia (Federation)
    Document type Journal Article ; Review
    ZDB-ID 131029-x
    ISSN 0022-9040
    ISSN 0022-9040
    DOI 10.18087/cardio.2021.2.n1348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: [The First in Russia Experience of Successful Implementation of Constant Neurostimulation of the Spinal Cord in the Complex Treatment of a Patient with Permanent Form of Atrial Fibrillation Combined with Spinal Stenosis].

    Yakovlev, A E / Yakovleva, M V / Chaykovskaya, M K / Ardashev, A V

    Kardiologiia

    2019  Volume 59, Issue 9, Page(s) 83–90

    Abstract: This article describes for the first time in the domestic literature a clinical case of the therapeutic effect of neuromodulation on the permanent form of atrial fibrillation and chronic heart failure in an elderly patient with spinal stenosis which led ... ...

    Abstract This article describes for the first time in the domestic literature a clinical case of the therapeutic effect of neuromodulation on the permanent form of atrial fibrillation and chronic heart failure in an elderly patient with spinal stenosis which led to the development of pain syndrome and movement disorders. For the treatment of neurological pathology, at the beginning epidural administration of drugs was applied, followed by spinal cord stimulation trial and implantation of permanent neurostimulator. At each stage of treatment conducted by a functional neurosurgeon the patient had a spontaneous restoration of sinus rhythm, and during continuous neurostimulation a stable retention of sinus rhythm and regression of heart failure symptoms have been observed throughout a long observation period. The article also presents the data of a few experimental and clinical studies on the use of neuromodulation in cardiology, describes the method of implantation of spinal electrodes and analyzes possible mechanisms of modulation of the autonomic innervation of the heart, implemented by spinal cord stimulation.
    MeSH term(s) Atrial Fibrillation ; Humans ; Russia ; Spinal Cord ; Spinal Stenosis
    Language Russian
    Publishing date 2019-09-20
    Publishing country Russia (Federation)
    Document type Journal Article
    ZDB-ID 131029-x
    ISSN 0022-9040
    ISSN 0022-9040
    DOI 10.18087/cardio.2019.9.10272
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: RISK STRATIFICATION OF SUDDEN CARDIAC DEATH IN EARLY REPOLARIZATION SYNDROME

    Shpak N. V. / Snezhitskiy V. A. / Ardashev A. V. / Gizatulina T. P.

    Žurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta, Vol 17, Iss 5, Pp 486-

    2019  Volume 494

    Abstract: The article describes approaches to risk stratification of sudden cardiac death in early ventricular repolarization syndrome, as one of the variants of J-wave syndrome, on the basis of clinical, anamnestic and electrocardiographic criteria. The ... ...

    Abstract The article describes approaches to risk stratification of sudden cardiac death in early ventricular repolarization syndrome, as one of the variants of J-wave syndrome, on the basis of clinical, anamnestic and electrocardiographic criteria. The characteristics of "malignant" variants of electrocardiographic pattern of early ventricular repolarization as well as prevention strategies of sudden cardiac death are presented.
    Keywords channelopathies ; early ventricular repolarization ; j-wave ; sudden cardiac death ; ventricular fibrillation ; electrocardiography ; Medicine ; R
    Language Belarusian
    Publishing date 2019-11-01T00:00:00Z
    Publisher Grodno State Medical University
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Book: Postoi͡annai͡a ėlektrokardiostimuli͡at͡sii͡a i defibrilli͡at͡sii͡a v klinicheskoĭ praktike

    Ardashev, A. V

    2007  

    Author's details A.V. Ardashev ... [et al.]
    MeSH term(s) Arrhythmias, Cardiac/therapy ; Defibrillators, Implantable ; Pacemaker, Artificial
    Language Russian
    Size 223 p. :, ill.
    Publisher Medpraktika-M
    Publishing place Moskva
    Document type Book
    ISBN 9785988030751 ; 5988030750
    Database Catalogue of the US National Library of Medicine (NLM)

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  7. Article: [Clinical case of the cardiovascular system involvement in a patient with Charcot-Marie-Tooth disease].

    Sokolov, D V / Zhelyakov, E G / Koval'chuk, V V / Kondratova, N V / Snezhitskij, V A / Kalatsei, L V / Belenkov, Yu N / Ardashev, A V

    Kardiologiia

    2022  Volume 62, Issue 5, Page(s) 67–71

    Abstract: Hereditary motor and sensory type 1A neuropathy (known as Charcot-Marie-Tooth disease) is a disease of peripheral nerves characterized by symptoms of progressive polyneuropathy with preferential damage of distal extremity muscles. Damage to the ... ...

    Abstract Hereditary motor and sensory type 1A neuropathy (known as Charcot-Marie-Tooth disease) is a disease of peripheral nerves characterized by symptoms of progressive polyneuropathy with preferential damage of distal extremity muscles. Damage to the cardiovascular system is extremely rare and heterogenous in this pathology. This disease is not included in the list of indications for interventional antiarrhythmic aid. We could not find in available literature a clinical description of the development of sinus node dysfunction associated with this pathology. The present clinical report presents a case of detection and successful treatment of a damage to the cardiovascular system that manifested itself as sinus node dysfunction/sick sinus syndrome in the tachy-brady variant. A combination treatment approach using radiofrequency catheter ablation, implantation of a permanent pacemaker, and antiarrhythmic therapy associated with drug and non-drug treatment of motor sensory neuropathy resulted in recovery and long-term maintenance of sinus rhythm as well as in beneficial changes in the patient's neurological status.
    MeSH term(s) Cardiovascular System ; Charcot-Marie-Tooth Disease/complications ; Charcot-Marie-Tooth Disease/diagnosis ; Charcot-Marie-Tooth Disease/therapy ; Humans ; Sick Sinus Syndrome
    Language Russian
    Publishing date 2022-05-31
    Publishing country Russia (Federation)
    Document type Case Reports ; Journal Article
    ZDB-ID 131029-x
    ISSN 0022-9040
    ISSN 0022-9040
    DOI 10.18087/cardio.2022.5.n1810
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Novyĭ metod lecheniia atrioventrikuliarnoĭ uzlovoĭ retsiproknoĭ takhikardii.

    Ardashev, A V

    Voenno-meditsinskii zhurnal

    2004  Volume 325, Issue 2, Page(s) 54–59

    Title translation New method for the therapy of atrioventricular nodal reciprocal tachycardia.
    MeSH term(s) Adult ; Atrioventricular Node/physiopathology ; Catheter Ablation/methods ; Electrocardiography ; Female ; Humans ; Male ; Tachycardia, Atrioventricular Nodal Reentry/physiopathology ; Tachycardia, Atrioventricular Nodal Reentry/therapy ; Treatment Outcome
    Language Russian
    Publishing date 2004-02
    Publishing country Russia (Federation)
    Document type Journal Article
    ZDB-ID 392041-0
    ISSN 0026-9050 ; 0300-9114
    ISSN 0026-9050 ; 0300-9114
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: [Endocardial Electrophysiological Study in an Asymptomatic Competitive Athlete With Ventricular Preexitation due to Conduction via Fasciculoventricular Accessory Pathway].

    Guseynova, R R / Zhelyakov, E G / Ardashev, A V / Belenkov, Yu N

    Kardiologiia

    2016  Volume 55, Issue 9, Page(s) 98–104

    Abstract: We present a clinical case of a rare form of the WPW phenomenon due to anterograde conduction over fasciculoventricular accessory pathway in 20-year-old competitive athlete. The patient had no history of palpitations or syncope. ECG revealed shortening ... ...

    Abstract We present a clinical case of a rare form of the WPW phenomenon due to anterograde conduction over fasciculoventricular accessory pathway in 20-year-old competitive athlete. The patient had no history of palpitations or syncope. ECG revealed shortening of PQ interval (112 ms) and wide QRS complex due to conduction via accessory pathway. To address the question of participation in competitive activity and the need for ablation the patient underwent endocardial electrophysiological study in the course of which we verified conduction via fasciculoventricular accessory pathway. The result of the study was used in determination of strategy of further management.
    MeSH term(s) Accessory Atrioventricular Bundle/diagnosis ; Accessory Atrioventricular Bundle/physiopathology ; Athletes ; Electrocardiography/methods ; Heart Rate/physiology ; Heart Ventricles/physiopathology ; Humans
    Language Russian
    Publishing date 2016-02-19
    Publishing country Russia (Federation)
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 131029-x
    ISSN 0022-9040
    ISSN 0022-9040
    DOI 10.18565/cardio.2015.9.98-104
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: [Atrioventricular nodal reciprocal tachycardia: classification, clinical manifestations, diagnosis, and treatment].

    Ardashev, A V / Zheliakov, E G

    Kardiologiia

    2010  Volume 50, Issue 5, Page(s) 84–91

    Abstract: Data on prevalence, mechanisms of arrhythmogenesis and classification of atrioventricular (AV) nodal reciprocal tachycardia are presented. Clinical-electrocardiographical and electrophysiological features of typical and atypical forms of AV nodal ... ...

    Abstract Data on prevalence, mechanisms of arrhythmogenesis and classification of atrioventricular (AV) nodal reciprocal tachycardia are presented. Clinical-electrocardiographical and electrophysiological features of typical and atypical forms of AV nodal reciprocal tachycardia are described. Main diagnostic measures are delineated and principles of tactical approach to management of patients with AV nodal reciprocal tachycardia presented. Indications to radiofrequency catheter ablation, and physical characteristics of radiofrequency interventions in the region of registration of AV junction slow part fibers potentials of lower isthmus of the right atrium are discussed. Data of analysis of comparative efficacy of pharmacological and interventional approaches to management of patients with AV nodal reciprocal tachycardia as well as spectrum of possible complications associated with surgery are also presented.
    MeSH term(s) Anti-Arrhythmia Agents/therapeutic use ; Calcium Channel Blockers/therapeutic use ; Catheter Ablation ; Diagnosis, Differential ; Electrocardiography ; Electrodes ; Electrophysiological Phenomena ; Humans ; Propafenone/therapeutic use ; Tachycardia, Atrioventricular Nodal Reentry/classification ; Tachycardia, Atrioventricular Nodal Reentry/diagnosis ; Tachycardia, Atrioventricular Nodal Reentry/drug therapy ; Tachycardia, Atrioventricular Nodal Reentry/physiopathology ; Tachycardia, Atrioventricular Nodal Reentry/surgery ; Tachycardia, Atrioventricular Nodal Reentry/therapy
    Chemical Substances Anti-Arrhythmia Agents ; Calcium Channel Blockers ; Propafenone (68IQX3T69U)
    Language Russian
    Publishing date 2010
    Publishing country Russia (Federation)
    Document type Comparative Study ; English Abstract ; Journal Article ; Review
    ZDB-ID 131029-x
    ISSN 0022-9040
    ISSN 0022-9040
    Database MEDical Literature Analysis and Retrieval System OnLINE

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