TELEMETRIC MONITORING OF THE ELECTROCARDIOGRAM IN A PATIENT AFTER RADIOFREQUENCY ABLATION OF PERSISTENT ATRIAL FIBRILLATION IN COMBINATION WITH CORONARY ARTERY BYPASS GRAFTING
https://doi.org/10.57256/2949-0715-2025-4-1-18-28
Abstract
Background. One of the most common arrhythmias in clinical practice is atrial fibrillation. Restoration of sinus rhythm is preferable for this type of arrhythmia. Radiofrequency ablation improves the prognosis and quality of life of the patient. Simultaneous coronary revascularization in persistent atrial fibrillation allows achieving the expected result. However, the simultaneous performance of these operations can increase the risk of postoperative complications, including recurrence of arrhythmia. Outpatient management of such patients is difficult, since there are no clear antiarrhythmic therapy regimens depending on the patient's comorbid status.
Case report. This article presents a clinical case of postoperative management of a 62-year-old patient after radiofrequency ablation of arrhythmogenic zones and resection of the left atrial appendage for persistent atrial fibrillation, combined with coronary artery bypass grafting using a single-channel electrocardiogram monitor in a smartphone case.
Conclusion. Remote telemetric monitoring of the electrocardiogram in the CardioQVARK smartphone case is easy to use and allows you to obtain additional information about the functioning of the cardiovascular system. Early detection of arrhythmia recurrence allows the doctor to optimize the antiarrhythmic therapy, improve the prognosis of the disease and the quality of life of patients. The use of modern non-invasive telemetric monitoring of the electrocardiogram is a promising direction in the development of medicine. It can improve the quality of medical care and increase the effectiveness of treatment for patients with cardiovascular diseases.
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Goma T.V. TELEMETRIC MONITORING OF THE ELECTROCARDIOGRAM IN A PATIENT AFTER RADIOFREQUENCY ABLATION OF PERSISTENT ATRIAL FIBRILLATION IN COMBINATION WITH CORONARY ARTERY BYPASS GRAFTING. Baikal Medical Journal. 2025;4(1):18-28. (In Russ.) https://doi.org/10.57256/2949-0715-2025-4-1-18-28
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