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¼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– ,9&:<9(%:<'!%%&; '!5<&9-M#!5<9&5(9>.&?9(N.. (3D-0OP6). &DFG H?I=>J: ,&'A-!%.! <&=%&:<. <&,.=!:5&; >.(?%&:<.5. :.%>9&"( 40J ,2<!" #&5(#.D(B.. I4J8 "!<&>&" 3D-0OP6. 7?>DHA?F A KD>=EJ 0 .::#!>&'(%.! 1A#& '5#L=!%& 33 "&#&>AH =!#&'!5( ' '&D9(:<! &< 5 >& 39 #!< (:9!>%.; '&D9(:< 29,3 ± 11,1 #!<); .D %.H 10 >!<!; ' '&D9(:<! &< 5 >& 17 #!< (:9!>%.; '&D9(:< 13,7 ±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athcad 7. 0 9!D2#G<(<! &19(1&<5. :.?%(#(, 1A#. ,&#2=!%A ,9&:<9(%:<'!%%A! 0OP6, (%.".9&'(%%A! 0OP6 ' 9!F."! D("!>#!%%&?& >!;:<'.$, ( <(5F! .H ,9&!5B.. %( :(?.<<(#G%2L, ?&9.D&%<(#G%2L . N9&%<(#G%2L ,#&:5&:<. 0OP6, &<9(F(LK.! ,9&B!::A '&D12F>!%.$ F!#2>&=5&' :!9>B( ,9. 9(D#.=%AH #&5(#.D(B.$H I4J8. 4&#2=!%%A! 0OP6 ,&>'!9?(#.:G '!5<&9%&"2 (%(#.D2 ' :&&<'!<:<'.. : >.,&#G%&; <!&9.. :!9>!=%&?& M#!5<9&?!%!D( . 5&%B!,B.. 69(%<(-4!%!#&B(-Q9(%=!D., :&?#(:%& 5&<&9A" ' 9!D2#G<(<! '&D12F>!%.$ ':!H &<>!#G%AH =(:<!; :!9>B( '&D%.5(!< &>%& M#!5<9.=!:5&! ,&#!, H(9(5<!9.D2LK!!:$ .%<!?9(#G%A" M#!5<9.=!:5." '!5<&9&" :!9>B( (EO08), ' 5&<&9&" "&F%& 'A>!#.<G <9. &:%&'%AH :&:<('#$LK.H, H(9(5<!9.D2LK.H '&D12F>!%.! :!9>B( ' &,9!>!#!%%AH (%(<&".=!:5.H &1#(:<$H: '!5<&9A '&D12F>!%.$ "!FF!#2>&=5&'&; ,!9!?&9&>5. ()J4) (1), :'&1&>%AH :<!%&5 F!#2>&=5&' :!9>B( (2), 1(D(#G%AH &<>!#&' :!9>B( (3) [4, 20-22]. I#$ 2>&1:<'( (%(#.D( '!5<&9%A! ,!<#. QRS 2:#&'%A". <&=5(". 3, 0, 8 1A#. 9(D>!#!%A %( H(9(5<!9%A! 2=(:<5., &<9(F(LK.! #&5(#.D(B.L ' ,9&:<9(%:<'! 'A-!25(D(%%AH '!5<&9&' (9.:.1). I!#G<(-'&#%( '&D%.5(LK($ %( #.%.$H :<(%>(9<%AH &<'!>!%.; OP6 ,9. :.%>9&"! 40J : <&=5. D9!%.$ >.,&#G%&; <!&9.. ,9!>:<('#$!< :&1&; ,9&!5B.. >&,&#%.<!#G%&?& S'!5<&9(, #&5(#.D(B.$ ' ,9&:<9(%:<'! 5&<&9&?& D('.:.< &< (%(<&".=!:5&?& 9(:,&#&F!%.$ &1#(:<. ,9!F>!'9!"!%%&?& '&D12F>!%.$ . 25(DA'(!< %( #&5(#.D(B.L I4J8 ' F!#2>&=5(H :!9>B(. 0OP6 ,&#2=!%%A! ,9. :.%>9&"! 40J &<9(F(L< ,9&B!:: 'D(."&>!;:<'.$ 177 >'2H '&#% >!,&#$9.D(B.. F!#2>&=5&' :!9>B(: %&9"(#G%&;, H(9(5<!9.D2LK!;:$ EO08, . >&,&#%.<!#G%&;, N&9".92LK!; S-'!5<&9. 0AL. 1. 49&:<9(%:<'!%%($ N&9"( '!5<&9%&; ,!<#. QRS ' %&9"!. V, Y, Z – &:. 5&&9>.%(<; "(:-<(1 ' ".59&'&#G<(H (µV) I#$ :&,&:<('#!%.! >(%%AH & #&5(#.D(B.. I4J8 ,&#2=!%%AH "!<&>(". 3D-0OP6 . M%>&5(9>.(#G%&?& OUE 1A#& 'A>!#!%& 143 D&% 4JT [4, 5, 7, 9, 11, 24, 25]. 4& OP6 <&,.=!:52L >.(?%&:<.52 ,9&'&>.#. 5#(::.=!:5. ,& (#?&9.<"(" Gallager J. : :&('<. (19781979), G.V. Reddy, L. Schamroth . B. Lindsay (1987), T&5!9.$ +.3., C!'.-'.#. 3.W., Vi! 0. : :&('<. (1989-1994), Arruda : :&('<. (1992) [5, 7-12]. 4& M%>&5(9>.(#G%&"2 OUE #&5(#.D(B.$ I4J8 &,9!>!#$#(:G : ,&"&KGL >.(?%&:<.=!:5.H M#!5<9&>&' ,9. 5(9<.9&'(%.. 4JT . ,&><'!9F>(#(:G .%<9(&,!9(B.&%%&: #&5(#.D(B.!; <&=5., ' 5&<&9&; 9(>.&=(:<&<%($ (1#(B.$ 1A#( MNN!5<.'%&; (9.:. 2) [5, 6, 9, 1113, 15, 24]. 8<(<.:<.=!:52L &19(1&<52 >(%%AH 'A,&#%$#. : ,9."!%!%.!" :<(<.:<.=!:5&?& ,(5!<( STATISTICA 6.0 (STATSOFT Inc, USA). I#$ ,&><'!9F>!%.$ >&:<&'!9%&:<. ,&#2=!%%AH >(%%AH :=.<(#. >&:<(<&=%A" D%(=!%.! >&'!9.<!#G%&; '!9&$<%&:<. p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aVF, V1, V6) . '%2<9.:!9>!=%A! M#!5<9&?9(""A .D 5&9&%(9%&?& :.%2:( (Cs 1,2, Cs 3,4, Cs 5,6, Cs 9,10), &1#(:<. ,2=5( 6.:( (His 9 (,9&5:."(#G%A;), m ("!>.(#G%A;), d (>.:<(#G%A;)) . (1#(B.&%%&?& M#!5<9&>( (ABL, ,(%!#G 0) ,9. #!'&:<&9&%%!" '!9H%!1&5&'&" I4J8: ,(%!#G 3 – :.%2:&'A; 9.<", ,(%!#G T – &9<&>9&"%($ <(H.5(9>.$, ,(%!#G 0 – >& . ,&:#! 2:,!-%&; CR3 I4J8 ('& '<&9&" 5&",#!5:! QRS &<:2<:<'2L< ,9.D%(5. ,9!>'&D12F>!%.$). 8<9!#5(". ,&5(D(%A :,(;5. 9!?.:<9.92LK.! %(.1&#!! 9(%%!! '&D12F>!%.! #!'&?& F!#2>&=5( (,(%!#G 3, 0), 9!<9&?9(>%&! '&D12F>!%.! ,9!>:!9>.; (,(%!#G T). 0!9<.5(#G%A! #.%.. ,9&'!>!%A =!9!D <&=5. 9!?.:<9(B.. 9(%%!?& '&D12F>!%.$, S-S-'&#%(. 85&9&:<G 200 ""/: 179 E::#!>&'(%.! >.%(".5. . #&5(#.D(B.. ' ,9&:<9(%:<'! S-'!5<&9( . EO08 : ,&"&KGL 3D-0OP6 ,&D'&#.#& 'A$'.<G &:&1!%%&:<. '&D12F>!%.$ F!#2>&=5&' :!9>B( ' 2:#&'.$H N2%5B.&%.9&'(%.$ I4J8. I!#G<(-'!5<&9, :N&9".9&'(%%A; ,&<!%B.(#(". ".&5(9>( &1#(:<. ,9!F>!'9!"!%%&?& '&D12F>!%.$, 9!?.:<9.9&'(#:$ %( 0OP6 ' '.>! %(=(#G%&?& &<5#&%!%.$ ,!<#. QRS [4, 7 20, 22]. +?IFA@? 1. +&5(#.D(B.. I4J8 ,& 9!D2#G<(<(" M%>&5(9>.(#G%&?& OUE P&#.=!:<'& ,(B.!%<&' +&5(#.D(B.$ I4J8 ,& 9!D2#G<(<(" M%>&5(9>.(#G%&?& OUE +!'&:<&9&%%.! I4J8 5 0!9H%!1&5&'A! 7 T&5&'A! 49('&:<&9&%%.! I4J8 3 /.F%.! 2 /.F%!1&5&'A! 8!,<(#G%A! ,9('&:<&9&%%.! I4J8 4 0!9H%.! 9 /.F%.! 0AL. 3. 8H!"( #&5(#.D(B.. I4J8 ,& 9!D2#G<(<(" CR3. C(:,&#&F!%.! <&=!5 :&&<'!<:<'2!< B.N!91#(<2 =(:&', ( ,&#&F!%.! 5'(>9(<&' – "!:<2 MNN!5<.'%&; (1#(B... Cs – 5&9&%(9%A; :.%2:, /0 – ,. 6.:(, )P – ".<9(#G%A; 5#(,(%, QP –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–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– ' &1#(:<. 5&9&%(9%&?& :.%2:(, ,9. III <.,! –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– #!'&:<&9&%%.; '!9H%!1&5&'&;, T – #!'&:<&9&%%.; 1&5&'&;, 0 – ,9('&:<&9&%%.; '!9H%!:!,<(#G%A;, 6 – ,9('&:<&9&%%.; %.F%!:!,<(#G%A; (I <.,), I – ,9('&:<&9&%%.; %.F%!:!,<(#G%A; (II <.,). V, Y, Z – &:. 5&&9>.%(<; "(:-<(1 ' ".59&'&#G<(H (µ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– ,9('&:<&9&%%.; %.F%!:!,<(#G%A; (III <.,), J – ,9('&:<&9&%%.; %.F%.;, – ,9('&:<&9&%%.; %.F%!1&5&'&;. V, Y, Z – &:. 5&&9>.%(<; "(:-<(1 ' ".59&'&#G<(H (µ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allager J. 100% 25% 75% 12,5% Reddy G. 75% 100% 75% 87,5% - - - 87,5% +.3. T&5!9.$, 3.W. C!'.-'.#. 100% 75% 75% 75% 0OP6-59.<!9.. (<&=%&:<G 1/14 4JT) 100% 80% 91,7% 88,9% OP6-59.<!9.. (<&=%&:<G 1/4 4JT) 3rruda 048 – '!9H%!:!,<(#G%A! I4J8, 488 – ,9('&:<&9&%%.! I4J8, +88 – #!'&:<&9&%%.! I4J8, /48 – %.F%!:!,<(#G%A! I4J8 0 %(-!; 9(1&<! "!<&>&" '!5<&9-M#!5<9&5(9>.&?9(N.. 1A#& &1:#!>&'(%& 10 >!<!;, ."!LK.H ,& >(%%A" R4 OUE 2:5&9!%%&! 30-,9&'!>!%.!, ' 9!D2#G<(<! M<&?& S-'&#%( %( ,&'!9H%&:<%&; OP6-12 =!<5& %! 9!?.:<9.9&'(#(:G. @,9!>!#!%.! #&5(#.D(B.. I4J8 ,& ,&#$9%&:<. S-'&#%A %( OP6-12 :&:<('.#& &,9!>!#!%%A! <92>%&:<. .D-D(: &<:2<:<'.$ =!<5&; 9!?.:<9(B.. S-'&#%A (%( 5 OP6-12 ' V1, %( 2 OP6-12 ' aVF, %( 2 OP6-12 ' aVl, %( 1 OP6-12 ' II ), .D&M#!5<9.=%&; S-'&#%A '& ':!H 12 &<'!>!%.$H (%( 1 OP6-12), .D"!%!%%&; ,&#$9%&:<. S-'&#%A (%( 1 OP6-12 ' aVF). 184 2 % - 0AL. 6. OP6-12 . 0OP6 ,(B.!%<5. 14 #!<, ."!LK!; 2:5&9!%%&! 30-,9&'!>!%.! (<. 0!%5!1(H( 1&#G-! 220 .",. ' ".%). 3 – OP6-12. I!#G<(-'&#%( &<:2<:<'2!< '& ':!H 12 &<'!>!%.$H, T – ,9&:<9(%:<'!%%($ N&9"( '!5<&9%&; ,!<#. QRS ("(:-<(1 ' ".59&'&#G<(H (µV)), 0 – &9<&?&%(#G%($ OP6. V, Y, Z –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¼ 4JT . 0OP6-59.<!9.!' ' ,9!>!#(H 1/14 4JT ,9!>:<('#!%( ' <(1#. 2. @<%&:.<!#G%($ &-.15( ' ,9!>,&#&F!%.. D&%A #&5(#.D(B.. I4J8 : ,&"&KGL 3D-0OP6 :&:<('.#( 2,9% (9=0,05) . 1A#( :'$D(%( : %(#.=.!" “5&:AH” I4J8, 2 5&<&9AH ,9!>:!9>%A; . F!#2>&=5&'A! 5&%BA I4J8 %(H&>.#.:G ' 9(D%AH (%(<&".=!:5.H D&%(H. OP6-(#?&9.<"A <&,.=!:5&; >.(?%&:<.5. "(%.N!:<%&?& :.%>9&"( 40J ' .::#!>&'(%.. ,&5(D(#. %.D52L .%N&9"(<.'%&:<G .D-D( &<:2<:<'.$ =!<5&; 9!?.:<9(B.. S-'&#%A, .D&M#!5<9.=%&; S-'&#%&;, .D"!%!%%&; ,&#$9%&:<. S-'&#%A. P9.<!9.., >(LK.! 100% 2:,!H ' &,9!>!#!%.. I4J8 ' ,9!>!#(H ¼ 4JT, 5 :&F(#!%.L, %! :"&?#. #&5(#.D&'(<G I4J8 ' ,9!>!#(H 1/14 4JT. 0 B!#&", .%N&9"(B.$ & #&5(#.D(B.. I4J8 ,&#2=!%%($ %( &:%&'(%.. OP6-59.<!9.!' 1A#( &9.!%<.9&'&=%&; . <9!1&'(#( >(#G%!;-!?& 2<&=%!%.$. Q(5." &19(D&", .D2=!%.! &:&1!%%&:<!; 9(:,9&:<9(%!%.$ '&D12F>!%.$ ' :!9>B! : ,&"&KGL 3D-0OP6 . (%(#.D ,&#2=!%%AH 9!D2#G<(<&' : 2=!<&" '!5<&9%AH ,9.%B.,&' '&D12F>!%.$, ,&D'&#.#& ,&-%&'&"2 'D?#$%2<G %( ,9&B!:: '&D12F>!%.$ :!9>!=%&; "A-BA ' 2:#&'.$H :2K!:<'&'(%.$ I4J8. 0OP6-59.<!9.. #&5(#.D(B.. I4J8 ,&'A:.#. <&=%&:<G <&,.=!:5&; >.(?%&:<.5. "(%.N!:<%&?& :.%>9&"( 40J. %(%.$ & H(9(5<!9! 'D(."&>!;:<'.$ '!5<&9&' ' ,9&B!::! M#!5<9.=!:5&; :.:<&#A F!#2>&=5&', ,&D'&#$L< ,9!>,&#&F.<G H(9(5<!9 .D"!%!%.$ <9(!5<&9.. '!5<&9%&; ,!<#. QRS ,9. #L1&; D(>(%%&; #&5(#.D(B.. I4J8, <.!. "&>!#.9&'(<G '!5<&9%2L ,!<#L. 186 5JC=EJ 1. I!#G<(-'!5<&9 &,9!>!#$!< :"!K!%.! '!5<&9%&; ,!<#.: '!5<&9%($ ,!<#$ :"!K(!<:$ ' :<&9&%2 &1#(:<. ,9!M5D.<(B.., !:#. I4J8 #&5(#.D2!<:$ ' :'&1&>%AH :<!%5(H F!#2>&=5&' :!9>B(. 0 :#2=($H #&5(#.D(B.. I4J8 ' )J4 :"!K!%.! '!5<&9%&; ,!<#. &,9!>!#$!<:$ %! <&#G5& (%(<&".=!:5." ,&#&F!%.!" &1#(:<. ,9!M5D.<(B.., %& . ,&<!%B.(#(". +J, ':#!>:<'.! 9(:,9&:<9(%!%.$ ,9!>'&D12F>!%.$ %( :'&1&>%A! :<!%5. F!#2>&=5&' :!9>B( . 9&<(B.. S-'!5<&9( ' ?&9.D&%<(#G%&; ,#&:5&:<.. 2. /(.1&#!! .%N&9"(<.'%A". >#$ #&5(#.D(B.. I4J8 $'#$L<:$ :<!,!%G . H(9(5<!9 %(=(#G%AH .D"!%!%.; '!5<&9%&; ,!<#. QRS, 5&<&9A! N&9".92L<:$ ,&> ,9!&1#(>(LK." '#.$%.!" S-'!5<&9( . :'$D(%A : #&5(#.D(B.!; I4J8. 3. )!<&> ,9&:<9(%:<'!%%&; '!5<&9-M#!5<9&5(9>.&?9(N.. &1#(>(!< >&:<(<&=%&; =2':<'.<!#G%&:<GL >#$ <&,.=!:5&; >.(?%&:<.5. "(%.N!:<.92LK!?& :.%>9&"( 40J. E%N&9"(B.$, ,&#2=!%%($ ' 9!D2#G<(<! (%(#.D( 0OP6 ,&D'&#$!< #&5(#.D&'(<G I4J8 ' ,9!>!#(H 1/14 4JT %( >&&,!9(B.&%%&" M<(,! : <&=%&:<GL 9('%&; 97,1%. A>DH?>NH? 1. C!'.-'.#. 3.W., CD(!' U.6., IF!<A1(!'( 8.P. O#!5<9&N.D.&#&?.=!:5($ >.(?%&:<.5( . .%<!9'!%B.&%%&! #!=!%.! :#&F%AH N&9"( %(92-!%.; 9.<"( : .:,&#GD&'(%.!" :.:<!"A <9!H"!9%&?& M#!5<9&(%(<&".=!:5&?& 5(9<.9&'(%.$ // 0!:<%.5 (9.<"&#&?... 2004. Q.34. 8.27-35. 2. Shakespeare C.F., Anderson M., Camm A.J. Pathophysiology of supraventricular tachycardia // Eur. Heart. J. 1993. V.14. P.2-10. 3. T9!>.5.: Y.Y. V.929?.=!:5&! #!=!%.! %(>F!#2>&=5&'&; <(H.5(9>... 0.#G%L:: )&5:#(:, 1985. 4. P!=5!9 ).E. C25&'&>:<'& ,& 5#.%.=!:5&; M#!5<9&5(9>.&?9(N... ).: )!>.B.%(, 2003. 5. Iwa T., Kawasuji M., Misaki et al. Localization and interruption of accessory conduction pathway in the Wolff-Parkinson-White syndrome // J. Thorac. Cardiovasc. Surg. 1980. V.80. P.271-279. 6. Wellens H. J.J., Janse M. J., Van Dam R. T. et al. Epicardial mapping and surgical treatment in the Wolff-Parkinson-White syndrome type // Am. Heart J. 1974. V.88. P.69-78. 7. P2-(5&':5.; ).8. 39.<".. :!9>B(. /(92-!%.! :!9>!=%&?& 9.<"( . ,9&'&>."&:<.. 841.: U&#.(%<, 2004. 8. 6#2-!%5&'( @.0. 89('%.<!#G%($ &B!%5( "!<&>&' <&,.=!:5&; >.(?%&:<.5. ,9. "(%.N!:<.92LK.H :.%>9&"(H ,9!>'&D12F>!%.$ // W!:<($ !F!?&>%($ :!::.$ ' /Z 88V .". 3./. T(52#!'( C3)/ : 0:!9&::.;:5&; 5&%N!9!%B.!; "&#&>AH 2=!%AH 2002; 3: 222. 187 9. Arruda M., Wang X., McClelland J. et al. ECG algorithm for predicting radiofrequency ablation site in posteroseptal accessory pathways // Pace. 1992. V.15. P.535. 10. Sherf L., Neufeld H.N. The pre-excitation syndrome: facts and theories // Jorke Medical Books, 1978. 11. Shoei K., Stephen Huang, Wilber D.J. Radiofrequency catheter ablation of cardiac arrhythmias. Basic concepts and clinical applications. N.Y.: Futura Publishing, 2000. 12. Sun Y., Arruda M., Otomo K. et al. Coronary sinus – ventricular accessory connections producing posteroseptal and left posterior accessory pathways: Incidence and electrohysiological identification // Circulation. 2002. V.106. P.1362-1367. 13. )(%>!# IF. 39.<".. :!9>B(. )!H(%.D"A, >.(?%&:<.5(, #!=!%.! (,!9. : (%?#.). ).: )!>.B.%(, 1996. 14. 82#."&' 0.3., )(5&#5.% 0.E. R9!D,.K!'&>%($ M#!5<9.=!:5($ :<."2#$B.$ :!9>B(. ).: )!>.B.%(, 2001. 15. C!'.-'.#. 3.W. O#!5<9&N.D.&#&?.=!:5($ >.(?%&:<.5( . H.929?.=!:5&! #!=!%.! %(>F!#2>&=5&'AH <(H.(9.<".; // P(9>.&#&?.$. 1990. [11. 8.56-59. 16. Gepstein L., Hayam G., Ben-Haim S.A. A novel method for nonfluoroscopic catheter-based electroanatomical mapping of the heart. In vitro and in vivo accuracy results // Circulation. 1997. V.95. P.1611-1622. 17. 8"!<%!' 3.8., 6&#.BA% 8.4., 8&5&#&' 8.U. I.(?%&:<.5( . #!=!%.! %(92-!%.; 9.<"( :!9>B(: ,9&1#!"A '%2<9.:!9>!=%&?& M#!5<9&N.D.&#&?.=!:5&?& .::#!>&'(%.$ // P(9>.&#&?.$. 1982. [5. C.38-41. 18. Kovoor P., Ricciardello M., Collins L. et al. Risk to patients from radiation associated with radiofrequency ablation for supraventricular tachycardia // Circulation. 1998. V.98. P.15341540. 19. 6(>F(!'( U.7., 69.?&9G$%B C.3., )(:!%5& 0.4., V(>(9B!' 3.3. O#!5<9&5(9>.&?9(N.=!:5.! :.:<!"A &<'!>!%.;. Q2#(: /EE /)4, 1996. 20. I&#(1=$% .+. @:%&'A 5#.%.=!:5&; M#!5<9&N.D.&#&?.. . 1.&N.D.5.. ).: )!>.B.%(, 1968. 21. Q.<&".9 +.E., C2<<5(;-/!>!B5.; E. 3%(#.D &9<&?&%(#G%&; M#!5<9&5(9>.&?9(""A. ).: /(25(, 1990. 22. Shvilkin A., Bojovic B., Josephson M.E. et al. Vectrocardiographic determinants of cardiac memory during normal ventricular activation and continuous ventricular pacing // Heart Rhythm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