Tom 14, Nr 5 (2019)
Artykuł przeglądowy
Opublikowany online: 2019-10-31
Wyświetlenia strony
422
Wyświetlenia/pobrania artykułu
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Zaburzenia rytmu i funkcji układu autonomicznego w przebiegu ostrych i przewlekłych chorób z zajęciem prawej komory serca
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DOI: 10.5603/FC.2019.0101
Folia Cardiologica 2019;14(5):445-455.
Streszczenie
Prawa i lewa komora różnią się w swojej anatomii i funkcji, co ma swój wyraz w odmiennej budowie miokardium, zawartości elementów układu bodźcoprzewodzącego oraz dystrybucji receptorów autonomicznego układu nerwowego. Wymienione różnice sprawiają, że choroby przebiegające głównie z zajęciem prawych jam serca, takie jak: ostra zatorowość płucna, przewlekłe nadciśnienie płucne, zawał prawej komory serca czy arytmogenna kardiomiopatia prawokomorowa, a także wybrane wrodzone wady serca czy niektóre choroby układowe tkanki łącznej, odróżniają się na tle innych schorzeń swoją patofizjologią, przebiegiem klinicznym oraz potencjalnymi komplikacjami. Prowadzi to również do zwiększonej częstości wywoływania zaburzeń rytmu serca, przy czym dla poszczególnych jednostek charakterystyczne są inne rodzaje arytmii. W celu ułatwienia klinicystom wyboru metod diagnostycznych i leczniczych w poniższym opracowaniu zebrano aktualną wiedzę na temat zaburzeń rytmu oraz funkcji autonomicznego układu nerwowego serca w schorzeniach przebiegających z zajęciem prawej komory.
Słowa kluczowe: zaburzenia rytmu sercaukład autonomiczny sercaostra zatorowość płucnanadciśnienie płucnezajęcie prawej komory serca
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