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NON-INVASIVE DIAGNOSIS OF ATRIAL INFARCTION

Abstract

Atrial myocardial infarction is currently one of the undeservedly neglected problems of cardiology. A search was conducted in the databases PubMed, Web of Science, eLibrary, Google Scholar of articles published since January 01, 1960, using the keywords: atrial infarction, acute ischemic atrial injury, atrial ischemia. Additional articles were obtained by viewing the literature lists previously included in the publication. There is practically no modern literature on this problem. Characteristic features of acute ischemic atrial damage are transmural myocardial damage due to the small thickness of the atrial wall, frequent occurrence of supraventricular rhythm disturbances. Currently, there are no reliable diagnostic criteria for atrial infarction. In some cases, electrocardiographic signs of atrial infarction outstrip the appearance of signs of ventricular myocardial ischemia and may be the only in vivo manifestation of acute ventricular myocardial infarction. Currently, there are no reliable diagnostic criteria for atrial infarction, but there are large and small electrocardiographic criteria for the diagnosis of this disease. In addition to electrocardiographic signs, there are ultrasound criteria for ischemic damage to the atrial myocardium in transesophageal echocardiography. Further study of the problem is needed to develop appropriate recommendations for its diagnosis and treatment.

About the Authors

A. V. Bocharov
ОГБУЗ «Костромская областная клиническая больница им. Е.И. Королева»; РГБУЗ «Республиканская клиническая больница» Минздрава РСО-Алания
Russian Federation


E. D. Kartashova
ФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова» Минздрава России
Russian Federation


L. V. Popov
ФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова» Минздрава России
Russian Federation


A. K. Mittsiev
РГБУЗ «Республиканская клиническая больница» Минздрава РСО-Алания; ФГБОУ ВО «Северо-Осетинская государственная медицинская академия» Минздрава России
Russian Federation


M. D. Lagkuev
РГБУЗ «Республиканская клиническая больница» Минздрава РСО-Алания
Russian Federation


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Review

For citations:


Bocharov A.V., Kartashova E.D., Popov L.V., Mittsiev A.K., Lagkuev M.D. NON-INVASIVE DIAGNOSIS OF ATRIAL INFARCTION. Bashkortostan Medical Journal. 2021;16(5):48-51. (In Russ.)

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ISSN 1999-6209 (Print)