References

evrazkar

Евразийский Кардиологический Журнал

Eurasian heart journal

2225-16852305-0748

Евразийская ассоциация кардиологов

10.38109/2225-1685-2025-3-6-77

evrazkar-6538

Research Article

КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ

CLINICAL GUIDELINES

Евразийские клинические рекомендации по диагностике и лечению фибрилляции предсердий у взрослых (2025)

Eurasian clinical guidelines for the diagnosis and treatment of atrial fibrillation in adult patients (2025)

https://orcid.org/0000-0001-9913-9974

Голицын

С. П.

Golitsyn

S. P.

Голицын Сергей Павлович, д.м.н., профессор, руководитель отдела клинической электрофизиологии и рентгенохирургических методов лечения нарушений ритма сердца

Москва

Sergey P. Golitsyn, Dr. of Sci. (Med.), Professor, Head of the Department of Clinical Electrophysiology

Moscow

https://orcid.org/0000-0002-1174-2574

Панченко

Е. П.

Panchenko

E. P.

Панченко Елизавета Павловна, д.м.н., профессор, руководитель отдела клинических проблем атеротромбоза

Москва

Elizaveta P. Panchenko, Dr. of Sci. (Med.),Professor, Head of the Department of Clinical Problems of Atherothrombosis

https://orcid.org/0000-0002-6086-6784

Миронов

Н. Ю.

Mironov

N. Yu.

Миронов Николай Юрьевич, д.м.н., старший научный сотрудник, лаборатория интервенционных методов диагностики и лечения нарушений ритма, проводимости сердца и синкопальных состояний, отдел клинической электрофизиологии и рентгенохирургических методов лечения нарушений ритма сердца

ул. Академика Чазова, дом 15а, г. Москва 121552

Nikolay Yu. Mironov, Dr. of Sci. (Med.), Senior Researcher, Department of Clinical Electrophysiology

nikmir.7ko@gmail.com

https://orcid.org/0009-0002-7990-4581

Беляева

М. М.

Belyaeva

M. M.

Беляева Мария Михайловна, к.м.н., научный сотрудник, отдел клинической электрофизиологии и рентгенохирургических методов лечения нарушений ритма сердца

Москва

Maria M. Belyaeva, Cand. of Sci. (Med.), researcher, Department of Clinical Electrophysiology

https://orcid.org/0000-0002-9295-6813

Гаглоева

Д. А.

Gagloeva

D. A.

Гаглоева Диана Артуровна, к.м.н., врач-кардиолог, кабинет организации оказания высокотехнологичной медицинской помощи и ОМС

Москва

Diana A. Gagloeva, Cand. of Sci. (Med.), cardiologist, office for the organization of high-tech medical care and compulsory medical insurance

https://orcid.org/0000-0002-3140-5030

Елфимова

Е. М.

Elfimova

E. M.

Елфимова Евгения Михайловна, к.м.н., старший научный сотрудник, лаборатория апноэ сна, отдел гипертонии

Москва

Evgenia M. Elfimova, Cand. of Sci. (Med.), Senior Researcher, Sleep Apnea Laboratory, Hypertension Department

https://orcid.org/0000-0002-3092-8593

Кропачева

Е. С.

Kropacheva

E. S.

Кропачева Екатерина Станиславовна, к.м.н., старший научный сотрудник, отдел клинических проблем атеротромбоза

Москва

Ekaterina S. Kropacheva, Cand. of Sci. (Med.), Senior Researcher, Department of Clinical Problems of Atherothrombosis

https://orcid.org/0000-0002-3102-1686

Лайович

Л. Ю.

Lajovic

L. Yu.

Лайович Лада Юрьевна, к.м.н., старший научный сотрудник, отдел клинической электрофизиологии и рентгенохирургических методов лечения нарушений ритма сердца

Москва

Lada Yu. Lajovic, Cand. of Sci. (Med.), Senior Researcher, Department of Clinical Electrophysiology

https://orcid.org/0000-0001-5918-9969

Литвин

А. Ю.

Litvin

A. Yu.

Литвин Александр Юрьевич, д.м.н., руководитель лаборатории апноэ сна, отдел гипертонии;

Москва

Alexander Yu. Litvin, Dr. of Sci. (Med.), Head of the Sleep Apnea Laboratory, Hypertension Department, A.L. Myasnikov Institute of Clinical Cardiology; Professor of the Department of Outpatient Therapy, Faculty of Medicine

https://orcid.org/0000-0003-2989-9366

Майков

Е. Б.

Maikov

E. B.

Майков Евгений Борисович, д.м.н., ведущий научный сотрудник, лаборатория интервенционных методов диагностики и лечения нарушений ритма, проводимости сердца и синкопальных состояний, отдел клинической электрофизиологии и рентгенохирургических методов лечения нарушений ритма сердца, Институт клинической кардиологии им. А.Л. Мясникова

Evgeny B. Maikov, Dr. of Sci. (Med.), Leading Researcher, Department of Clinical Electrophysiology

https://orcid.org/0000-0003-0746-8012

Уцумуева

М. Д.

Utsumueva

M. D.

Уцумуева Мадина Джаватовна, к.м.н., врач-кардиолог, отделение сложных нарушений ритма сердца и электрокардиостимуляции

Madina D. Utsumueva, Cand. of Sci. (Med.), cardiologist, department of complex cardiac arrhythmias and cardiac pacing

https://orcid.org/0000-0002-4616-1892

Шахматова

О. О.

Shakhmatova

O. O.

Шахматова Ольга Олеговна, к.м.н., научный сотрудник, отдел клинических проблем атеротромбоза

Москва

Olga O. Shakhmatova, Cand. of Sci. (Med.), research fellow, Department of Clinical Problems of Atherothrombosis

Институт клинической кардиологии им. А.Л. Мясникова, ФГБУ «Национальный медицинский исследовательский центр кардиологии им. Е.И. Чазова» Минздрава РоссииРоссияA.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of CardiologyRussian Federation

Институт клинической кардиологии им. А.Л. Мясникова, ФГБУ «Национальный медицинский исследовательский центр кардиологии им. Е.И. Чазова» Минздрава России; ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова»РоссияE.I. Chazov National Medical Research Center of Cardiology, Ministry of Health of the Russian Federation; N.I. Pirogov Russian National Research Medical UniversityRussian Federation

2025

25092025

03677

2025

Голицын С.П., Панченко Е.П., Миронов Н.Ю., Беляева М.М., Гаглоева Д.А., Елфимова Е.М., Кропачева Е.С., Лайович Л.Ю., Литвин А.Ю., Майков Е.Б., Уцумуева М.Д., Шахматова О.О.

Golitsyn S.P., Panchenko E.P., Mironov N.Y., Belyaeva M.M., Gagloeva D.A., Elfimova E.M., Kropacheva E.S., Lajovic L.Y., Litvin A.Y., Maikov E.B., Utsumueva M.D., Shakhmatova O.O.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.heartj.asia/jour/article/view/6538

В настоящем документе представлены актуальные на сегодняшний день рекомендации по диагностике и лечению фибрилляции (ФП) и трепетания предсердий у взрослых. Рекомендации разрабатывались для помощи врачу в выборе оптимальной стратегии лечения с учетом его влияния на исходы, соотношения пользы и риска при использовании того или иного метода диагностики и лечения. При разработке данных рекомендаций все участники рабочей группы руководствовались принципами доказательной медицины. Основанием для пересмотра прошлой версии Евразийских клинических рекомендаций (2019 г.) стало достаточно большое количество рандомизированных клинических исследований, завершённых в период 2019-2024 гг., оказавших влияние на многие аспекты как консервативного, так и интервенционного ведения пациентов, которые были учтены в Клинических рекомендациях Европейского общества кардиологов (2024г.), Американской ассоциации сердца/Американской коллегии кардиологов (2023 г.). При составлении обновлённой версии рекомендаций учитывались не только новые достижения медицинской науки, но и предпринимались попытки адаптации к региональным особенностям систем здравоохранения и оказания медицинской помощи, лекарственному обеспечению и популяционно-демографическим особенностям Евразийского региона.

In this document we provide comprehensive review of contemporary approaches to diagnostic work-up and management of atrial fibrillation (AF) in adults. These guidelines are based on systematic methods to evaluate and classify evidence and provide a foundation for the delivery of quality cardiovascular care. Previous version of Eurasian clinical practice guidelines published in 2019 required revision due to a number of randomized clinical trials in major medical and surgical approaches to AF published in 2019-2024. Updated version of Eurasian Clinical practice guidelines based on methodology of European society of cardiology guidelines (2024) and American heart association/ American College of cardiology guidelines (2023). Revision included not only new scientific data but also took into consideration regional differences in healthcare systems, medical services and drugs availability and epidemiology of AF in Eurasian region.

фибрилляция предсердийтрепетание предсердийклинические рекомендациилечениедиагностикамедикаментозное лечениеантиаритмический препараткатетерная аблацияантикоагулянтная терапияклинические рекомендации

atrial fibrillationatrial flutterguidelinesmanagementwork-uptreatmentcatheter ablationantiarrhythmic druganticoagulantclinical guidelines

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The authors declare that there are no conflicts of interest present.