Annals of the Russian academy of medical sciencesAnnals of the Russian academy of medical sciencesВестник Российской академии медицинских наук0869-60472414-3545"Paediatrician" Publishers LLC1399610.15690/vramn13996PEDIATRICS: CURRENT ISSUESАКТУАЛЬНЫЕ ВОПРОСЫ ПЕДИАТРИИReview ArticleElectrical Instability of the Myocardium in Children and AdolescentsЭлектрическая нестабильность миокарда у детей и подростковhttps://orcid.org/0000-0002-2290-00132024-5807BalykovaLarisa A.БалыковаЛариса Александровна
Russian Federation

MD, PhD, Professor, Corresponding Member of the RAS

доктор медицинских наук, профессор, член-корреспондент РАН

larisabalykova@yandex.ruhttps://orcid.org/0000-0002-9049-56622141-2903ShirmankinaMarina V.ШирманкинаМарина Васильевна
Russian Federation

Clinical Resident

ординатор

shirmankina99@mail.ruhttps://orcid.org/0000-0003-0087-44219931-6767IvyanskiyStanislav A.ИвянскийСтанислав Александрович
Russian Federation

MD, PhD

кандидат медицинских наук

stivdoctor@yandex.ruhttps://orcid.org/0000-0003-3990-93536033-5816KrasnopolskayaAnna V.КраснопольскаяАнна Валерьевна
Russian Federation

MD, PhD

кандидат медицинских наук

abalykova@gmail.ruhttps://orcid.org/0000-0002-2121-83461070-6203VladimirovDenis O.ВладимировДенис Олегович
Russian Federation

Post-Graduate Student

аспирант

d.o.vladimirov@yandex.ruhttps://orcid.org/0000-0003-4401-83957409-3568ShablinovaTatyana S.ШаблиноваТатьяна Сергеевна
Russian Federation

Post-Graduate Student

аспирант

Doc.Parshina@yandex.ruhttps://orcid.org/0000-0002-1193-31785039-9934TyagushevaEvgenia N.ТягушеваЕвгения Николаевна
Russian Federation

Student

студент

evgenia.tyagusheva@yandex.ruNational Research Ogarev Mordovia State UniversityНациональный исследовательский Мордовский государственный университет им. Н.П. Огарева1501202479152591906202301122023Copyright ©; 2024, "Paediatrician" Publishers LLCCopyright ©; 2024, Издательство "Педиатръ"2024"Paediatrician" Publishers LLCИздательство "Педиатръ"https://vestnikramn.spr-journal.ru/jour/about/submissionshttps://vestnikramn.spr-journal.ru/jour/article/view/13996

Currently, there is no doubt that the problem of electrical instability of the myocardium in pediatric cardiology is relevant. The determination of various indicators of electrical instability of the myocardium, which are predictors of life-threatening rhythm disorders and sudden cardiac death, presents an underdeveloped task not only for functional diagnostics specialists, but also for pediatricians, neonatologists, pediatric cardiologists and doctors of other specialties. Non-invasive research methods such as electrocardiography (ECG), Holter ECG monitoring (HM ECG), available in almost all pediatric treatment and prevention institutions, are quite informative in terms of detecting electrophysiological heterogeneity of the myocardium as a predictor of sudden cardiac death, which is especially important in children at risk, as well as young athletes. Thus, the determination of indicators of electrical instability of the myocardium is of great interest, it is a promising direction in modern clinical practice, allowing to predict the risk of developing fatal arrhythmias in children and adolescents.

В настоящее время не вызывает сомнения актуальность проблемы электрической нестабильности миокарда в детской кардиологии. Определение различных показателей электрической нестабильности миокарда, являющихся предикторами жизнеугрожающих нарушений ритма и внезапной сердечной смерти, представляет недостаточно разработанную задачу не только для специалистов по функциональной диагностике, но и педиатров, неонатологов, детских кардиологов и врачей других специальностей. Такие неинвазивые методы исследования, как электрокардиография (ЭКГ), холтеровское мониторирование ЭКГ, доступные практически во всех детских лечебно-профилактических учреждениях, довольно информативны в плане выявления электрофизиологической неоднородности миокарда как предиктора внезапной сердечной смерти, что особенно важно у детей из групп риска, а также юных спортсменов. Таким образом, определение показателей электрической нестабильности миокарда представляет большой интерес, является перспективным направлением в современной клинической практике, позволяющим прогнозировать риск развития фатальных аритмий у детей и подростков.

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