The article focuses on surgical and interventional strategies for managing obstructive hypertrophic cardiomyopathy, emphasizing interventricular septal reduction and subsequent rehabilitation. The approaches presented are based on an analysis of the Russian Society of Cardiology (RSC, 2025) clinical guidelines for the management of hypertrophic cardiomyopathy, including the sections on septal reduction therapy and rehabilitation. It considers clinical thresholds for escalation to invasive management, including New York Heart Association (NYHA) class III–IV symptoms despite optimal medical therapy and hemodynamic criteria in the form of a significant left-ventricular outflow tract gradient. A comparative analysis is presented for septal myectomy and ethanol septal ablation with respect to selection criteria, mechanisms of obstruction relief, expected effects on symptoms and exercise tolerance, durability of outcomes, complication profiles, and the need for reintervention. A stepwise algorithm for choosing a reduction strategy is proposed, accounting for age, septal and sub valvular anatomy, the need for concomitant mitral valve repair, baseline conduction abnormalities, and patient preferences within a heart-team decision framework. Criteria for a safe return to daily activities and work are articulated, along with quality-of-care benchmarks and markers indicating the need to escalate surveillance. The article is addressed to a multidisciplinary team and aims to standardize surgical tactics and rehabilitation pathways.
| Mualliflar | Rasulova Nargis Zafarjonovna |
|---|---|
| Jurnal | Klinik fanlar yilnomasi |
| Nashr sanasi | 2025-11-12 |
| Jild | 2 |
| Son | 3/2 |
| Til | Rus |
hypertrophic cardiomyopathy, phenocopies, sudden cardiac death, risk stratification, septal myectomy, ethanol septal ablation, prevention, dispensary/long-term follow-up, rehabilitation, гипертрофическая кардиомиопатия, фенокопии, внезапная сердечная смерть, стратификация риска, септальная миоэктомия, этаноловая аблация перегородки, профилактика, диспансерное наблюдение, реабилитация, gipertrofik kardiomiyopatiya, fenokopiyalar, to‘satdan yurak o‘limi, xavf stratifikasiyasi, septal mioektomiya, etanol septal ablatsiya, profilaktika, dispanser kuzatuvi, reabilitatsiya
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