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August 28th, 2010

Cardiac Arrhythmias
Премьера: 2005

Автор: Edited by Antonio Raviele

Издание: Springer-Verlag Italia

ISBN: 88-470-0370-9

Информация: PDF

Quality: Отсканированные страницы

Сюжет: Proceedings of the

9th International Workshop

on Cardiac Arrhythmias

(Venice, 2-5 October 2005)

SUPRAVENTRICULAR ARRHYTHMIA AND ATRIAL FLUTTER

Right and Left Atrial Flutter: How To Differentiate Them on the Basis

of Surface Electrocardiogram?

G. Inama, C. Pedrinazzi,O. Durin, P. Gazzaniga, P.Agricola . . . . . . . . . . . . . 3

Atypical Atrial Flutter: How to Diagnose, Locate, and Ablate It

Y.Yang, M.M. Scheinman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Catheter Ablation of Typical Atrial Flutter.What Are the Long-Term

Results and Predictors of Recurrences?

P. Delise , N. Sitta , L. Coro’ , L. Sciarra, E.Marras, M. Bocchino,

G. Berton . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Atrial Fibrillation After Ablation of Atrial Flutter:Who Is at Risk?

E. Bertaglia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Electroanatomic Mapping to Support Ablation of Complex Supraventricular

Arrhythmias: Does It Matter?

R. De Ponti,R.Verlato,G.Pelargonio, F.Drago,A. Fusco, J.A. Salerno-Uriarte

on behalf of the Investigators of the Project of ElectroAnatomic mapping

for Complex arrhythmia Evaluation (PEACE) . . . . . . . . . . . . . . . . . . . . . . . . 39

ATRIAL FIBRILLATION: PATHOPHYSIOLOGY, CLINICAL

AND THERAPEUTIC ASPECTS

Idiopathic Atrial Fibrillation:Which Electrophysiological Substrate?

R.N.W.Hauer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Inflammation and Infection: Underestimated Causes of Atrial Fibrillation?

A.S.Montenero . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Atrial Remodelling:What Have We Learned in the Last Decade?

G.V.Naccarelli, M.A. Allessie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Atrial Fibrillation and Heart Failure: Does One Epidemic Feed the Other?

G. Boriani, M. Biffi, C.Martignani, C.Valzania, I. Diemberger,M. Ziacchi,

D. Saporito, P.Artale, G. Domenichini, L. Frabetti, A. Branzi . . . . . . . . . . . . 75

Atrial Fibrillation:What Is the Impact of the Different Therapies

on Quality of Life?

B. Lderitz . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

‘Pill-In-The-Pocket’Approach for Outpatient Treatment of Recent Onset

Atrial Fibrillation: The Obvious Solution?

P.Alboni . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

Pharmacological Cardioversion of Atrial Fibrillation:Which Drugs Are

Preferred, Class IC or Class III?

N. Baldi,V. A. Russo, L. Di Gregorio,V.Morrone, L. Liconso,

G. Polimeni . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Early Recurrences of Atrial Fibrillation: How To Predict Them?

G.L. Botto, M. Luzi, F.Ruffa, M.G. Gorgoglione,G. Ferrari . . . . . . . . . . . . . . . 101

Dronedarone for Prevention of Atrial Fibrillation: An Unfulfilled Promise?

A. Capucci, G.Q.Villani,D.Aschieri, M. Piepoli . . . . . . . . . . . . . . . . . . . . . . . . 109

Prognosis and Management of Atrial Fibrillation in Patients Without

Structural Heart Disease

M. Di Biase,R. Troccoli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Primary Prevention of Atrial Fibrillation in Hypertensive Patients:

What Is New from the LIFE Trial?

K.Wachtell, M.H. Olsen, B.Dahlf,R.B.Devereux . . . . . . . . . . . . . . . . . . . . . 121

Prognosis and Management of Atrial Fibrillation in Different Clinical

Settings: Acute Myocardial Infarction

G. Zuin, M. Celestre, F.Di Pede . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Post-CABG Atrial Fibrillation:What Are the Incidence, Predictors,

Treatment, and Long-Term Outcome?

C. Blomstrm Lundqvist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Post-PCI Atrial Fibrillation: Possible Clinical and Prognostic Significance

B.Gorenek . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

Perioperative Interruption ofWarfarin: How Effective and Safe Is Bridging

Therapy with Low-Molecular-Weight Heparin?

F. Di Pede, P. Buja . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145

How Safe Is Anticoagulant Therapy in Older Patients and What Should

Be the INR Target?

G. Di Pasquale, M. di Niro,G. Casella, P.C. Pavesi, A.Rubboli, C.Greco,

V. Carinci . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151

Oral Antithrombin Agents:Will They Replace Warfarin?

G.Grnefeld,D. Pajitnev, F.Wegener, J.R. Ehrlich, S.H.Hohnloser . . . . . . . . 159

Guidelines for Anticoagulation of Atrial Fibrillation: Is It Time for an Update?

A.L.Waldo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169

ATRIAL FIBRILLATION: CATHETER ABLATION AND OTHER

NON-PHARMACOLOGICAL THERAPIES

Anatomy of the Left Atrium and Pulmonary Veins:What Have We Learned

in Recent Years?

J.Kautzner,H. Mlcochova, P. Peichl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179

Imaging in Arrhythmic Syndromes:What Is the Role of Cardiac Radiology?

R.D.White . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189

Value of Transoesophageal Echocardiography for the Ablation of Atrial

Fibrillation

B. De Piccoli, A.Rossillo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197

Value of the LocaLisa Non-fluoroscopic Mapping System in the Ablation

of Atrial Fibrillation

P. Sanders, P. Jas, M.Hocini, L.-F.Hsu, G.D.Young, C. Scave, P.Kuklik,

M.Rotter,Y. Takahashi, T. Rostock, F. Sacher, B. John,M. Stiles,

M.Hassaguerre . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205

Linear Atrial Lesions Should Always Be Performed in Addition to

Circumferential Pulmonary Vein Isolation

D. Shah, H. Burri, H. Sunthorn, P. Gentil-Baron . . . . . . . . . . . . . . . . . . . . . . . 213

Systematic Electrical Disconnection of Superior Vena Cava in Addition to

Pulmonary Vein Ablation: Is It Worthwhile?

A. Bonso, S. Themistoclakis, A.Rossillo, M. Bevilacqua, A. Corrado,

A.Raviele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217

What Is the Outcome of Atrial Fibrillation Ablation in Patients with Left

Ventricular Dysfunction?

L.-F.Hsu, P. Sanders, M.Hocini, F. Sacher,M.Rotter,Y. Takahashi,

T.Rostock, C. Scave,M.Hassaguerre, P. Jas . . . . . . . . . . . . . . . . . . . . . . . . . 223

Complications of Atrial Fibrillation Ablation: How to Prevent and Manage

Cerebrovascular Accidents

A.Rossillo, A. Bonso, S. Themistoclakis, A. Corrado, B. De Piccoli,

A.Raviele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231

Pulmonary Vein Stenosis After Catheter Ablation of Atrial Fibrillation

E.B. Saad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241

Atrial Fibrillation Should Be Considered a First-Line Therapy – Or Not?

A. Pacifico, P.D.Henry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251

Long-Term Use of the Atrial and Dual Defibrillator:What Have

We Learned?

J.M.Mekel, A.S. Thornton,D.A.M.J. Theuns, L.J. Jordaens . . . . . . . . . . . . . . . 257

Hybrid Therapy as an Alternative in Refractory Atrial Fibrillation:

When,Why, and How?

S. Saksena, N. Skadsberg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267

Atrial Fibrillation and Transcatheter Ablation: ‘Ablate And Pace’ or

Pulmonary Veins Disconnection?

A. Proclemer, D. Pavoni, D. Facchin, M. Crosato, R. Ometto,

M. Bonanno . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279

HEREDITARY ARRHYTHMOGENIC SYNDROMES

Fever and Other Precipitants of Ventricular Arrhythmias in Brugada

Syndrome: Do We Know How They Act?

F.Naccarella, C. Liying, L. ShuZheng, S. Sdringola Maranga, G. Lepera,

F. Iachetti, G.Naccarelli,D. Corrado,A.Rampazzo,A.Nava, C. Felicani,

S. Depadoa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291

Drug Challenge in Brugada Syndrome: How Valuable Is It?

T.Wichter, E. Schulze-Bahr,M. Paul, G. Breithardt, L. Eckardt . . . . . . . . . . . 303

Electrophysiologic Study in Brugada Syndrome:More Questions

Than Answers?

C.Wolpert, C. Echternach, C.Veltmann,R. Schimpf,M. Borggrefe . . . . . . . 317

Short QT Syndrome: How Frequent Is It and What Are Its Peculiar Features?

F. Gaita . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323

ICD Therapy for Short QT Syndrome: The Risk of Inappropriate

Shocks and How to Avoid Them

M. Borggrefe, C.Wolpert, C. Giustetto, F. Gaita,U. Bauersfeld,

R. Schimpf . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327

Quinidine to Treat Short QT Syndrome: A Real Alternative to ICD?

C. Giustetto . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 333

ICD for the Long QT Syndrome:Which Indications, Complications,

and Results?

P.J. Schwartz, C. Spazzolini, L. Crotti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337

How To Differentiate Right Ventricular Outflow Tract Tachycardia from

Arrhythmogenic Right Ventricular Cardiomyopathy?

C.Wolpert, C. Echternach, C.Veltmann,R. Schimpf,M. Borggrefe . . . . . . . 345

How To Diagnose and Approach Epicardial Ventricular Tachycardia




E. Sosa, M. Scanavacca . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 351

SUDDEN DEATH: PREDICTION AND PREVENTION

Predicting the Sudden Death in the Athlete

D. Corrado, C. Basso,M. Schiavon,G. Thiene . . . . . . . . . . . . . . . . . . . . . . . . . . 365

New Markers of Sudden Cardiac Death: Genetic Variables

N. El-Sherif,G. Turitto,V. Lakireddy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373

Sudden Arrhythmic Death:Which Genetic Determinants?

G.A.Danieli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 385

Brain Natriuretic Peptide as a Predictor of Sudden Cardiac Death

H.V.Huikuri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 393

Non-Esterified Fatty Acids as Markers of Sudden Death

R.F. Pedretti, M.Ambrosetti, A. Laporta, S.Masnaghetti,R.Raimondo,

M. Salerno, F. Santoro,R.Vaninetti, S. Sarzi Braga . . . . . . . . . . . . . . . . . . . . . 399

Value of Angiotensin-Converting Enzyme Inhibitors to Prevent

Sudden Death

G. Fabbri, A.P.Maggioni . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409

Value of Non-antiarrythmic Drugs in Preventing Sudden Cardiac Death:

Aldosterone Antagonists

L. Sahiner,A.Oto . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415

After DEFINITE, SCD-HeFT,COMPANION: Do We Need to Implant

an ICD in All Patients With Heart Failure?

D.S. Cannom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 425

Health Care Systems: How to Resolve the Dilemma Between Clinical

Needs and Limited Resources?

M. Brignole, S.Nisam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435

Cost-Effectiveness and Aspects of Health Economics in Primary Prevention:

What Is the Case of Dilated Cardiomyopathy?

G. Boriani, M. Biffi, C.Martignani, C.Valzania, I. Diemberger,M. Ziacchi,

D. Saporito, P.Artale, M. Bertini, C.Rapezzi, A. Branzi . . . . . . . . . . . . . . . . . 447

Public Access Defibrillation: How Widespread Is It and What Are the

Short-Term and Long-Term Results?

A. Capucci,D.Aschieri, G.Q.Villani . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 455

In-Hospital Cardiac Arrest: How to Improve Survival?

M. Santomauro, A. Borrelli, C.Riganti, C. Liguori, E. Febbraro,

M.D’Onofrio,N.Monteforte, S. Buonerba, M. Chiariello . . . . . . . . . . . . . . . 463

CARDIAC RESYNCHRONISATION THERAPY: INDICATIONS AND RESULTS

Usefulness of Conventional Transthoracic Echocardiography in Selecting

Heart Failure Patients Likely to Benefit from Cardiac Resynchronisation

Therapy

M.V. Pitzalis,R.Romito, M. Iacoviello . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 475

Three-Dimensional Echocardiography:Which Role for CRT Patients?

P.Nihoyannopoulos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 481

Upgrading From Right Ventricular to Biventricular Pacing:When,Why,

and How?

R. Cazzin, G. Paparella . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 485

Cardiac Resynchronisation Therapy: How to Identify Patients Who Will

not Respond to Therapy

M.M.Gulizia, A.Ragusa, G.M. Francese . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 491

Controversial and Emerging Indication for CRT: Atrial Fibrillation

M. Brignole, P. Jas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 503

Cardiac Resynchronisation Therapy in Patients with NYHA Class I-II

C. Linde . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 511

Cardiac Resynchronisation Therapy: Is It Antiarrhythmic or Proarrhythmic?

G. Turitto, N. El-Sherif . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 519

Impact of CRT on Mortality:What Are the Preliminary Results from the

CARE-HF Trial?

M. Lunati,G.Magenta . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 527

Loss of Resynchronisation by Biventricular Pacemakers:Mechanisms,

Diagnosis and Therapy

S.S. Barold, B.Herweg,A.B. Curtis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 531

CARDIAC PACING: TECHNICAL AND CLINICAL ASPECTS

Right Ventricular Pacing: Is It Really That Bad?

A.Curnis, G. Sgarito, G.Mascioli, L.Bontempi,T.Bordonali, G. Ciaramitaro,

E. De Maria, S.Novo, L.Dei Cas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 549

The Importance of Minimising Right Ventricular Pacing in Patients with

Sick Sinus Syndrome:Why and How?

A.B. Curtis, S.S. Barold, B.Herweg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 557

Drug-Induced, Drug-Provoked and Drug-Associated Bradycardia

I.E.Ovsyshcher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 569

The Sleep Apnoea Syndrome: CPAP or Cardiac Pacing?

P.E.Vardas, E. Simantirakis, S.E. Schiza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 575

Rate-Responsive Pacing Controlled by the TVI Sensor in the Treatment of

Sick Sinus Syndrome

F. Dortics, M.A. Quiones, F. Tornes,Y. Fayad,R. Zayas, J. Castro,

A. Barbetta, F. Di Gregorio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 581

Preliminary Test of a New Haemodynamic Pacemaker: Evaluation of

Sensor Safety

N. Galizio, J.Gonzalez, H. Fraguas, J. Barra, S.Graf, E. De Forteza,

R. Chirife, F. Di Gregorio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 591

From Analog to Digital Technology:What Are the Clinical Benefits?

R.Mantovan, G. Corbucci . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 599

What Are the Benefits of Morphological Signal Analysis Using Digital

Technology?

R. Tukkie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 607

How Can New Technologies Help Make Follow-Up Easier?

V. Leonhardt, C. van Groeningen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 609

Interference of Cellular Phones and Metal Detectors With Pacemakers

and ICDs: Still a Problem?

E. Occhetta, L. Plebani, M. Bortnik, P.Marino . . . . . . . . . . . . . . . . . . . . . . . . . 617

Can Patients With Implanted Pacemakers/ICD Undergo Magnetic

Resonance Imaging?

S. Sermasi, M.Marconi, M.Mezzetti, G. Piovaccari . . . . . . . . . . . . . . . . . . . . . 627

SYNCOPE: EVALUATION AND THERAPIES

Syncope in Children and Adolescents:What Are the Peculiar Features?

W.Wieling,N. van Dijk, K.S. Ganzeboom, J. P. Saul . . . . . . . . . . . . . . . . . . . . . 633

Syncope in Patients with Autonomic Nervous System Disturbances:

Which Diagnosis and Treatment?

C.J.Mathias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 643

Organisation of Syncope Management Units: The North American

Experience

D.G. Benditt, F. Lu, K.G. Lurie, S. Sakaguchi . . . . . . . . . . . . . . . . . . . . . . . . . . . 655

The Syncope Unit: How To Better Organise It? The European Experience

M. Brignole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 659

Water Ingestion As Prophylaxis Against Syncope: Fact or Fancy?

J. Jordan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 665

Counter-Pressure Manoeuvres to Abort Impeding Syncope: Are They

Really Useful?

C.Menozzi, F. Quartieri, N. Bottoni, G. Lolli . . . . . . . . . . . . . . . . . . . . . . . . . . 675

Compression Stockings to Combat Vasovagal Syncope:

What Is the Rationale?

M.Madalosso, F. Giada, A.Raviele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 681
Blockers for Prevention of Vasovagal Syncope:Who Benefits

from Treatment?

R.S. Sheldon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 687

Has Psychiatric Treatment Any Role in the Management

of Vasovagal Syncope?

F. Giada, I. Silvestri,A.Rossillo, M.Madalosso, P.G.Nicotera,

A.Raviele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 695

Familial Vasovagal Syncope: Clinical Characteristics and Potential

Genetic Substrates

A. Gonzlez-Hermosillo, M.F. Mrquez, M.Vallejo, K.I.Urias,

M. Crdenas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 701

Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 709





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Краткий курс оперативной хирургии с топографической анатомией



Краткий курс оперативной хирургии с топографической анатомией

Премьера: 1947

Автор: В.Н. Шевкуненко

Издание: М. "Медгиз"

Информация: DjVu

Quality: Отсканированные страницы




Количество страниц: 567

Сюжет: Предлагаемый учебник был сдан в производство в Ленинграде в самом начале Отечественной воины, поэтому ряд материалов, относящихся к хирургии военного времени, удалось включить в него лишь частично (например, хирургическая техника первичной обработки ран, элементы современной восстановительной хирургии, блокада нервов на шее и др.).






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