Новые возможности оценки сократимости левого желудочка методом двухмерной speckle tracking эхокардиографии

Автор: Олейников В.Э., Смирнов Ю.Г., Галимская В.А., Гундарев Е.А., Бурко Н.В.

Журнал: Сибирский журнал клинической и экспериментальной медицины @cardiotomsk

Статья в выпуске: 3 т.35, 2020 года.

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Рассматриваются причины, по которым характеристики сократимости левого желудочка (ЛЖ), в частности пиковые показатели глобальной продольной деформации (GLS), полученные с помощью 2D спекл-эхокардиографии (ЭхоКГ), не получили широкого распространения в клинической практике. Проанализированы новые показатели, предложенные для оценки сократительной функции ЛЖ на основе продольной деформации, с учетом вклада отдельных сегментов. Показано, что перспективным направлением изучения контрактильной функции ЛЖ является определение показателей миокардиальной работы, характеризующей взаимосвязь между сократительной и насосной функцией. Представлен анализ постсистолического индекса деформации (Post systolic Strain Index - PSI), клиническое применение которого нашло отражение в работах по изучению жизнеспособного миокарда в условиях ишемии и для оценки эффективности ресинхронизирующей терапии (СRT).

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Глобальная продольня деформация, сегментарная продольная деформация, 2d спекл-трекинг, эхокардиография, миокардиальная работа, постсистолическое сокращение миокарда

Короткий адрес: https://sciup.org/149126198

IDR: 149126198 | DOI: 10.29001/2073-8552-2020-35-3-79-85

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