medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»medalphabet-139Research ArticleСтатьиКлиническая значимость оценки систолической функции правого желудочка при эхокардиографииThe clinical importance of assessment of systolic function of the right ventricle at an echocardiographyАкрамоваЭ. Г.AkramovaE. G.noemail@neicon.ruГАУЗ «Центральная городская клиническая больница № 18»; ГБОУ ДПО «Казанская государственная медицинская академия»РоссияCentral City Clinical Hospital Eighteen; Kazan State Medical AcademyRussian Federation201707052017114Современная функциональная диагностика4145Copyright © Акрамова Э.Г., 20172017Акрамова Э.Г.Akramova E.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/139

Цель исследования: клиническая оценка различных режимов и отдельных показателей эхокардиографического исследования систолической функции правого желудочка. Результаты: в представленном обзоре рассматриваются достоинства и ограниченность отдельных эхокардиографических показателей в 1D, 2D и 3D режимах, их корреляционные зависимости с фракцией выброса по магнитно-резонансной томографии при определении систолической функции правого желудочка. Заключение: дополнение при оценке систолической функции правого желудочка традиционной эхокардиографии современными технологиями тканевого допплера, спекл-трекинга и 3D анализа расширяет спектр доказательной базы, повышает качество, объективность клинико-диагностического заключения и прогностическую ценность результатов ультразвукового исследования.

Objective: Clinical evaluation of the various regimes and individual indicators echocardiography right ventricular systolic function. Results: This review discusses advantages and limitations of specific echocardiographic parameters in 1D, 2D and 3D modes, depending on their correlation with ejection fraction on MRI in determining systolic right ventricular function. Conclusion: The addition in the evaluation of right ventricular systolic function, conventional echocardiography modern technology tissue Doppler, speckle-tracking and 3D analysis extends the range of evidence, it improves the quality, objectivity, clinical and diagnostic conclusions and results of the predictive value of ultrasound.

эхокардиографияправый желудочексистолическая функциятканевой допплерспекл-трекинг3D-эхокардиографияechocardiographyright ventricle systolic functiontissue Dopplerspeckle tracking3D-echocardiographyReferencesRudski L. G., Lai W. W., Afilalo J., Hua L., Handschumacher M. D., Chandrasekaran K., Solomon S. D., Louie E. K., Schiller N. B. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. Journal of the American Society of Echocardiography 2010; 23(7): 685-713, http://dx.doi: W.1016/j.echo.20W.05.0W.Rudski L. G., Lai W. W., Afilalo J., Hua L., Handschumacher M. D., Chandrasekaran K., Solomon S. D., Louie E. K., Schiller N. B. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. Journal of the American Society of Echocardiography 2010; 23(7): 685-713, http://dx.doi: W.1016/j.echo.20W.05.0W.Focardi M., Cameli M., Carbone S. F., Massoni A., De Vito R., Lisi M., Mondillo S. Traditional and innovative echocardiographic parameters for the analysis of right ventricular performance in comparison with cardiac magnetic resonance. European Heart Journal - Cardiovascular Imaging 2015; 16(1): 47-52, http://dx.doi: 10.1093/ehjci/jeu156.Focardi M., Cameli M., Carbone S. F., Massoni A., De Vito R., Lisi M., Mondillo S. Traditional and innovative echocardiographic parameters for the analysis of right ventricular performance in comparison with cardiac magnetic resonance. European Heart Journal - Cardiovascular Imaging 2015; 16(1): 47-52, http://dx.doi: 10.1093/ehjci/jeu156.Alsoos F., Khaddam A. Echocardiographic evaluation methods for right ventricular function. Journal of Echocardiography 2015; 13(2): 43-51, http://dx.doi:10.1007/s12574-015-0243-7.Alsoos F., Khaddam A. Echocardiographic evaluation methods for right ventricular function. Journal of Echocardiography 2015; 13(2): 43-51, http://dx.doi:10.1007/s12574-015-0243-7.Kidawa M., Chizyhski K., Zielihska M., Kasprzak J. D., Krzeminska-Pakula M. Real-time 3D echocardiography and tissue Doppler echocardiography in the assessment of right ventricle systolic function in patients with right ventricular myocardial infarction. The European heart journal - cardiovascular imaging 2013; 14(10): 1002-1009, http://dx.doi: 10.1093/ehjci/jes321.Kidawa M., Chizyhski K., Zielihska M., Kasprzak J. D., Krzeminska-Pakula M. Real-time 3D echocardiography and tissue Doppler echocardiography in the assessment of right ventricle systolic function in patients with right ventricular myocardial infarction. The European heart journal - cardiovascular imaging 2013; 14(10): 1002-1009, http://dx.doi: 10.1093/ehjci/jes321.Hsiao J. F., Koshino Y., Bonnichsen C. R., Yu Y., Miller F. A. Jr., Pellikka P. A., Cooper L. T. Jr., Villarraga H. R. Speckle tracking echocardiography in acute myocarditis. The International Journal of Cardiovascular Imaging 2013; 29(2): 275-284, http://dx.doi: 10.1007/s10554-012-0085-6.Hsiao J. F., Koshino Y., Bonnichsen C. R., Yu Y., Miller F. A. Jr., Pellikka P. A., Cooper L. T. Jr., Villarraga H. R. Speckle tracking echocardiography in acute myocarditis. The International Journal of Cardiovascular Imaging 2013; 29(2): 275-284, http://dx.doi: 10.1007/s10554-012-0085-6.Lang R. M., Badano L. P., Mor-Avi V., Afilalo J., Armstrong A., Ernande L., Flachskampf F. A., Foster E., Goldstein S. A., Kuznetsova T., Lancellotti P., Muraru D., Picard M. H., Rietzschel E. R., Rudski L., Spencer K. T., Tsang W., Voigt J. U. Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography 2015; 28(1): 1-39, http://dx.doi: 10.1016/j.echo.2014.10.003.Lang R. M., Badano L. P., Mor-Avi V., Afilalo J., Armstrong A., Ernande L., Flachskampf F. A., Foster E., Goldstein S. A., Kuznetsova T., Lancellotti P., Muraru D., Picard M. H., Rietzschel E. R., Rudski L., Spencer K. T., Tsang W., Voigt J. U. Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography 2015; 28(1): 1-39, http://dx.doi: 10.1016/j.echo.2014.10.003.Fine N. M., Chen L., Bastiansen P. M., Frantz R. P., Pellikka P. A., Oh J. K., Kane G. C. Reference values for right ventricular strain in patients without cardiopulmonary disease: a prospective evaluation and meta-analysis. Echocardiography 2015; 32(5): 787-796, http://dx.doi: 10.1111/echo.12806.Fine N. M., Chen L., Bastiansen P. M., Frantz R. P., Pellikka P. A., Oh J. K., Kane G. C. Reference values for right ventricular strain in patients without cardiopulmonary disease: a prospective evaluation and meta-analysis. Echocardiography 2015; 32(5): 787-796, http://dx.doi: 10.1111/echo.12806.Giusca S., Popa E., Amzulescu M. S., Ghiorghiu I., Coman I. M., Popescu B. A., Delcroix M., Voigt J. U., Ginghina C., Jurcut R. Is Right Ventricular Remodeling in Pulmonary Hypertension Dependent on Etiology? An Echocardiographic Study. Echocardiography 2016; 33(4): 546-554, http://dx.doi: 10.1111/echo.13112.Giusca S., Popa E., Amzulescu M. S., Ghiorghiu I., Coman I. M., Popescu B. A., Delcroix M., Voigt J. U., Ginghina C., Jurcut R. Is Right Ventricular Remodeling in Pulmonary Hypertension Dependent on Etiology? An Echocardiographic Study. Echocardiography 2016; 33(4): 546-554, http://dx.doi: 10.1111/echo.13112.Maffessanti F., Muraru D., Esposito R., Gripa-ri P., Ermacora D., Santoro C., Tamborini G., Galderisi M., Pepi M., Badano L. P. Age-, body size-, and sex-specific reference values for right ventricular volumes and ejection fraction by three-dimensional echocardiography: a multicenter echocardiographic study in 507 healthy volunteers. Circulation: Cardiovascular Imaging 2013; 6(5): 700-710, http://dx.doi: 10.1161/CIRCIMAGING.113.000706.Maffessanti F., Muraru D., Esposito R., Gripa-ri P., Ermacora D., Santoro C., Tamborini G., Galderisi M., Pepi M., Badano L. P. Age-, body size-, and sex-specific reference values for right ventricular volumes and ejection fraction by three-dimensional echocardiography: a multicenter echocardiographic study in 507 healthy volunteers. Circulation: Cardiovascular Imaging 2013; 6(5): 700-710, http://dx.doi: 10.1161/CIRCIMAGING.113.000706.Акрамова Э. Г. Комплексное ультразвуковое и функциональное исследование сердечно-сосудистой системы при хронической обструктивной болезни легких: Автореф. дис.. докт. мед. наук. Москва; 2014.Акрамова Э. Г. Комплексное ультразвуковое и функциональное исследование сердечно-сосудистой системы при хронической обструктивной болезни легких: Автореф. дис.. докт. мед. наук. Москва; 2014.Grünig E., Peacock A. J. Imaging the heart in pulmonary hypertension: an update. European Respiratory Review 2015; 24(138): 653-664, http://dx.doi: 10.1183/16000617.0058-2015.Grünig E., Peacock A. J. Imaging the heart in pulmonary hypertension: an update. European Respiratory Review 2015; 24(138): 653-664, http://dx.doi: 10.1183/16000617.0058-2015.Khemasuwan D., Yingchoncharoen T., Tunsupon P., Kusunose K., Moghekar A., Klein A., Tonelli A. R. Right ventricular echocardiographic parameters are associated with mortality after acute pulmonary embolism. Journal of the American Society of Echocardiography 2015; 28(3): 355-362, http://dx.doi: 10.1016/j.echo.2014.11.012.Khemasuwan D., Yingchoncharoen T., Tunsupon P., Kusunose K., Moghekar A., Klein A., Tonelli A. R. Right ventricular echocardiographic parameters are associated with mortality after acute pulmonary embolism. Journal of the American Society of Echocardiography 2015; 28(3): 355-362, http://dx.doi: 10.1016/j.echo.2014.11.012.

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