medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2020-32-24-29medalphabet-1819Research ArticleСтатьиЗначение показателей продольной деформации левого предсердия у пациентов с хронической сердечной недостаточностьюValue of indicators of longitudinal deformation of the left atrium in patients with chronic heart failureАлёхинМ. Н.AlekhinM. N.

д. м. н., заслуженный врач РФ, профессор кафедры терапии, кардиологии и функциональной диагностики с курсом нефрологии; заведующий отделением функциональной диагностики

Москва

Moscow

КалининА. О.KalininA. O.

д. м. н., доцент кафедры внутренних болезней; заведующий отделением функциональной диагностики

Рига

Riga

ФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента Российской Федерации; ФГБУ «Центральная клиническая больница с поликлиникой» Управления делами Президента РФРоссияCentral State Medical Academy of Department of Presidential Affairs; Central Clinical Hospital with Out-patient Clinic of Department of Presidential AffairsRussian FederationРижский Университет имени П. Страдыня; Рижская Восточная Университетская Клиническая больница, стационар «Гайлезерс»ЛатвияRīga Stradiņš University; Riga Eastern Clinical University Hospital, the hospital ‘GailezersLatvia202013012021032Современная функциональная диагностика (4)2429Copyright © Алёхин М.Н., Калинин А.О., 20212021Алёхин М.Н., Калинин А.О.Alekhin M.N., Kalinin A.O.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/1819

Современные технологии оценки деформации миокарда с помощью спекл-трекинг эхокардиографии позволяют анализировать не только желудочки сердца, но и левое предсердие (ЛП). Оценка показателей деформации ЛП у больных хронической сердечной недостаточностью (ХСН) может быть полезной в диагностическом плане у пациентов с впервые возникшими симптомами, которые могут указывать на дебют сердечной недостаточности с сохранной фракцией выброса левого желудочка. У пациентов с ХСН деформация ЛП может быть важна для оценки прогноза. Оценка динамики деформации ЛП у пациентов с сердечной недостаточностью может указывать на течение ХСН и эффективность проводимой терапии. Целью этой статьи является анализ данных о значении показателей продольной деформации ЛП для диагностики и ведения пациентов с ХСН.

Modern technologies for assessing myocardial strain by means of speckle-tracking echocardiography allow to analyze not only the ventricles of the heart, but also the left atrium (LA). Evaluation of LA strain in patients with chronic heart failure (CHF) can be useful in the terms of diagnostic in patients with first-time symptoms that may indicate the onset of heart failure with a preserved left ventricular ejection fraction. In patients with CHF, LA strain may be important for evaluating the prognosis. Assessment of the dynamics of LA strain in patients with heart failure may indicate the course of CHF and the effectiveness of therapy. The purpose of this article is to analyze the data on the significance of LA longitudinal strain indicators for the diagnosis and management of patients with CHF.

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