medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»medalphabet-378Research ArticleСтатьиВозможности современной стресс-эхокардиографии при кардиомиопатияхClinical role of modern stress echocardiography in cardiomyopathiesБартош-ЗеленаяС. Ю.Bartosh-ZelenayaS. J.noemail@neicon.ruНовиковВ. И.NovikovV. I.noemail@neicon.ruНайденТ. В.NaidenT. V.noemail@neicon.ruЕвсиковаИ. А.EvsikovaI. A.noemail@neicon.ruФГБОУ ВО «Северо-Западный Государственный медицинский университет им. И. И. Мечникова»РоссияNorth-Western State Medical University named by. I. I. MechnikovRussian Federation201718122017339Современная функциональная диагностика3438Copyright © Бартош-Зеленая С.Ю., Новиков В.И., Найден Т.В., Евсикова И.А., 20172017Бартош-Зеленая С.Ю., Новиков В.И., Найден Т.В., Евсикова И.А.Bartosh-Zelenaya S.J., Novikov V.I., Naiden T.V., Evsikova I.A.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/378

В настоящем обзоре обсуждаются современные возможности стресс-эхокардиографии (стресс-ЭхоКГ) при кардиомиопатиях (КМП). Рассмотрены целевые параметры, рекомендованные для оценки контрактильного резерва и сопутствующих гемодинамических нарушений (митральная недостаточность, легочная гипертензия), а также принципы интерпретации результатов стресс-теста у пациентов с дилатационной КМП. Приведен алгоритм диагностики и ведения пациентов с гипертрофической КМП как с симптомной, так и субклинической обструкцией выходного тракта левого желудочка (ЛЖ).

The current review is focused on the potentials of stress echocardiography (stress-echo) in cardiomyopathies (CM). The target parameters recommended for contractile reserve assesment and concomitant hemodynamic disorders (mitral regurgitation, pulmonary hypertension), as well as principles for interpreting the results of stress test in patients with dilated CM are mentioned. The algorithm for diagnosis and management of patients with hypertrophic CM with both symptomatic and subclinical obstruction of the left ventricular (LV) outflow tract is proposed.

стресс-эхокардиографиядилатационная кардиомиопатиягипертрофическая кардиомиопатияобструкция выходного тракта левого желудочкаконтрактильный резервstress echocardiographydilated cardiomyopathyhypertrophic cardiomyopathyobstruction of the left ventricular outflow tractcontractile reserveReferencesButz T., van Buuren F., Mellwig K. P. et al. Two-dimensional strain analysis of the global and regional myocardial function for the differentiation of pathologic and physiologic left ventricular hypertrophy: a study in athletes and in patients with hypertrophic cardiomyopathy. International Journal of Cardiovascular Imaging. 2011; 27:91-100.Butz T., van Buuren F., Mellwig K. P. et al. Two-dimensional strain analysis of the global and regional myocardial function for the differentiation of pathologic and physiologic left ventricular hypertrophy: a study in athletes and in patients with hypertrophic cardiomyopathy. 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The authors declare that there are no conflicts of interest present.