medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2024-35-7-14medalphabet-4126Research ArticleСтатьиЗначение эхокардиографической оценки раннего систолического удлинения в диагностике острых форм ишемической болезни сердцаPotential of echocardiographic assessment of early systolic lengthening in making diagnosis of various forms of coronary heart diseasehttps://orcid.org/0000-0001-9941-8885ТюринаЛ. Г.TyurinaL. G.

Тюрина Ляля Георгиевна, врач отделения ультразвуковой диагностики

Tyurina Lyalya G., physician at Ultrasound Diagnostics Dept.

Moscow

tyurina.lyalya@mail.ruhttps://orcid.org/0000-0002-9669-9164ХамидоваЛ. Т.KhamidovaL. T.

Хамидова Лайлаъ Тимарбековна, д.м.н., руководитель отдела лучевой диагностики

ID РИНЦ – 968715

Khamidova Layla T., DM Sci (habil.), head of h Radiation Diagnostics Dept., ID RINTS – 968715

Moscow

layla72@mail.ruhttps://orcid.org/0000-0001-6973-4430РыбалкоН. В.RybalkoN. V.

Рыбалко Наталья Владимировна, д.м.н., ведущий научный сотрудник отделения ультразвуковой и функциональной диагностики

ID РИНЦ – 507463

Rybalko Natalya V., DM Sci (habil.), leading researcher at Ultrasound and Functional Diagnostics Dept., ID RINTS – 507463

Moscow

rybalko_dr@mail.ruhttps://orcid.org/0000-0001-5090-6212ГазарянГ. А.GhazaryanG. A.

Газарян Георгий Арташесович, д.м.н., профессор, зав. отделением неотложной кардиологии с методами неинвазивной функциональной диагностики

Ghazaryan Georgy A., DM Sci (habil.), professor, head of Dept of Emergency Cardiology with Methods of Non-invasive Functional Diagnostics

Moscow

gigls@mail.ruГБУЗ г. Москвы «Научно-исследовательский институт скорой помощи имени Н.В. Склифосовского Департамента здравоохранения Москвы»РоссияN.V. Sklifosovsky Research Institute for Emergency MedicineRussian Federation202423012025035Кардиология. Неотложная медицина (4)714Copyright © Тюрина Л.Г., Хамидова Л.Т., Рыбалко Н.В., Газарян Г.А., 20252025Тюрина Л.Г., Хамидова Л.Т., Рыбалко Н.В., Газарян Г.А.Tyurina L.G., Khamidova L.T., Rybalko N.V., Ghazaryan G.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/4126

Возникновение парадоксальных механизмов деформации миокарда, к которым относятся раннее систолическое удлинение (РСУ) и постсистолическое укорочение (ПСУ), было описано в 1970-х годах в экспериментальных исследованиях на животных и у пациентов с ишемией миокарда при инвазивных методах оценки левого желудочка (ЛЖ). На сегодняшний день новая эхокардиографическая технология визуализации тканей демонстрирует, что данные феномены встречаются гораздо чаще, чем представлялось изначально. Изучению ПСУ посвящено довольно много работ, тогда как в самых последних исследованиях стало больше подчеркиваться значение анализа РСУ. В связи с этим мы постарались наиболее полно и доступно отразить клинический потенциал, связанный с механизмами возникновения РСУ и значимость его оценки при различных формах ишемической болезни сердца (ИБС).

The occurrence of paradoxical myocardial deformation, which includes early systolic lengthening and post-systolic shortening, was originally described in the 1970s in experimental animal models and in patients with myocardial ischemia at invasive assessment of the left ventricle (LV). Today, new echocardiographic imaging technology demonstrates that these phenomena are much more common than were initially thought. Quite a lot of studies have been conducred to investigate post-systolic shortening (PSS), but the role of early systolic lengthening (ESL) has become increasingly emphasized in the most recent research articles. In this regard, we have made an attempt to describe most completely and accessibly the clinical potential associated with the mechanisms of occurrence of ESL and the significance of its assessment in various forms of coronary heart disease.

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