medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2025-12-44-52medalphabet-4415Research ArticleСтатьиИнфекционный эндокардит: эхокардиография как метод первичной визуализацииInfective endocarditis: echocardiography as a method of primary visualizationhttps://orcid.org/0000-0002-9770-472XНайденТ. В.NaidenT. V.

Найден Татьяна Викторовна – к.м.н., доц. кафедры функциональной диагностики

Nayden Tatyana Viktorovna – PhD, Associate Professor, Department of Functional Diagnostics

tatianan86@mail.ruhttps://orcid.org/0000-0001-7300-1942Бартош-ЗеленаяС. Ю.Bartosh-ZelenayaS. Yu.

Бартош-Зеленая Светлана Юрьевна – д.м.н., проф., проф. кафедры функциональной диагностики

Bartosh-Zelenaya Svetlana Yuryevna – MD, PhD, prof., prof. of the Department of Functional Diagnostics

s.bartosh.spb@mail.ruЕвсиковаИ. А.EvsikovaI. A.

Евсикова Ирина Александровна – к.м.н., врач функциональной диагностики

Evsikova Irina Aleksandrovna – MD, PhD, functional diagnostics physician

ira_evsikova@mail.ruГусеваО. А.GusevaO. A.

Гусева Олеся Андреевна – к.м.н., врач функциональной диагностики

Guseva Olesya Andreevna – MD, PhD, functional diagnostics physician

gysevaolesya@mail.ruМамаеваО. П.MamaevaO. P.

Мамаева Ольга Петровна – к.м.н., заведующая отделением функциональной диагностики

Mamaeva Olga Petrovna – MD, PhD, head of the functional diagnostics department

mopetrovna@gmail.comФГБОУ ВО «Северо-Западный государственный медицинский университет им. И. И. Мечникова», Санкт-Петербург, г. Сестрорецк, Российская ФедерацияРоссияNorth-Western State Medical University by I.I. Mechnikov, Saint Petersburg, Russian FederationRussian FederationСПб ГБУЗ, «Городская больница № 40 Курортного района», Санкт-Петербург, г. Сестрорецк, Российская ФедерацияРоссияState hospital № 40, Saint Petersburg, Russian FederationRussian Federation202528062025012Современная функциональная диагностика (2)4452Copyright © Найден Т.В., Бартош-Зеленая С.Ю., Евсикова И.А., Гусева О.А., Мамаева О.П., 20252025Найден Т.В., Бартош-Зеленая С.Ю., Евсикова И.А., Гусева О.А., Мамаева О.П.Naiden T.V., Bartosh-Zelenaya S.Y., Evsikova I.A., Guseva O.A., Mamaeva O.P.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/4415

В современном мире расширяются возможности кардиохирургии, которые наряду с увеличением продолжительности жизни пациентов с протезированными клапанами, внутрисердечными устройствами (ВСУ), дегенеративными пороками сердца, увеличивают актуальность проблемы развития инфекционного эндокардита (ИЭ). Учитывая клиническое значение ИЭ и серьезность эмболических осложнений, вплоть до летального исхода, на первый план выходит применение оптимальных методов визуализации. В настоящем обзоре, на основе современной классификации, представлены возможности методов первой линии в диагностике ИЭ, а именно трансторакальной и чреспищеводной эхокардиографии (ТТ и ЧП ЭхоКГ). Обсуждаются как основные эхографические признаки заболевания, так и ультразвуковая картина при ряде осложнений ИЭ. Приводятся современные модифицированные критерии диагностики ИЭ, в том числе включающие данные визуализирующих методов.

In the modern world, the possibilities of cardiac surgery are expanding, which, along with the increase of the life expectancy of patients with prosthetic valves, intracardiac devices (ICD), degenerative heart valve diseases, increase the relevance of the problem of infective endocarditis (IE). Given the clinical significance of IE and the severity of its embolic complications, up to a fatal outcome, the use of optimal visualization methods comes to the fore. This review, based on a modern classification, presents the capabilities of first-line methods in the diagnosis of IE, namely, transthoracic and transesophageal echocardiography (TT and TE EchoCG). Both the main echographic signs of the disease and the ultrasound picture in a number of complications are discussed. Modern modified criteria for the diagnosis of IE are presented, including those incorporating data from visualization methods.

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