Роль спекл-трэкинг – эхокардиографии в современной диагностике и прогнозе при коронарной недостаточности

Эхокардиография является одним из первоочередных методов диагностики ишемической болезни сердца (ИБС), оценки ближайшего и отдаленного прогнозов. Однако визуальное определение аномального движения стенок миокарда левого желудочка (ЛЖ) не всегда позволяет выявить скрытую или транзиторную ишемию миокарда и провести дифференциальную диагностику с другими заболеваниями, сопровождаемыми нарушениями сократимости. В этой связи спекл-трекинг – эхокардиография (СТЭ) является широкодоступным неинвазивным методом, который может легко и быстро предоставить уточняющую информацию и значительно дополнить стандартное эхокардиографическое исследование, так как позволяет выявить малозаметные повреждения миокарда и локальные зоны ишемии, соответствующие картине коронарного поражения, с получением важной уточняющей информации в виде наглядной схемы, весьма простой в использовании для дифференциальной диагностики и лечения. Поэтому метод, все чаще используемый при различных проявлениях коронарной недостаточности, в том числе при врожденных аномалиях кровоснабжения сердца, и удобный в применении как в покое, так и вместе со стресс-эхокардиографией, демонстрирует хорошие результаты с точки зрения диагностики и прогнозирования ИБС, количественной интерпретации появившейся или сохраняющейся ишемии, оценки клинического течения, исхода и ремоделирования ЛЖ. Ниже мы попытались отразить имеющиеся в настоящее время данные о значении СТЭ для оценки и последующего наблюдения острых и хронических форм ИБС, коснуться основных достижений и открытий в использовании параметров двумерной и трехмерной деформации и их потенциального применения для более широкого внедрения метода в клиническую практику.

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