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The possibilities of two-dimensional echocardiography in the diagnosis of right ventricular dysfunction in patients with multivessel coronary artery disease

Abstract

Objektive: the study was comparison indicators of 2D Echocardiography and structural, and functional data of the right ventricle on the results of MRI in patients with multiple coronary artery lesions without taking into account angiographic characteristics. The signs of functional and structural remodeling of the right ventricle from the MRI. Routinely used Echoparameters (RV size, FAC RV, MPI, TAPSE) in patients with ischemic RV dysfunction of little informative for its verification. The parameters of deformation and strain rate of the RV are closely correlated both with structural parameters according to MRI data (with the number of segments with accumulation of contrast) and functional data (EF RV). Longitudinal deformation of the right ventricle more than «-»17,8 % is determined the right ventricular ejection fraction is less than 45 %. Longitudinal deformation of the RV can be considered as a universal echocardiographic marker as a RV dysfunction, and structural and functional remodeling of the RV.

About the Authors

Yu. S. Sinelnikov
Federal Center for Cardiovascular Surgery named after S. G. Sukhanov; State Medical University named after Academician Ye. A. Wagner
Russian Federation


E. N. Orekhova
State Medical University named after Academician Ye. A. Wagner
Russian Federation


O. A. Osetrova
Federal Center for Cardiovascular Surgery named after S. G. Sukhanov
Russian Federation


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Review

For citations:


Sinelnikov Yu.S., Orekhova E.N., Osetrova O.A. The possibilities of two-dimensional echocardiography in the diagnosis of right ventricular dysfunction in patients with multivessel coronary artery disease. Medical alphabet. 2018;3(25):30-34. (In Russ.)

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ISSN 2078-5631 (Print)
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