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Сибирский журнал клинической и экспериментальной медицины

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Новые возможности оценки сократимости левого желудочка методом двухмерной speckle tracking эхокардиографии

https://doi.org/10.29001/2073-8552-2020-35-3-79-85

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Аннотация

Рассматриваются причины, по которым характеристики сократимости левого желудочка (ЛЖ), в частности пиковые показатели глобальной продольной деформации (GLS), полученные с помощью 2D спекл-эхокардиографии (ЭхоКГ), не получили широкого распространения в клинической практике. Проанализированы новые показатели, предложенные для оценки сократительной функции ЛЖ на основе продольной деформации, с учетом вклада отдельных сегментов. Показано, что перспективным направлением изучения контрактильной функции ЛЖ является определение показателей миокардиальной работы, характеризующей взаимосвязь между сократительной и насосной функцией. Представлен анализ постсистолического индекса деформации (Post systolic Strain Index – PSI), клиническое применение которого нашло отражение в работах по изучению жизнеспособного миокарда в условиях ишемии и для оценки эффективности ресинхронизирующей терапии (СRT).

Об авторах

В. Э. Олейников
Пензенский государственный университет
Россия

Олейников Валентин Эливич, доктор медицинских наук, профессор, заведующий кафедрой «Терапия»

440026, Пенза, ул. Красная, 40



Ю. Г. Смирнов
Пензенский государственный университет
Россия

Смирнов Юрий Геннадьевич, доктор медицинских наук, профессор, заведующий кафедрой «Математика и суперкомпьютерное моделирование»

440026, Пенза, ул. Красная, 40



В. А. Галимская
Пензенский государственный университет
Россия

Галимская Вера Александровна, кандидат медицинских наук, доцент кафедры «Терапия»

440026, Пенза, ул. Красная, 40



Е. А. Гундарев
Пензенский государственный университет
Россия

Гундарев Евгений Андреевич, аспирант кафедры «Математика и суперкомпьютерное моделирование»

440026, Пенза, ул. Красная, 40



Н. В. Бурко
Пензенский государственный университет
Россия

Бурко Надежда Валерьевна, кандидат медицинских наук, доцент кафедры «Терапия»

440026, Пенза, ул. Красная, 40

 



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Для цитирования:


Олейников В.Э., Смирнов Ю.Г., Галимская В.А., Гундарев Е.А., Бурко Н.В. Новые возможности оценки сократимости левого желудочка методом двухмерной speckle tracking эхокардиографии. Сибирский журнал клинической и экспериментальной медицины. 2020;35(3):79-85. https://doi.org/10.29001/2073-8552-2020-35-3-79-85

For citation:


Oleynikov V.E., Smirnov Yu.G., Galimskaya V.A., Gundarev E.A., Burko N.V. New capabilities in assessing the left ventricular contractility by two-dimensional speckle tracking echocardiography. The Siberian Journal of Clinical and Experimental Medicine. 2020;35(3):79-85. (In Russ.) https://doi.org/10.29001/2073-8552-2020-35-3-79-85

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