transmedТрансляционная медицинаTranslational Medicine2311-44952410-5155Almazov National Medical Research Centre, Saint Petersburg, Russia10.18705/2311-4495-2018-5-5-18-25transmed-420Research ArticleСЕРДЕЧНО-СОСУДИСТЫЕ ЗАБОЛЕВАНИЯCARDIOVASCULAR MEDICINEЗНАЧЕНИЕ ДИАСТОЛИЧЕСКОЙ ДИСФУНКЦИИ В СТРАТИФИКАЦИИ СЕРДЕЧНО-СОСУДИСТОГО РИСКА ПРИ ВНЕСЕРДЕЧНЫХ ХИРУРГИЧЕСКИХ ВМЕШАТЕЛЬСТВАХTHE IMPORTANCE OF THE DIASTOLIC DYSFUNCTION IN THE CARDIOVASCULAR RISK STRATIFICATION OF NON-CARDIAC SURGICAL INTERVENTIONhttps://orcid.org/0000-0002-5384-3795ДжиоеваО. Н.DzhioevaO. N.

к.м.н., доцент кафедры госпитальной терапии № 2 ФГБОУ ВО РНИМУ им. Н. И. Пирогова Минздрава России; руководитель научно-образовательного отдела, врач-кардиолог научно-образовательного центра при ГБУЗ «ГКБ № 24» ДЗМ

MD, PhD, associate professor of the department of Hospital Therapy № 2 of the Faculty of Medicine, Pirogov Russian National Research Medical University; head of the scientific and educational department, cardiologist, Scientific and Educational Center of “City Clinical Hospital № 24”

o.dzhioeva@yandex.ru¹Федеральное государственное бюджетное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н. И. Пирогова» Министерства здравоохранения Российской Федерации, кафедра госпитальной терапии № 2 лечебного факультета, Москва; ²Научно-образовательный центр при Государственном бюджетном учреждении здравоохранения «Городская клиническая больница № 24 Департамента здравоохранения города Москвы», МоскваРоссия¹Russian National Research Pirogov Medical University, Department of Hospital Therapy № 2 of the Faculty of Medicine, Moscow ²Scientific and Educational Center of «City Clinical Hospital No. 24», MoscowRussian Federation201803122018551825Copyright © Джиоева О.Н., 20182018Джиоева О.Н.Dzhioeva O.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://transmed.almazovcentre.ru/jour/article/view/420

Статья представляет собой обзор зарубежных данных, посвященных оценке нарушений диастолической функции как предиктора сердечно-сосудистых осложнений при внесердечных хирургических вмешательствах. Эта проблема представляет значимый практический интерес, поскольку в рекомендациях по стратификации кардиального риска периоперационных осложнений, диастолическая дисфункция не выделена как негативный прогностический критерий. Несмотря на то, что современные руководящие принципы по периоперационной оценке сердечно-сосудистых рисков при экстракардиальной хирургии не оценивают диастолическую дисфункцию как фактор риска, все больше данных свидетельствуют о более высокой частоте серьезных неблагоприятных сердечных событий, более длительной продолжительности пребывания в стационаре у пациентов именно с диастолической хронической сердечной недостаточностью. В статье представлены современные доказательные позиции о необходимости включения диастолической дисфункции в стратификацию риска перед внесердечными хирургическими вмешательствами.

The article is an overview of foreign data on the evaluation of diastolic function disorders as a predictor of cardiovascular complications in non-cardiac surgical interventions. This problem is of significant practical interest, since in modern recommendations on the stratification of cardiac risk of perioperative complications, diastolic dysfunction is not identified as a negative prognostic factor. Although current guidelines on perioperative assessment of cardiovascular risks in extracardiac surgery do not evaluate diastolic dysfunction as a risk factor, more and more data indicate a higher incidence of serious adverse cardiac events, a longer hospital stay in patients with diastolic CHF. The article presents modern evidence supporting the need to include diastolic dysfunction in the risk stratification of non-cardiac surgical interventions.

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