transmedТрансляционная медицинаTranslational Medicine2311-44952410-5155Almazov National Medical Research Centre, Saint Petersburg, Russia10.18705/2311-4495-2020-7-6-16-28transmed-576Research ArticleСЕРДЕЧНО-СОСУДИСТЫЕ ЗАБОЛЕВАНИЯCARDIOVASCULAR MEDICINEКоличественная ультразвуковая оценка показателей деформации миокарда: от теории к практикеMyocardial strain echocardiographic assessment: from theory to practicehttps://orcid.org/0000-0002-2176-4611КаревЕ. А.KarevE. A.

Карев Егор Андреевич, врач функциональной диагностики, врач-кардиолог

ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Karev Egor A., Functional Diagnostics Specialist, Cardiologist

Akkuratova str. 2, Saint Petersburg, 197341

karevea@mail.ruhttps://orcid.org/0000-0002-6035-9344ВербилоС. Л.VerbiloS. L.

Вербило Сергей Леонидович, врач функциональной диагностики, врач-кардиолог

Санкт-Петербург

Verbilo Sergey L., Functional Diagnostics Specialist, Cardiologist

Saint Petersburg

verbilo_sl@almazovcentre.ruhttps://orcid.org/0000-0002-6168-8895МалевЭ. Г.MalevE. G.

Малев Эдуард Геннадиевич, д.м.н., ведущий научный сотрудник НИЛ соединительно-тканных дисплазий

Санкт-Петербург

Malev Eduard G., MD, PhD, Leading Researcher of Research Laboratory for Connective Tissue Disorders

Saint Petersburg

malev@almazovcentre.ruhttps://orcid.org/0000-0003-4360-7622ПрокудинаМ. Н.ProkudinaM. N.

Прокудина Мария Николаевна, д.м.н., профессор, врач-кардиолог, врач функциональной диагностики

Санкт-Петербург

Prokudina Maria N., M.D., Dr. Sci., Professor, Cardiologist

Saint Petersburg

info@corspb.ruМочаловП. А.MochalovP. A.

Мочалов Павел Александрович, врач-кардиолог, врач функциональной диагностики

Санкт-Петербург

Mochalov Pavel A., Functional Diagnostics Specialist, Cardiologist

Saint Petersburg

pavel_mochalov@mail.ruБоброваЕ. А.BobrovaE. A.

Боброва Екатерина Александровна, врач функциональной диагностики, врач-кардиолог

Санкт-Петербург

Bobrova Ekaterina A., Functional Diagnostics Specialist, Cardiologist

Saint Petersburg

cattyb@mail.ruМалининаН. П.MalininaN. P.

Малинина Надежда Петровна, врач-кардиолог, врач функциональной диагностики

Санкт-Петербург

Malinina Nadejda P., Functional Diagnostics Specialist, Cardiologist

Saint Petersburg

nad_malina@mail.ruКозленокА. В.KozlenokA. V.

Козленок Андрей Валерьевич, к.м.н., руководитель НИО клинической физиологии кровообращения

Санкт-Петербург

Kozlenok Andrey V., MD, PhD, Head of Research Department for Circulatory Physiology

Saint Petersburg

avkozlenok@yandex.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CentreRussian FederationООО «Международный центр сердца»Россия«International Centre of the Heart»Russian Federation202014122020761628Copyright © Карев Е.А., Вербило С.Л., Малев Э.Г., Прокудина М.Н., Мочалов П.А., Боброва Е.А., Малинина Н.П., Козленок А.В., 20202020Карев Е.А., Вербило С.Л., Малев Э.Г., Прокудина М.Н., Мочалов П.А., Боброва Е.А., Малинина Н.П., Козленок А.В.Karev E.A., Verbilo S.L., Malev E.G., Prokudina M.N., Mochalov P.A., Bobrova E.A., Malinina N.P., Kozlenok A.V.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/576

Оценка систолической и диастолической функции миокарда является одной из основных задач эхокардиографии. Однако использования стандартных параметров иногда оказывается недостаточно для принятия клинических решений и определения прогноза у пациента. В связи с этим в клиническую практику активно внедряются новые показатели деформации и скорости деформации миокарда, которые дают ценную информацию о начальных изменениях, происходящих в миокарде при различных клинических состояниях. Эти методики количественной оценки систолической функции левого и правого желудочков находят свое применение у пациентов с артериальной гипертензией, ишемической болезнью сердца, гипертрофической и дилатационной кардиомиопатиями, а также при наличии клапанных пороков сердца, таких как аортальный стеноз, аортальная и митральная недостаточность. Кроме того, особой нишей для использования деформации миокарда стал анализ серошкальных изображений у пациентов с болезнями накопления миокарда, пациентов, получающих кардиотоксические препараты по поводу онкологических заболеваний, и пациентов после трансплантации сердца. В данном литературном обзоре продемонстрированы возможности клинического применения оценки деформации миокарда при различных патологических состояниях, при которых этот анализ может иметь клиническое значение.

Assessment of systolic and diastolic ventricular function is one of the main goals of echocardiography. Nevertheless, some patients require data beyond standard echocardiographic protocol for making more precise clinical decision and prognosis determination. The spectrum of novel parameters, including myocardial strain and strain rate, provides more comprehensive evaluation of the initial changes in myocardium in a variety of clinical conditions. New methods of quantifying the systolic function of left and right ventricles can be applied in patients with arterial hypertension, coronary heart disease, hypertrophic and dilated cardiomyopathies, also in patients with valvular heart disease such as aortic stenosis, aortic and mitral insufficiency. Besides strain analysis in patients with myocardial storage diseases, patients on cardiotoxic chemotherapy and patients with heart transplant turned out to be a specific niche for the method. Here, we provide the possibilities of strain analysis in variable heart pathologies in clinical practice.

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