russjcardiolРоссийский кардиологический журналRussian Journal of Cardiology1560-40712618-7620«SILICEA-POLIGRAF» LLC10.15829/1560-4071-2018-1-89-100russjcardiol-2697Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWПРОГНОСТИЧЕСКАЯ ЗНАЧИМОСТЬ ЭХОКАРДИОГРАФИИ ПОСЛЕ ОСТРОГО ИНФАРКТА МИОКАРДА. ЧАСТЬ 2PREDICTIVE VALUE OF ECHOCARDIOGRAPHY IN POST MYOCARDIAL INFARCTION SETTING. PART 2КрикуновП. В.KrikunovP. V.pavkrik@mail.ruhttps://orcid.org/0000-0003-2913-9797ВасюкЮ. А.VasyukYu. A.КрикуноваО. В.KrikunovaO. V.ФГБОУ ВО Московский государственный медико-стоматологический университет им. А.И. Евдокимова Минздрава РоссииРоссияA.I. Evdokimov Moscow State University of Medicine and Dentistry (MSUMD)Russian Federation2018080320180189100Copyright © Крикунов П.В., Васюк Ю.А., Крикунова О.В., 20182018Крикунов П.В., Васюк Ю.А., Крикунова О.В.Krikunov P.V., Vasyuk Y.A., Krikunova O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://russjcardiol.elpub.ru/jour/article/view/2697

Эхокардиография является полезной методикой для стратификации риска и оценки прогноза после острого инфаркта миокарда. Показано, что для получения прогностической информации можно использовать множество традиционных эхокардиографических параметров, таких как объёмы и фракция выброса левого желудочка, индекс движения стенки, объём левого предсердия и наличие митральной регургитации. Разработка методов тканевой допплерографии и “speckle-tracking” привела к появлению новых прогностических параметров, таких как деформация, скорость деформации и диссинхрония левого желудочка. Методика контрастной эхокардиографии позволяет оценивать перфузию миокарда и целостность микрососудистого кровоснабжения, предоставляет ценную информацию о жизнеспособности миокарда, тесно связанной с прогнозом. Стресс-эхокардиография позволяет выявить ишемию и жизнеспособный миокард, допплерография коронарных артерий — оценить резерв коронарного кровотока, и, наконец, трёхмерная эхокардиография даёт оптимальную информацию об объёмах, функции и сферичности левого желудочка, которые также являются важными параметрами долгосрочного прогноза.

Echocardiography is a useful tool for risk stratification and prognosis assessment after myocardial infarction. It was shown, that for prediction related data acquisition, it is possible to apply multiple echocardiographic parameters, such as the volumes and ejection fraction of the left ventricle, wall motion index, left atrium volume, and existence of atrial regurgitation. Development of the method of tissue Doppler and “speckle-tracking” led to invention of novel prediction parameters, as deformation, deformation velocity, dissynchrony of the left ventricle. Method of contrast echocardiography makes it to evaluate myocardial perfusion and safety of microvascularity, gives valuable data on myocardial viability, which is closely related to prognosis. Stress echocardiography makes it to assess myocardial ischemia and find viable myocardium, and the Doppler of coronary arteries — to evaluate coronary flow reserve. Finally, 3D echo makes possible the gathering of optimal data on the volumes, functioning and sphericity of the left ventricle, which are significant parameters of long term prognosis.

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