cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2019-34-1-10-17cardiotomsk-671Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESВОЗМОЖНОСТИ И ОГРАНИЧЕНИЯ СПЕКЛ-ТРЕКИНГ СТРЕСС-ЭХОКАРДИОГРАФИИCAPABILITIES AND LIMITATIONS OF SPECKLE TRACKING STRESS ECHOCARDIOGRAPHYСтепановаА. И.StepanovaA. I.

клинический аспирант кафедры кардиологии, терапии и функциональной диагностики с курсом нефрологии,

121359, Москва, ул. Маршала Тимошенко, 19, стр. 1а

Postgraduate Student of the Department of Cardiology, Therapy and Functional Diagnostics with Nephrology Course,

19, bldg. 1A, Marshal Timoshenko str., Moscow, 121359

fr.anya.dz@gmail.comАлехинМ. Н.AlekhinM. N.

д-р мед. наук, профессор кафедры кардиологии, терапии и функциональной диагностики с курсом нефрологии, 121359, Москва, ул. Маршала Тимошенко, 19, стр. 1а;

заведующий отделением функциональной диагностики, 121359, Москва, ул. Маршала Тимошенко, 15

Dr. Sci. (Med.), Professor of the Department of Cardiology, Therapy and Functional Diagnostics with Nephrology Course, 19, bldg. 1A, Marshal Timoshenko str., Moscow, 121359;

Head of Functional Diagnostics Department, 15, Marshal Timoshenko str., Moscow, 121359

mike.nikolaich@yandex.ru«Центральная государственная медицинская академия» Управления делами Президента Российской ФедерацииРоссияCentral State Medical Academy of the Administrative Department of the President of the Russian FederationRussian Federation«Центральная государственная медицинская академия» Управления делами Президента Российской Федерации; «Центральная клиническая больница с поликлиникой» Управления делами Президента Российской ФедерацииРоссияCentral State Medical Academy of the Administrative Department of the President of the Russian Federation; Central Clinical Hospital of the Presidential Administration of the Russian FederationRussian Federation2019190420193411017Copyright © Степанова А.И., Алехин М.Н., 20192019Степанова А.И., Алехин М.Н.Stepanova A.I., Alekhin M.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/671

Стресс-эхокардиография является методикой, которая позволяет оценивать сократимость миокарда и внутрисердечную гемодинамику в условиях физической нагрузки или реакции на фармакологический препарат. Оценка систолической функции левого желудочка (ЛЖ) играет важную роль в установлении прогноза и выборе стратегии лечения при различных сердечно-сосудистых заболеваниях. Технология спекл-трекинг — одна из наиболее перспективных для определения значений деформации ЛЖ, благодаря которой возможна не только визуальная, но и количественная оценка сократимости миокарда ЛЖ как в состоянии покоя, так и при проведении нагрузочных тестов. В данном обзоре проанализированы возможности применения спекл-трекинг стресс-эхокардиографии c физической нагрузкой или с введением фармакологического препарата у здоровых лиц и пациентов с различными заболеваниями, такими как ишемическая болезнь сердца (ИБС), клапанные пороки сердца, сахарный диабет, микрососудистое поражение. Наряду с этим рассмотрены различия между значениями продольной систолической деформации ЛЖ в зависимости от возраста, а также проведено сопоставление данных спекл-трекинг стресс-эхокардиографии с результатами коронарной ангиографии и компьютерной томографии коронарных артерий.

Stress echocardiography is a technique that allows to evaluate myocardial contractility and intracardiac hemodynamics under conditions of physical exercise or reaction to a pharmacological drug. Evaluation of systolic function of the left ventricle plays an important role in establishing the prognosis and choosing a treatment strategy for various cardiovascular diseases. Speckle tracking technique is one of the most promising methods for determining values of left ventricular deformation, due to which not only visual, but also quantitative assessment of left ventricular myocardial contractility is possible at rest and during stress tests. In this review, we analyzed the possibility of using speckle tracking stress echocardiography with physical exercise or with the pharmacological drug, in order to diagnose various diseases, such as ischemic heart disease, valvular heart disease, diabetes mellitus, and microvascular damage. Along with this, differences between the values of the longitudinal systolic deformation depending on age were considered. We also compared diagnostic values of the data of speckle-tracking stress echocardiography and coronary angiography and values of the data of speckle-tracking stress echocardiography and computed tomography of the coronary arteries.

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