rpcardioRational Pharmacotherapy in CardiologyРациональная Фармакотерапия в Кардиологии1819-64462225-3653«SILICEA-POLIGRAF» LLC10.20996/1819-6446-2017-13-2-238-247rpcardio-1451Research ArticleINNOVATIVE CARDIOLOGYИННОВАЦИОННАЯ КАРДИОЛОГИЯPOSSIBILITIES OF ENHANCED EXTERNAL COUNTERPULSATION USING IN CLINICAL PRACTICEВОЗМОЖНОСТИ ПРИМЕНЕНИЯ УСИЛЕННОЙ НАРУЖНОЙ КОНТРПУЛЬСАЦИИ В КЛИНИЧЕСКОЙ ПРАКТИКЕМамиеваЗ. А.MamievaZ. A.

Мамиева Зарина Ахсарбековна – студентка 6 курса, лечебный факультет 

119991, Москва, ул. Трубецкая, 8 стр. 2

Zarina A. Mamieva - 6th Year Student, Medical Faculty 

Trubetskaya ul. 8,Moscow, 119991

ЛишутаА. С.LishutaA. S.

Лишута Алексей Сергеевич – кандидат медицинских наук, доцент кафедры госпитальной терапии №1 

119991, Москва, ул. Трубецкая, 8 стр. 2

Alexey S. Lishuta - MD, PhD, Associate Professor, Chair of Hospital Therapy №1 

Trubetskaya ul. 8,Moscow, 119991

alexeylish@gmail.comБеленковЮ. Н.BelenkovYu. N.

Беленков Юрий Никитич – доктор медицинских наук, профессор, академик РАН, зав. кафедрой госпитальной терапии №1 

119991, Москва, ул. Трубецкая, 8 стр. 2

Yuri N. Belenkov - MD, PhD, Professor, Academician of the Russian Academy of Sciences, Head of Chair of Hospital Therapy №1 

Trubetskaya ul. 8,Moscow, 119991

ПриваловаЕ. В.PrivalovaE. V.

Привалова Елена Витальевна – доктор медицинских наук, профессор кафедры госпитальной терапии №1 

119991, Москва, ул. Трубецкая, 8 стр. 2

Elena V. Privalova - MD, PhD, Professor, Chair of Hospital Therapy №1 №1

Trubetskaya ul. 8,Moscow, 119991

ЮсуповаА. О.YusupovaA. O.

Юсупова Альфия Оскаровна – кандидат медицинских наук, доцент кафедры госпитальной терапии №1 

119991, Москва, ул. Трубецкая, 8 стр. 2

Alfiya O. Yusupova - MD, PhD, Associate Professor, Chair of Hospital Therapy №1

Trubetskaya ul. 8,Moscow, 119991

РыковаС. М.RykovaS. M.

Рыкова Светлана Михайловна - кандидат медицинских наук, доцент кафедры клинической фармакологии и фармакотерапии ИПО 

119991, Москва, ул. Трубецкая, 8 стр. 2

Svetlana M. Rykova - MD, PhD, Associate Professor, Chair of Clinical Pharmacology and Pharmacotherapy, Institute of Professional Education 

Trubetskaya ul. 8,Moscow, 119991

Первый Московский государственный медицинский университет имени И.М. СеченоваРоссияI.M. Sechenov First Moscow State Medical UniversityRussian Federation201704052017132238247Copyright © Mamieva Z.A., Lishuta A.S., Belenkov Y.N., Privalova E.V., Yusupova A.O., Rykova S.M., 20172017Мамиева З.А., Лишута А.С., Беленков Ю.Н., Привалова Е.В., Юсупова А.О., Рыкова С.М.Mamieva Z.A., Lishuta A.S., Belenkov Y.N., Privalova E.V., Yusupova A.O., Rykova S.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rpcardio.online/jour/article/view/1451

Possibilities and prospects for the clinical use of enhanced external counterpulsation (EECP), which has long established itself throughout the world, are discussed in the article. Historical background, as well as the development stages of EECP for the treatment of patients with coronary heart disease (CHD) and chronic heart failure (CHF) are considered. The mechanism of action of the EECP and the main hemodynamic, neurohumoral and tissue effects that justify its use are presented. The effect of EECP on endothelial function and coronary reserve, disorders of which occurs in the majority of cardiovascular diseases, is considered separately. Treatment of patients with CHD, including complicated by CHF, are the most studied indications for EECP using in medical practice. The evidence base for treatment of patients with these disorders by EECP is presented in the article. Prospects for the EECP application in other areas of medicine are also presented.

В статье рассматриваются возможности и перспективы применения в клинической практике такого метода лечения, как усиленная наружная контрпульсация (УНКП), уже давно зарекомендовавшего себя во всем мире. Рассматриваются исторические предпосылки, а также этапы разработки данного метода для лечения пациентов с ишемической болезнью сердца (ИБС) и хронической сердечной недостаточностью (ХСН). Детально разбирается механизм действия УНКП и основные гемодинамические, нейрогуморальные и тканевые эффекты, лежащие в основе применения данного вида лечения. Отдельно рассматривается влияние УНКП на эндотелиальную функцию и коронарный резерв, нарушение которых имеет место при большинстве сердечно-сосудистых заболеваний. Среди наиболее изученных показаний для применения УНКП является лечение пациентов с ИБС, в том числе, осложненной ХСН. В статье представлена доказательная база лечения больных этими нарушениями с использованием УНКП. Также представлены перспективные направления применения этого метода лечения в других направлениях медицины.

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