rpcardioRational Pharmacotherapy in CardiologyРациональная Фармакотерапия в Кардиологии1819-64462225-3653«SILICEA-POLIGRAF» LLC10.20996/1819-6446-2017-13-2-248-255rpcardio-1453Research ArticleINNOVATIVE CARDIOLOGYИННОВАЦИОННАЯ КАРДИОЛОГИЯMODERN POSSIBILITIES OF SPECKLE TRACKING ECHOCARDIOGRAPHY IN CLINICAL PRACTICECОВРЕМЕННЫЕ ВОЗМОЖНОСТИ SPECKLE TRACKING ЭХОКАРДИОГРАФИИИ В КЛИНИЧЕСКОЙ ПРАКТИКЕНикифоровВ. С.NikiforovV. S.

Никифоров Виктор Сергеевич – доктор медицинских наук, профессор, кафедра функциональной диагностики 

191015, Санкт-Петербург, ул. Кирочная, 41

Viktor S. Nikiforov - MD, PhD, Professor, Chair of Functional Diagnostics 

Kirochnaya ul. 41, Saint Petersburg, 191015

НикищенковаЮ. В.NikishchenkovaI. V.

Никищенкова Юлия Владиславовна – врач отделения функциональной диагностики 

193079, Санкт-Петербург, Народная ул. 21, к. 2

 

Iulya V. Nikishchenkova - MD, Doctor, Functional Diagnostics Department 

21-2, Saint Petersburg, 193079 

silfish@mail.ruСеверо-Западный государственный медицинский университет им. И.И. МечниковаРоссияNorth-Western State Medical University named after I.I. MechnikovRussian FederationГоспиталь для ветеранов войнРоссияHospital for Veterans of WarsRussian Federation201704052017132248255Copyright © Nikiforov V.S., Nikishchenkova I.V., 20172017Никифоров В.С., Никищенкова Ю.В.Nikiforov V.S., Nikishchenkova I.V.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/1453

Speckle-tracking echocardiography is promising modern technique for evaluation of structural and functional changes in the myocardium. It evaluates the indicator of global longitudinal myocardial deformation, which is more sensitive than ejection fraction to early changes of left ventricular contractility. The diagnostic capabilities of speckle tracking echocardiography are reflected in clinical recommendations and consensus statements of European Society of Cardiology (ESC), European Association of Cardiovascular Imaging (EACVI) and American Society of Echocardiography (ASE). The aim of this paper is describe basic principles of speckle tracking echocardiography and clinical applications of this new technology. Attention is paid to the use of speckle tracking echocardiography in such heart pathologies as heart failure, coronary heart disease and myocardial infarction, left ventricular hypertrophy in arterial hypertension, hypertrophic cardiomyopathy and amyloidosis of the heart, valvular heart disease, constrictive pericarditis and cancer therapy-induced cardiotoxicity.

Speckle tracking эхокардиография – перспективная современная методика для оценки структурно-функциональных изменений миокарда. Оцениваемый с ее помощью показатель глобальной продольной деформации миокарда более чувствителен к ранним изменениям сократимости левого желудочка, чем фракция выброса. Диагностические возможности speckle tracking эхокардиографии нашли отражение в клинических рекомендациях и согласительных документах Европейского общества кардиологов (ESC), Европейской ассоциации специалистов по методам визуализации сердечно-сосудистой системы (EACVI) и Американского общества эхокардиографии (ASE). Целью данной статьи является изложение основных принципов speckle tracking эхокардиографии и возможностей клинического применения этой новой технологии. Уделено внимание использованию speckle tracking эхокардиографии при сердечной недостаточности, коронарной патологии и инфаркте миокарда, гипертрофии левого желудочка при артериальной гипертензии, гипертрофической кардиомиопатии и амилоидозе сердца, клапанных пороках сердца, констриктивном перикардите и эффекте кардиотоксичности при лечении онкопатологии.

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