rpcardioRational Pharmacotherapy in CardiologyРациональная Фармакотерапия в Кардиологии1819-64462225-3653«SILICEA-POLIGRAF» LLC10.20996/1819-6446-2009-5-4-73-79rpcardio-691Research ArticleDIAGNOSTIC TECHNIQUESМЕТОДЫ ИССЛЕДОВАНИЯDOBUTAMINE STRESS-ECHOCARDIOGRAPHY: POSSIBILITY OF CLINICAL USAGE IN CARDIOLOGY PRACTICEСТРЕСС-ЭХОКАРДИОГРАФИЯ С ДОБУТАМИНОМ: ВОЗМОЖНОСТИ КЛИНИЧЕСКОГО ПРИМЕНЕНИЯ В КАРДИОЛОГИЧЕСКОЙ ПРАКТИКЕСаидоваМ. А.SaidovaM. A.

121552 Москва, 3-я Черепковская ул., 15а

Tretya Cherepkovskaya ul. 15a, Moscow, 121552

a.saidova@gmail.comРоссийский кардиологический научно-производственный комплексРоссияRussian Cardiology Research and Production ComplexRussian Federation200910012016547379Copyright © Saidova M.A., 20162016Саидова М.А.Saidova M.A.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/691

Currently stress-echocardiography or so-called burden echocardiography is essential method of patient examination to reveal latent ischemic heart disease (IHD). That is one of the mostly informative non-invasive methods of IHD diagnosis as well as efficacy evaluation of coronary angioplasty, surgical and pharmacological treatments of IHD. Dobutamine usage as a stress-agent at burden echocardiography allows evaluating not only ischemia but a myocardial vitality in post infarction area as well as clarify severity of valve stenosis, pulmonary hypertension and extent of latent obstruction of exhaust duct of the left ventricle. Method possibilities are presented as well as test protocol, main indications and contraindications.

В настоящее время стресс-эхокардиография, или, как ее еще называют, нагрузочная эхокардиография, является неотъемлемой частью алгоритма обследования пациентов для выявления скрытой ишемической болезни сердца (ИБС). Это один из наиболее высокоинформативных неинвазивных методов диагностики ИБС, оценки эффективности коронарной ангиопластики, хирургического и медикаментозного лечения ИБС. Использование добутамина в качестве стресс-агента при проведении нагрузочной эхокардиографии позволяет оценивать не только ишемию, но и жизнеспособность миокарда в зоне постинфарктного поражения, а также определять выраженность клапанных стенозов, легочной гипертензии и степень латентной обструкции выходного тракта левого желудочка. Представлены возможности метода, протоколы проведения пробы, основные показания и противопоказания к исследованию.

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