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вce журналы << Ультразвуковая и функциональная диагностика << 2012 год << №1 <<
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Ультразвуковые методики оценки деформации миокарда и их клиническое значение. Клиническое значение показателей деформации и вращения миокарда (лекция 3)

М.Н. Алёхин
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М.Н. Алёхин – д.м.н., заведующий отделением функциональной диагностики ФГБУ “Центральная клиническая больница с поликлиникой” УД Президента РФ, профессор кафедры кардиологии и общей терапии ФГБУ “Учебно)научный медицинский центр” УД Президента РФ.
Адрес для корреспонденции: 121356 г. Москва, ул. Маршала Тимошенко, д. 23, кафедра кардиологии и общей терапии Учебно-научного медицинского центра УД Президента РФ. Алёхин Михаил Николаевич. Тел.: (495) 414-04-20. Факс: (495) 4

Лекция посвящена возможностям клинического использования показателей деформации миокарда и скручивания левого желудочка. Приводятся данные об изменениях показателей деформации миокарда и скручивания левого желудочка при некоторых физиологических и разнообразных патологических состояниях, таких как гипертрофия желудочков, сердечная недостаточность, инфаркт миокарда, пороки сердца и кардиомиопатии. Обсуждаются вопросы дифференциальной диагностики причи гипертрофии левого желудочка с использованием показателей деформации миокарда. Рассматривается прогностическое значение показателей деформации миокарда и скручивания левого желудочка.

Ключевые слова:
эхокардиография, деформация миокарда, скорость деформации, технология отслеживания пятен, продольная деформация, циркулярная деформация, радиальная деформация, скручивание, допплеровская визуализация

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perc

Ultrasound Methods of Myocardium Strain Evaluation and Their Clinical Significance. Clinical Significance of Myocardium Strain and Rotation Measurements

M.N. Alekhin

Clinical value of left ventricle myocardium strain and torsion measurements is described in the lecture. Changes of left ventricle myocardium strain and torsion data at some physiological and different pathologic situations as a ventricle hypertrophy, heart failure, myocardial infarction, congenital heart disease, and cardiomyopathy are represented. Differential diagnosis questions of the left ventricle hypertrophy reasons with the myocardium strain measurements use are discussed. Prognostic value of left ventricle myocardium strain and torsion measurements is showed.

Keywords:
echocardiography, myocardium strain, strain rate, speckle tracking, longitudinal strain, circumferential strain, radial strain, torsion (twist), and tissue Doppler imaging.

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