Статья
ВОЗМОЖНОСТИ ПРИМЕНЕНИЯ УСИЛЕННОЙ НАРУЖНОЙ КОНТРПУЛЬСАЦИИ В КЛИНИЧЕСКОЙ ПРАКТИКЕ
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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