Статья
Современные эхокардиографические подходы к комплексной оценке функции правого желудочка
Функция правого желудочка (ПЖ) является важным предиктором развития сердечно-сосудистых событий и смертности. Эхокардиография — это метод визуализации первой линии при оценке систолической функции ПЖ, однако стандартные параметры двухмерной эхокардиографии имеют ограничения и при определенных условиях плохо коррелируют с данными магнитно-резонансной томографии сердца, являющейся золотым стандартом визуализации. Последние достижения в разработке новых методов эхокардиографии, включая трехмерную эхокардиографию и двухмерную спекл-трекинг (speckle tracking) эхокардиографию, открыли новую эру в визуализации ПЖ. Такие методы обеспечивают более точную и воспроизводимую оценку показателей ПЖ, тем самым позволяя более подробно изучить патофизиологию его поражений. В настоящем обзоре обобщена информация об актуальных эхокардиографических подходах к оценке систолической функции правого желудочка с особым акцентом на современные методы, их преимущества, ограничения и подводные камни, которые могут встретиться в различных клинических ситуациях.
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