usfdУльтразвуковая и функциональная диагностикаUltrasound & Functional Diagnostics1607-07712408-9494Vidar Ltd.10.24835/1607-0771-2020-3-91-104usfd-104Research ArticleУльтразвуковая диагностика заболеваний сердца и сосудовCardiovascular UltrasoundДиастолическая функция левого желудочка: значение глобальной продольной деформации левого предсердияLeft ventricular diastolic function: value of left atrial global longitudinal strainАлехинМихаил НиколаевичAlekhinM. N.amn@mail.ruКалининА. О.KalininA. O.noemail@neicon.ruФГБУ “Центральная клиническая больница с поликлиникой” Управления делами Президента Российской Федерации; ФГБУ ДПО “Центральная государственная медицинская академия” Управления делами Президента Российской ФедерацииРоссияCentral Clinical Hospital of the Presidential Administration of Russian Federation; Central State Medical Academy of the Presidential Administration of Russian FederationRussian FederationСтационар “Гайльэзерс” Рижской Восточной клинической университетской больницы; Рижский университет имени П. СтрадыняРоссияClinical Centre Gailezers, Riga East University Hospital; Riga Stradins UniversityRussian Federation2020280320240391104Copyright © Алехин М.Н., Калинин А.О., 20242024Алехин М.Н., Калинин А.О.Alekhin M.N., Kalinin A.O.This work is licensed under a Creative Commons Attribution 4.0 License.https://usfd.vidar.ru/jour/article/view/104

Эхокардиография является методом выбора неинвазивной диагностики диастолической дисфункции левого желудочка сердца, несмотря на сложность трактовки у ряда пациентов, особенно при нормальном характере трансмитрального кровотока. Современные технологии, такие как спекл-трекинг эхокардиография, позволяют дополнить анализ диастолической функции левого желудочка оценкой глобальной продольной деформации левого предсердия. Глобальная продольная деформация левого предсердия отражает податливость камеры и может быть весьма эффективным индексом дисфункции левого предсердия и ранним маркером диастолической дисфункции левого желудочка. В данном обзоре представлен анализ данных клинических исследований, посвященных значению продольной деформации левого предсердия у пациентов с диастолической дисфункцией левого желудочка.

Echocardiography is the method of choice for non-invasive diagnosis of left ventricular diastolic dysfunction, despite the complexity of interpretation in a number of patients, especially with normal transmitral blood flow. Modern technologies, such as speckle tracking echocardiography, allow us to supplement the analysis of diastolic function of the left ventricle with an assessment of global longitudinal strain of the left atrium. Global longitudinal strain of the left atrium reflects the distensibility of the chamber and can be a highly effective index of left atrial dysfunction and an early marker of left ventricular diastolic dysfunction. This review presents an analysis of data from clinical studies on the value of left atrial longitudinal strain in patients with left ventricular diastolic dysfunction.

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