usfdУльтразвуковая и функциональная диагностикаUltrasound & Functional Diagnostics1607-07712408-9494Vidar Ltd.10.24835/1607-0771-2020-2-60-90usfd-110Research ArticleУльтразвуковая диагностика заболеваний сердца и сосудовCardiovascular UltrasoundДиастолическая трансторакальная стресс-эхокардиография с дозированной физической нагрузкой в диагностике сердечной недостаточности с сохраненной фракцией выброса: показания, методология, интерпретация результатовDiastolic transthoracic stress echocardiography with incremental workload in the evaluation of heart failure with preserved ejection fraction: indications, methodology, interpretationОвчинниковАртем ГермановичOvchinnikovA. G.artcardio@mail.ruАгеевФ. Т.AgeevF. T.noemail@neicon.ruАлехинМ. Н.AlekhinM. N.noemail@neicon.ruБеленковЮ. Н.BelenkovYu. N.noemail@neicon.ruВасюкЮ. А.VasyukYu. A.noemail@neicon.ruГалявичА. С.GalyavichA. S.noemail@neicon.ruГиляревскийС. Р.GilyarevskiyS. R.noemail@neicon.ruЛопатинЮ. М.LopatinYu. M.noemail@neicon.ruМареевВ. Ю.MareevV. Yu.noemail@neicon.ruМареевЮ. В.MareevYu. V.noemail@neicon.ruМитьковВ. В.MitkovV. V.noemail@neicon.ruПотехинаА. В.PotekhinaA. V.noemail@neicon.ruПростаковаТ. С.ProstakovaT. S.noemail@neicon.ruРыбаковаМ. К.RybakovaM. K.noemail@neicon.ruСаидоваМ. А.SaidovaM. A.noemail@neicon.ruХадзеговаА. Б.KhadzegovaA. B.noemail@neicon.ruЧерновМ. Ю.ChernovM. Yu.noemail@neicon.ruЮщукЕ. Н.YushchukE. N.noemail@neicon.ruБойцовС. А.BoytsovS. A.noemail@neicon.ruФГБУ “Национальный медицинский исследовательский центр кардиологии” Министерства здравоохранения Российской Федерации; ФГБОУ ВО “Московский государственный медико-стоматологический университет имени А.И. Евдокимова” Министерства здравоохранения Российской ФедерацииРоссияNational Medical Research Center of Cardiology; A.I. Yevdokimov Moscow State University of Medicine and DentistryRussian FederationФГБУ “Национальный медицинский исследовательский центр кардиологии” Министерства здравоохранения Российской ФедерацииРоссияNational Medical Research Center of CardiologyRussian FederationФГБУ ДПО “Центральная государственная медицинская академия” Управления делами Президента Российской ФедерацииРоссияCentral State Medical Academy of the Presidential Administration of Russian FederationRussian FederationФГАОУ ВО “Первый Московский государственный медицинский университет имени И.М. Сеченова” Министерства здравоохранения Российской Федерации (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical UniversityRussian FederationФГБОУ ВО “Московский государственный медико-стоматологический университет имени А.И. Евдокимова” Министерства здравоохранения Российской ФедерацииРоссияA.I. Yevdokimov Moscow State University of Medicine and DentistryRussian FederationФГБОУ ВО “Казанский государственный медицинский университет” Министерства здравоохранения Российской ФедерацииРоссияKazan State Medical UniversityRussian FederationФГБОУ ДПО “Российская медицинская академия непрерывного профессионального образования” Министерства здравоохранения Российской ФедерацииРоссияRussian Medical Academy of Continuous Professional EducationRussian FederationФГБОУ ВО “Волгоградский государственный медицинский университет” Министерства здравоохранения Российской Федерации; ГБУЗ “Волгоградский областной клинический кардиологический центр”РоссияVolgograd State Medical University; Volgograd regional clinical cardiology centerRussian FederationФГБОУ ВО “Московский государственный университет имени М.В. Ломоносова”РоссияLomonosov Moscow State UniversityRussian FederationФГБУ “Национальный медицинский исследовательский центр терапии и профилактической медицины” Министерства здравоохранения Российской ФедерацииРоссияNational Research Centre for Therapy and Preventive MedicineRussian FederationФГАОУ ВО “Российский национальный исследовательский медицинский университет имени Н.И. Пирогова” Министерства здравоохранения Российской ФедерацииРоссияPirogov Russian National Research Medical UniversityRussian FederationФГБУ “Главный военный клинический госпиталь имени академика Н.Н. Бурденко” Министерства обороны Российской ФедерацииРоссияN.N. Burdenko Main Military Clinical HospitalRussian Federation202028032024026090Copyright © Овчинников А.Г., Агеев Ф.Т., Алехин М.Н., Беленков Ю.Н., Васюк Ю.А., Галявич А.С., Гиляревский С.Р., Лопатин Ю.М., Мареев В.Ю., Мареев Ю.В., Митьков В.В., Потехина А.В., Простакова Т.С., Рыбакова М.К., Саидова М.А., Хадзегова А.Б., Чернов М.Ю., Ющук Е.Н., Бойцов С.А., 20242024Овчинников А.Г., Агеев Ф.Т., Алехин М.Н., Беленков Ю.Н., Васюк Ю.А., Галявич А.С., Гиляревский С.Р., Лопатин Ю.М., Мареев В.Ю., Мареев Ю.В., Митьков В.В., Потехина А.В., Простакова Т.С., Рыбакова М.К., Саидова М.А., Хадзегова А.Б., Чернов М.Ю., Ющук Е.Н., Бойцов С.А.Ovchinnikov A.G., Ageev F.T., Alekhin M.N., Belenkov Y.N., Vasyuk Y.A., Galyavich A.S., Gilyarevskiy S.R., Lopatin Y.M., Mareev V.Y., Mareev Y.V., Mitkov V.V., Potekhina A.V., Prostakova T.S., Rybakova M.K., Saidova M.A., Khadzegova A.B., Chernov M.Y., Yushchuk E.N., Boytsov S.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://usfd.vidar.ru/jour/article/view/110

Диагностика сердечной недостаточности с сохраненной фракцией выброса сопряжена с определенными трудностями, поскольку многие пациенты с сердечной недостаточностью с сохраненной фракцией выброса имеют незначительную диастолическую дисфункцию левого желудочка и нормальное давление его наполнения в покое. Для улучшения диагностики сердечной недостаточности с сохраненной фракцией выброса используется диастолическая трансторакальная стресс-эхокардио графия с дозированной физической нагрузкой (диастолический стресс-тест), позволяющая выявить признаки повышения давления наполнения во время нагрузки. В настоящем согласованном мнении экспертов разъясняется необходимость проведения диастолического стресстеста для диагностики сердечной недостаточности с сохраненной фракцией выбро са с клинической и патофизиологической точек зрения, определяются показания к тесту с описанием его методологических аспектов, рассматриваются вопросы применения теста у особых категорий пациентов.

Diagnosis of heart failure with preserved ejection fraction is challenging due to many patients have only mild left ventricular diastolic dysfunction and normal left ventricular filling pressure at rest. The diastolic transthoracic stress echocardiography with incremental workload (diastolic stress test) refers to the assessment of the diastolic function during exercise, thus enhancing the verification of heart failure with preserved ejection fraction. The present expert consensus statement provides the clinical and pathophysiological rationale for diastolic stress test in the evaluation for heart failure with preserved ejection fraction, the methodology of diastolic stress test, the principles of data interpretation, and applicability for the specific groups of patients.

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