Эхокардиография при ишемической болезни сердца на современном этапе

Эхокардиография - активно развивающаяся ультразвуковая диагностическая методика, играющая ключевую роль при обследовании пациентов с ишемической болезнью сердца. За последние годы произошли важные изменения в протоколах выполнения и методах анализа эхокардиографии покоя и нагрузки, применяемых у пациентов с ишемической болезнью сердца. Наряду со стандартным визуальным анализом локальной сократимости широко используется режим тканевого следа для количественной оценки локальной и глобальной сократимости в покое и на фоне стресс-теста. Все более часто применяется визуализация коронарных артерий для оценки скоростей кровотока в зоне стеноза в покое, а также коронарного резерва на фоне нагрузки. Протокол стрессэхокардиографии расширен за счет оценки параметров, не связанных с сократимостью левого желудочка. Для повышения диагностической ценности стресс-эхокардиографию дополняют ультразвуковым исследованием сонных артерий. Описанные нововведения уже нашли или находят свое место в повседневной клинической практике. В настоящей статье приводится обзор современного состояния эхокардиографии при ишемической болезни сердца.

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