vestimИзвестия Национальной академии наук Беларуси. Серия медицинских наукProceedings of the National Academy of Sciences of Belarus, Medical series1814-60232524-2350The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"10.29235/1814-6023-2021-18-3-292-303vestim-781Research ArticleКЛИНИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНАCLINICAL AND EXPERIMENTAL MEDICINEДиагностическая эффективность нового метода определения диастолической дисфункции левого желудочка при сердечной недостаточностиDiagnostic efficiency of a new method for determining the left ventricular diastolic dysfunction in heart failureЖеркоО. М.ZherkoO. M.

Жерко Ольга Михайловна – канд. мед. наук, доцент, заведующий кафедрой

ул. П. Бровки, 3/3, 220013, г. Минск

Olga M. Zherko – Ph. D. (Med.), Associate Professor, Head of the Department

3/3, P. Browka Str., 220013, Minsk 

zherco@mail.ruМихайловА. Н.MikhailovA. N.

Михайлов Анатолий Николаевич – академик, д-р мед. наук, профессор, заведующий кафедрой

ул. П. Бровки, 3/3, 220013, г. Минск

Anatoly N. Mikhailov – Academician, D. Sc. (Med.), Professor, Head of the Department

3/3, P. Browka Str., 220013, Minsk 

sakura33@bk.ruШкребневаЭ. И.ShkrebnevaE. I.

Шкребнева Элина Ивановна – заведующий отделением

ул. Семашко, 8, 220045, г. Минск

Elina I. Shkrebneva – Head of the Department

8, Semashko Str., 220045, Minsk 

elinyshka@yandex.byОлиферкоН. П.OliferkoN. P.

Олиферко Наталья Петровна – канд. мед. наук, заведующий отделением

пр. Независимости, 64, 220072, г. Минск 

Natalya P. Oliferko – Ph. D. (Med.), Head of the Department

64, Nezavisimosti Ave., Minsk 

Белорусская медицинская академия последипломного образованияBelarusian Medical Academy of Postgraduate EducationМинский научно-практический центр хирургии, трансплантологии и гематологииMinsk Scientific and Practical Center for Surgery, Transplantology and Hematology1-я городская клиническая больница1st City Clinical Hospital202106092021183292303Copyright © Жерко О.М., Михайлов А.Н., Шкребнева Э.И., Олиферко Н.П., 20212021Жерко О.М., Михайлов А.Н., Шкребнева Э.И., Олиферко Н.П.Zherko O.M., Mikhailov A.N., Shkrebneva E.I., Oliferko N.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestimed.belnauka.by/jour/article/view/781

Новый научно обоснованный метод определения диастолической дисфункции (ДД) левого желудочка (ЛЖ) при хронической сердечной недостаточности (ХСН) строится на концепции комплексной оценки ведущих патофункциональных и гемодинамических механизмов развития и прогрессирования ДД ЛЖ и ХСН, глобального ремоделирования сердца, содержит впервые разработанные диагностические критерии, полученные на основании технологии 2D Speckle Tracking эхокардиографии. Метод обладает высокой диагностической эффективностью: точность определения типов ДД ЛЖ в независимой экзаменационной выборке пациентов с ХСН с сохраненной фракцией выброса (ФВ) и ФВ ЛЖ менее 50 % составила 98,5 %.

A new scientifically substantiated method for determining the left ventricle (LV) diastolic dysfunction (DD) in chronic heart failure (CHF) is based on the concept of a comprehensive assessment of the leading pathofunctional and hemodynamic mechanisms of development and progression of LV DD and CHF, global heart remodeling and contains the first developed diagnostic criteria obtained on the basis of 2D Speckle Tracking echocardiography. The method has a high diagnostic efficiency: the determination accuracy of LV DD types in an independent examination sample of patients with CHF with the less than 50 % preserved ejection fraction (EF) and LV EF was 98.5 %.

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