medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.10.24835/1607-0763-1360medvis-1398Research ArticleСЕРДЦЕ И СОСУДЫHEART AND VESSELSСовременные методы эхокардиографической оценки функционального состояния левого предсердия при фибрилляции предсердийModern methods of echocardiographic assessment of the functional status of the left atrium in atrial fibrillationhttps://orcid.org/0000-0001-8231-6866КадыроваМ.KadirovaM.

Кадырова Мадина – канд. мед. наук, заведующая отделением ультразвуковой диагностики,

117997 Москва, ул. Большая Серпуховская, д. 27

Madina Kadirova – Cand. of Sci. (Med.), Head of the Department of Ultrasound diagnostics,

27, Bolshaya Serpukhovskaya str., Moscow 117997

https://orcid.org/0000-0002-9409-5164ЯловаЕ. В.YalovaE. V.

Ялова Евгения Владиславовна – младший научный сотрудник отделения ультразвуковой диагностики,

117997 Москва, ул. Большая Серпуховская, д. 27

Evgenia V. Yalova – junior researcher of the Department of Ultrasound diagnostics,

27, Bolshaya Serpukhovskaya str., Moscow 117997

https://orcid.org/0009-0008-2478-490XШебзуховаФ. С.ShebzuhovaF. S.

Шебзухова Фатима Султановна – ординатор отделения ультразвуковой диагностики,

117997 Москва, ул. Большая Серпуховская, д. 27

Fatima S. Shebzuhova – resident of the Department of Ultrasound diagnostics,

27, Bolshaya Serpukhovskaya str., Moscow 117997

https://orcid.org/0009-0008-5566-2577БоташеваА. А.BotashevaA. A.

Боташева Аида Адамовна – ординатор отделения ультразвуковой диагностики,

117997 Москва, ул. Большая Серпуховская, д. 27

Aida A. Botasheva – resident of the Department of Ultrasound diagnostics,

27, Bolshaya Serpukhovskaya str., Moscow 117997

https://orcid.org/0000-0001-5837-7255СтребковаЕ. Д.StrebkovaE. D.

Стребкова Елизавета Дмитриевна – младший научный сотрудник отделения электрофизиологических рентгенэндоваскулярных методов диагностики и лечения аритмий, 117997 Москва, ул. Большая Серпуховская, д. 27;

аспирант по специальности “сердечно-сосудистая хирургия” кафедры ангиологии, сердечно-сосудистой, эндоваскулярной хирургии и аритмологии, 125993 Москва, ул. Баррикадная, д. 2/1, стр. 1

Elizaveta D. Strebkova – junior researcher departments of electrophysiological X-ray endovascular methods of diagnostics and treatment of arrhythmias, 27, Bolshaya Serpukhovskaya str., Moscow 117997;

postgraduate student of cardiovascular surgery specialty of the Department of Angiology, Cardiovascular, Endovascular Surgery and Arrhythmology, 2/1, bld. 1, Barrikadnaya str., Moscow 125993

https://orcid.org/0000-0002-9357-0998КармазановскийГ. Г.KаrmаzаnovskyG. G.

Кармазановский Григорий Григорьевич – академик РАН, доктор мед. наук, профессор, заведующий отделом лучевых методов диагностики, 117997 Москва, ул. Большая Серпуховская, д. 27;

профессор кафедры лучевой диагностики и терапии медикобиологического факультета, 117997 Москва, ул. Островитянова, д. 1

Grigory G. Kаrmаzаnovsky – Academician of the Russiаn Асаdemy of Sсienсes, Dr. of Sci. (Med.), Professor, Heаd of the Department of Radiation Methods of Diagnostics, 27, Bolshaya Serpukhovskaya str., Moscow 117997;

Professor of radiology department, house 1, Ostrivityanova str., Moscow 117997

karmazanovsky@ixv.ruhttps://orcid.org/0000-0003-1791-9163РевишвилиА. Ш.RevishviliA. Sh.

Ревишвили Амиран Шотаевич – академик РАН, доктор мед. наук, профессор, директор, 117997 Москва, ул. Большая Серпуховская, д. 27;

заведующий кафедрой ангиологии, сердечно-сосудистой, эндоваскулярной хирургии и аритмологии им. акад. А.В. Покровского, 125993 Москва, ул. Баррикадная, д. 2/1, стр. 1

Amiran Sh. Revishvili – Academician of the Russian Academy of Science, Dr. of Sci. (Med.), Professor, Director, 27, Bolshaya Serpukhovskaya str., Moscow 117997;

Head of the Department of Angiology, Cardiovascular, Endovascular Surgery and Arrhythmology named after A.V. Pokrovsky, 2/1, bld. 1, Barrikadnaya str., Moscow 125993

amirevi@mail.ruФГБУ “Национальный медицинский исследовательский центр хирургии им. А.В. Вишневского” Минздрава РоссииРоссияA.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of the Russian FederationRussian FederationФГБУ “Национальный медицинский исследовательский центр хирургии им. А.В. Вишневского” Минздрава России; ФГБОУ ДПО “Российская медицинская академия непрерывного профессионального образования” Минздрава РоссииРоссияA.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of the Russian Federation; Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian FederationRussian FederationФГБУ “Национальный медицинский исследовательский центр хирургии им. А.В. Вишневского” Минздрава России; ФГАОУ ВО “Российский национальный исследовательский медицинский университет им. Н.И. Пирогова” Минздрава РоссииРоссияA.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of the Russian Federation; Pirogov Russian National Research Medical University of the Ministry of Healthcare of the Russian FederationRussian Federation2023170820232732440Copyright © Кадырова М., Ялова Е.В., Шебзухова Ф.С., Боташева А.А., Стребкова Е.Д., Кармазановский Г.Г., Ревишвили А.Ш., 20232023Кадырова М., Ялова Е.В., Шебзухова Ф.С., Боташева А.А., Стребкова Е.Д., Кармазановский Г.Г., Ревишвили А.Ш.Kadirova M., Yalova E.V., Shebzuhova F.S., Botasheva A.A., Strebkova E.D., Kаrmаzаnovsky G.G., Revishvili A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/1398

Фибрилляция предсердий (ФП) является наиболее распространенной сердечной аритмией, сопровождающейся значительной заболеваемостью и смертностью среди всего населения. При ФП именно левое предсердие (ЛП) рассматривается как критический показатель развития неблагоприятных сердечно-сосудистых событий. Дилатация ЛП с последующим электрофизиологическим ремоделированием частое наблюдение у пациентов с ФП.

Таким образом, особый интерес представляет эхокардиография (ЭхоКГ), в частности использование двухмерной и трехмерной “спекл-трекинг”-ЭхоКГ (Speckle tracking echocardiography) для изучения морфофункционального состояния ЛП у постели больного.

В настоящее время в отечественной литературе представлено несколько крупных лекционных обзоров по эхокардиографической оценке функции ЛП, но не изучена роль отдельных методов лучевой визуализации и их корреляции друг с другом, существует только пара зарубежных метаанализов по оценке и анализу функционального состояния ЛП у пациентов с ФП. Данная проблема актуальна, так как установление предикторов ФП на ранней стадии, в частности при ее скрытом течении, дает возможность предотвратить развитие ряда осложнений, ассоциированных с аритмией, – от ишемических инсультов до внезапной сердечной смерти.

Цель данного литературного обзора: представить данные последних исследований по оценке структуры и функции ЛП с использованием “спекл-трекинг” ЭхоКГ для выявления пациентов с бессимптомным течением ФП или высоким риском ее рецидива после процедур абляции.

Atrial fibrillation (AF) is the most common cardiac arrhythmia, accompanied by significant morbidity and mortality among the entire population. In AF, it is the left atrium (LA) that is considered as a critical indicator of the development of adverse cardiovascular events. LA dilation followed by electrophysiological remodeling is a frequent observation in patients with AF.

Thus, echocardiography (EchoCG) is of particular interest, in particular, the use of two-dimensional and threedimensional Speckle tracking echocardiography (STE) to study the morphofunctional state of LA at the patient's bedside.

Currently, several major lecture reviews on echocardiographic assessment of LA function are presented in the domestic literature, but individual methods of radiation imaging and their correlation with each other have not been studied, there are only a couple of foreign meta-analyses on the assessment and analysis of the functional state of LA in patients with AF. This problem is relevant, since the establishment of predictors of AF at an early stage, in particular with its latent course, makes it possible to prevent the development of a number of complications associated with arrhythmia from ischemic strokes to sudden cardiac death.

The purpose of this literature review is to present the data of recent studies on the assessment of the structure and function of LA using STE to identify patients with asymptomatic AF or a high risk of its recurrence after ablation procedures.

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