medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.10.24835/1607-0763-2017-4-82-87medvis-452Research ArticleМЕДИЦИНСКАЯ ВИЗУАЛИЗАЦИЯ В КАРДИОАНГИОЛОГИИMEDICAL IMAGING IN CARDIOANGIOLOGYВнутрисосудистый ультразвук как метод выявления нестабильных атеросклеротических бляшек коронарных артерий (обзор литературы)Intravascular Ultrasound Studies and the Vulnerable Atherosclerotic Plaque (Literature Review)КочергинН. А.KocherginN. A.

младший научный сотрудник лаборатории интервенционных методов диагностики и лечения ФГБНУ “НИИ комплексных проблем сердечно-сосудистых заболеваний”, Кемерово

650002 Кемерово, Сосновый бульвар, 6, Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний. Тел.: +7-908-952-32-35

nikotwin@mail.ruКочергинаА. М.KocherginaA. M.

канд. мед. наук, ассистент кафедры кардиологии и сердечно-сосудистой  хирургии ФГБОУ ВО “Кемеровский государственный медицинский университет”, Кемерово

ФГБНУ “Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний”РоссияResearch Institute for Complex Issues of Cardiovascular DiseasesRussian FederationФГБОУ ВО “Кемеровский государственный медицинский университет”РоссияKemerovo state medical universityRussian Federation201728082017048287Copyright © Кочергин Н.А., Кочергина А.М., 20172017Кочергин Н.А., Кочергина А.М.Kochergin N.A., Kochergina A.M.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/452

Под нестабильной подразумевается бляшка, склонная к разрыву, которая может привести к  тромбозу коронарной артерии с развитием острого коронарного синдрома. Инфаркт  миокарда часто происходит у пациентов, которые имеют средний риск неблагоприятных кардиоваскулярных событий, причем тромбоз часто происходит в  поражениях коронарных артерий с умеренно выраженной степенью стеноза. Таким образом, в большинстве случаев такие бляшки клинически себя никак не проявляют до  развития острого события, а также не подлежат реваскуляризации согласно актуальным  рекомендациям. Одним из важных вопросов является выявление нестабильных бляшек с  целью разработки мер профилактики. Внутрисосудистый ультразвук с виртуальной гистологией – полезный и  эффективный метод выявления нестабильных бляшек, который позволяет определить  категорию пациентов с высоким риском неблагоприятных коронарных событий.

The vulnerable plaque is an atherosclerotic plaque which can lead to  thrombosis of a coronary artery with development of an acute coronary  syndrome. Most myocardial infarctions occur in people with average  levels of risk factors and thrombosis mostly originate from lesions that  are less severely narrowed. Thus, in most cases, these plaques are clinically silent before the “unheralded” acute event and would not  be considered eligible for preventive treatment based on current  guidelines. The main question is to identify thrombosis-prone  “vulnerable” plaques before they rupture or become destabilized. IVUS  is a useful tool in identifying high risk plaque features and vulnerable lesions in patients.

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