medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.10.24835/1607-0763-2018-6-51-58medvis-693Research ArticleГРУДНАЯ КЛЕТКАTHORAXФокусированная эхокардиографияFocused echocardiographyКузнецовВ. А.KuznetsovV. A.

Кузнецов Вадим Анатольевич – доктор мед. наук, профессор, заслуженный деятель науки РФ, заместитель директора

Vadim A. Kuznetsov – doct. of med. sci., Professor of cardiology, honored scientist of the Russian Federation, deputy director

ШироковН. Е.ShirokovN. E.

Широков Никита Евгеньевич – младший научный сотрудник лаборатории инструментальной диагностики научного отдела инструментальных методов исследования 

625026, Тюмень, ул. Мельникайте, д. 111. Тел.: 8-982-945-38-54

Nikita E. Shirokov – Junior researcher of instrumental diagnostics laboratory, scientific department of instrumental research methods

Tyumen, 625026, Melnikaite 111. Phone: +7-982-945-38-54

nikita.shirokov.1993@mail.ruСолдатоваА. М.SoldatovaA. M.

Солдатова Анна Михайловна – канд. мед. наук, научный сотрудник лаборатории инструментальной диагностики научного отдела инструментальных методов исследования 

Anna M. Soldatova – cand. of med. sci., researcher of instrumental diagnostics laboratory, scientific department of instrumental research methods

НечаеваА. О.NechaevaA. O.

Нечаева Анна Олеговна – канд. мед. наук, врач ультразвуковой диагностики отделения ультразвуковой диагностики

Anna O. Nechaeva – cand. of med. sci., ultrasound diagnostics department

КриночкинД. В.KrinochkinD. V.

Криночкин Дмитрий Владиславович – канд. мед. наук, заведующий отделением ультразвуковой диагностики, cтарший научный сотрудник лаборатории инструментальной диагностики научного отдела инструментальных методов исследования 

Dmitry V. Krinochkin – cand. of med. sci., head of ultrasound diagnostics department, senior researcher of instrumental diagnostics laboratory, scientific department of instrumental research methods

Тюменский кардиологический научный центр – филиал Томского национального исследовательского медицинского центра РАНРоссияTyumen Cardiology Research Center – Tomsk National Research Medical Center Russian Academy of SciencesRussian Federation2018280220192265158Copyright © Кузнецов В.А., Широков Н.Е., Солдатова А.М., Нечаева А.О., Криночкин Д.В., 20192019Кузнецов В.А., Широков Н.Е., Солдатова А.М., Нечаева А.О., Криночкин Д.В.Kuznetsov V.A., Shirokov N.E., Soldatova A.M., Nechaeva A.O., Krinochkin D.V.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/693Введение

Введение. Кроме стационарной трансторакальной эхокардиографии (TTE), которая проводится по развернутому протоколу, существует фокусированная эхокардиография (FOCUS). Этот метод является дополнением физикальной оценки сердечной деятельности для поиска признаков либо подтверждения потенциального диагноза в конкретных клинических ситуациях. Часто при этом используются портативные и карманные устройства для визуализации. Диагностическое значение метода FOCUS в условиях отечественного здравоохранения изучено недостаточно, что делает весьма актуальным объективный анализ мирового опыта его применения.

Цель исследования

Цель исследования: изучить эффективность применения FOCUS с помощью карманных визуализирующих устройств в кардиологической практике.

Материал и методы

Материал и методы. Проанализированы 46 научных англоязычных публикаций, текст и библиография которых доступны в поисковой системе PubMed за период 2010 – 2018 гг. Использование метода подвергнуто критическому анализу в соответствии с различными областями его применения.

Результаты

Результаты. Многие структуры и функции левого желудочка можно оценить при помощи FOCUS, не прибегая к методу TTE, либо использовать последний для верификации позже. Метод обладает высокой диагностической эффективностью в оценке кинеза миокарда у пациентов с острым коронарным синдромом. Своевременное определение размера и функции правого желудочка может иметь решающее значение при клиническом подозрении на легочную эмболию. Использовать FOCUS необходимо в качестве скринингового метода диагностики для раннего выявления клапанного поражения при ревматической болезни сердца.

Заключение

Заключение. Метод фокусированной ЭхоКГ является высокоинформативным при различной сердечной патологии. Ему легко обучить в короткие сроки. Результаты FOCUS хорошо коррелируют с результа тами TTE.

Background

Background. Transthoracic echocardiography (TTE) is carried out according to expanded protocol. Besides that, focused echocardiography (FOCUS) used is an addition to the physical assessment of cardiac activity in searching for signs or confirming potential diagnosis in specific clinical context. Portable and hand-held imaging devices are used frequently for this aim. FOCUS has not been studied enough in the conditions of domestic health care. Therefore, an objective analysis of the world experience of this method is relevant.

Aim

Aim: to study the efficiency of FOCUS application using hand-held imaging devices in cardiological practice.

Materials and methods

Materials and methods. Forty six scientific Englishlanguage publications were analyzed. Text and bibliography are available in the PubMed search system for 2010–2018 years. The use of FOCUS was subjected to critical analysis accordingly to various application fields.

Results

Results. A lot of left ventricle structures and functions can be assessed by FOCUS without resorting to TTE or use it for verification later. The method has high diagnostic efficacy in myocardial contractility assessing in patients with acute coronary syndrome. Timely definition of right ventricle size and function might be crucial for clinical suspicion of pulmonary embolism. FOCUS should be used as screening diagnostic method for early detection of valve lesions in rheumatic heart disease.

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