Научно-практический журнал
«Клиническая физиология кровообращения»

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Главный редактор

Лео Антонович Бокерия, доктор медицинских наук, профессор, академик РАН и РАМН, президент ФГБУ «НМИЦ ССХ им. А.Н. Бакулева» МЗ РФ


Каталог статей ➤ КФК. 2025; 22 (3): 199-286 ➤ Хроническая сердечная недостаточность с сохраненной фракцией выброса: основные диагностические аспекты, актуальные у больных ишемической болезнью сердца, направляемых на реваскуляризацию миокарда

Хроническая сердечная недостаточность с сохраненной фракцией выброса: основные диагностические аспекты, актуальные у больных ишемической болезнью сердца, направляемых на реваскуляризацию миокарда

Авторы: Улуханова У.М., Асымбекова Э.У., Камардинов Д.Х., Бузиашвили Ю.И.

Раздел: Обзоры

DOI: https://doi.org/10.24022/1814-6910-2025-22-3-212-221

УДК: 616.12-008.46-002-07

Библиографическая ссылка: Клиническая физиология кровообращения. 2025; 22 (3): 212-221

Цитировать как: Улуханова У.М., Асымбекова Э.У., Камардинов Д.Х., Бузиашвили Ю.И. . Хроническая сердечная недостаточность с сохраненной фракцией выброса: основные диагностические аспекты, актуальные у больных ишемической болезнью сердца, направляемых на реваскуляризацию миокарда. Клиническая физиология кровообращения. 2025; 22 (3): 212-221. DOI: 10.24022/1814-6910-2025-22-3-212-221

Ключевые слова: сердечная недостаточность, диастолическая дисфункция, ишемическая болезнь сердца, кардиохирургия, прогноз

Поступила / Принята к печати:  06.08.2025 / 17.09.2025

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Аннотация

Распространенность хронической сердечной недостаточности с сохраненной фракцией выброса (СНсФВ) охватывает 20–60% пациентов с сердечной недостаточностью (СН). В большинстве случаев основной причиной развития СНсФВ являются нарушение расслабления и снижение податливости миокарда желудочков. Как синоним СНсФВ можно использовать термин «диастолическая СН», которая может возникать независимо или сосуществовать с систолической СН. Частота неблагоприятных исходов при СНсФВ соразмерна частоте летальности при систолической СН или СН с низкой фракцией выброса (СНнФВ). В последние десятилетия внимание кардиологов и кардиохирургов к диагностике, тактике лечения и риску развития больших сердечно- сосудистых осложнений при наличии СНсФВ резко возросло. Рост клинических исследований по диагностике СНсФВ лучше всего иллюстрирует значимость нарушения диастолической функции левого желудочка и его влияния на прогноз и тактику лечения. В кардиохирургии значение своевременной диагностики, лечения и профилактики СНсФВ увеличивается в несколько раз, так как это напрямую связано с непосредственными и отдаленными результатами оперативного вмешательства. До недавнего времени основополагающим в диагностике СНсФВ считалось наличие клинических данных СН в сочетании со структурными нарушениями сердца, повышением уровня мозговых натрийуретических пептидов. Изменения функционально-морфологических параметров сердца не всегда позволяют составить полное представление о состоянии больного, в связи с чем была разработана методика диастолической стресс-эхокардиографии или диастолический стресс-тест. Цель настоящей работы – представить обзор современных публикаций, посвященных диастолической сердечной недостаточности и ее диагностике.

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****
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Об авторах

  • Улуханова Ульнара Мовлидиновна, аспирант 2-го года; ORCID
  • Асымбекова Эльмира Уметовна, д-р мед. наук, вед. науч. сотр.; ORCID
  • Камардинов Джамшед Хушкадамович, д-р мед. наук, врач-кардиолог; ORCID
  • Бузиашвили Юрий Иосифович, д-р мед наук, профессор, академик РАН, руководитель клинико-диагностического отделения; ORCID

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