Научно-практический журнал
«Клиническая физиология кровообращения»

Главный редактор

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


Анатомия и функция правого желудочка. Этиология, патогенез и современные аспекты эхокардиографической оценки правожелудочковой недостаточности

Авторы: Сокольская Н.О., Копылова Н.С., Иванов А.В., Кокшенев И.В.

Организация:
ФГБУ «Национальный медицинский исследовательский центр сердечно-сосудистой хирургии им. А.Н. Бакулева» (президент – академик РАН и РАМН Л.А. Бокерия) Минздрава России, Рублевское ш., 135, Москва, 121552, Российская Федерация

Для корреспонденции: Сведения доступны для зарегистрированных пользователей.

Раздел: Обзоры

DOI: https://doi.org/10.24022/1814-6910-2020-17-4-266-283

УДК: 616.124.3-073.432.12

Библиографическая ссылка: Клиническая физиология кровообращения. 2020; 4 (17): 266-283

Цитировать как: Сокольская Н.О., Копылова Н.С., Иванов А.В., Кокшенев И.В.. Анатомия и функция правого желудочка. Этиология, патогенез и современные аспекты эхокардиографической оценки правожелудочковой недостаточности. Клиническая физиология кровообращения. 2020; 4 (17): 266-283. DOI: 10.24022/1814-6910-2020-17-4-266-283

Поступила / Принята к печати:  20.07.2020 / 24.07.2020

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Аннотация

В обзоре представлены основы анатомического строения, физиологии и функции правого желудочка. Отмечена взаимосвязь и взаимозависимость правого и левого желудочков сердца. Концепция взаимозависимости желудочков заключается в том, что размер, форма, давление и объем одного желудочка посредством прямого механического взаимодействия влияют на эти же параметры другого.

Основными анатомическими составляющими, которые определяют зависимость желудочков друг от друга, являются межжелудочковая перегородка, перикард и межжелудочковая мышечная непрерывность. Систолическая желудочковая взаимозависимость определяется главным образом сокращением межжелудочковой перегородки.

В статье рассмотрены основные этиологические факторы и патогенетические механизмы развития правожелудочковой недостаточности. В зависимости от этиопатогенетических факторов описаны типы ремоделирования правой камеры сердца на фоне правожелудочковой недостаточности – адаптивный и дезадаптивный.

Также отражены методы комплексной эхокардиографии, которые применяются для оценки анатомических параметров и функции правого желудочка. Показаны возможности трехмерной эхокардиографии, методы оценки систолической и диастолической функции, современные технологии, характеризующие процессы деформации и скорости деформации миокарда правого желудочка сердца.

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Об авторах

  • Сокольская Надежда Олеговна, доктор мед. наук, заведующая группой экстренной ультразвуковой и функциональной диагностики; ORCID
  • Копылова Наталья Сергеевна, канд. мед. наук, ст. науч. сотр.; ORCID
  • Иванов Алексей Вячеславович, врач ультразвуковой диагностики; ORCID
  • Кокшенев Игорь Валериевич, доктор мед. наук, профессор, гл. науч. сотр.; ORCID

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