Possibilities and prospects of echocardiographic diagnostics of regional contractility disorders of the left ventricular myocardium in patients with chronic ischemic heart disease
- Authors: Nikolaeva T.O.1, Mazur V.V.1, Mazur E.S.1
-
Affiliations:
- Tver State Medical University
- Issue: Vol 10, No 3 (2025)
- Pages: 201-210
- Section: Cardiology
- URL: https://journal-vniispk.ru/2500-1388/article/view/312150
- DOI: https://doi.org/10.35693/SIM688475
- ID: 312150
Cite item
Abstract
Currently, the primary method for identifying transient disorders of local contractility of the left ventricular myocardium in patients with coronary atherosclerosis remains visual assessment of myocardial contractility under physical or pharmacological stress testing. Visual assessment of myocardial contractility, especially in stress tests, requires extensive experience in conducting such studies. However, visual assessment by even the most experienced operator remains subjective. Consequently, a principal focus in diagnosing left ventricular regional wall motion abnormalities has been, and remains, the development of methods for objective quantitative assessment of functional status across different left ventricular myocardial segments. A significant success in this area was the development of speckle-tracking echocardiography technique, which allows for a quantitative assessment of myocardial deformation during its contraction and relaxation.
The review presents the results of studies indicating that the determination of left ventricular myocardial deformation indices may become an alternative to the traditional method, devoid of such disadvantages as the subjectivity of visual information perception and very high requirements for the operator’s qualification level. Deepening knowledge about the mechanisms, clinical significance of various myocardial deformation indices, the improvement of both the speckle-tracking echocardiography technique itself and the algorithms of automated processing of data creates a real prospect for its introduction into clinical practice as the main method for identifying transient disorders of local left ventricular contractility in patients with hemodynamically significant coronary atherosclerosis.
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##article.viewOnOriginalSite##About the authors
Tatyana O. Nikolaeva
Tver State Medical University
Author for correspondence.
Email: nikolaevato@mail.ru
ORCID iD: 0000-0002-1103-5001
MD, Cand. Sci. (Medicine), Associate professor, Head of the Department of internal diseases
Russian Federation, TverVera V. Mazur
Tver State Medical University
Email: vera.v.mazur@gmail.com
ORCID iD: 0000-0003-4818-434X
MD, Dr. Sci. (Medicine), Associate professor, Professor the Department of Hospital Therapy and Occupational Diseases
Russian Federation, TverEvgenii S. Mazur
Tver State Medical University
Email: mazur-tver@mail.ru
ORCID iD: 0000-0002-8879-3791
MD, Dr. Sci. (Medicine), Professor, Head of the Department of Hospital Therapy and Occupational Diseases
Russian Federation, TverReferences
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