cardioКардиологияKardiologiia0022-90402412-5660Kardiomag10.18087/cardio.2021.1.n1024cardio-1024Research ArticleОБЗОРЫREVIEWSКлассификация стадий выраженного аортального стеноза на основе распространенности внеклапанного поражения сердцаClassification of stages of severe aortic stenosis based on the prevalence of extravalvular heart damagehttps://orcid.org/0000-0002-9725-7528АлехинМ. Н.AlekhinM. N.

Заведующий отделением функциональной диагностики ФГБУ "Центральная клиническая больница с поликлиникой" Управления делами Президента РФ Профессор кафедры терапии, кардиологии и функциональной диагностики с курсом нефрологии ФГБУ ДПО "Центральная государственная медицинская академия" Управления делами Президента РФ, д.м.н., заслуженный врач РФ тел. раб. 8(495) 530-04-20 https://orcid.org/0000-0002-9725-7528ResearcherID: K-5688-2016Scopus Author ID: 6701770585

Head of the functional diagnostics Department of the Federal state budgetary institution "Central clinical hospital with polyclinic" Of the office of the President of the Russian Federation Professor of the Department of therapy, cardiology and functional diagnostics with the course of Nephrology of the Central state medical Academy Of the Presidential administration of the Russian Federation, MD, honored doctor of the Russian Federation tel. 8(495) 530-04-20 https://orcid.org/0000-0002-9725-7528ResearcherID: K-5688-2016Scopus Author ID: 6701770585

mike.nikolaich@yandex.ruФГБУ «Центральная клиническая больница с поликлиникой» Управления делами Президента Российской Федерации, Москва, РоссияРоссияCentral clinical hospital with polyclinic of the Presidential Administration of the Russian Federation, MoscowRussian Federation20211002202161198103Copyright © Kardiomag, 20212021KardiomagKardiomaghttps://cardio.elpub.ru/jour/about/submissions#copyrightNoticehttps://cardio.elpub.ru/jour/article/view/1024

Cтатья представляет собой тематический обзор литературы, посвященный анализу недавно предложенной классификации стадий выраженного аортального стеноза на основе распространенности внеклапанного поражения сердца, а также ее модифицированного варианта, предназначенного для бессимптомных пациентов. Представлены исследования, в которых анализировалось прогностическое значение предложенной классификации. Использование классификации позволяет прогнозировать течение заболевания у пациентов с выраженным аортальным стенозом при замене клапана. Классификация базируется на рутинно используемых структурно-функциональных эхокардиографических признаках с уже доказанным прогностическим значением в отношении неблагоприятных событий у пациентов после протезирования аортального клапана. Обсуждаются ограничения классификации стадий выраженного аортального стеноза на основе распространенности внеклапанного поражения сердца.

This thematic review focuses on recently proposed classification of stages in pronounced aortic stenosis based on the prevalence of extravalvular cardiac damage and its modified variant designed for asymptomatic patients. The review presents studies, which analyzed the predictive significance of the proposed classification. The use of this classification allows predicting the course of disease in patients with pronounced aortic stenosis in valve replacement. The classification is based on routinely used structural and functional echocardiographic signs with already proven predictive values with respect of adverse events in patients after aortic valve replacement. The review discusses limitations of the classification for pronounced aortic stenosis stages based on the prevalence of extravalvular cardiac damage.

Выраженный аортальный стенозлевый желудочекэхокардиографиялевое предсердиеправый желудочекPronounced aortic stenosisleft ventricleechocardiographyleft atriumright ventricleКонфликт интересов не заявлен.No conflict of interest is reported.ReferencesLindman BR, Clavel M-A, Mathieu P, Iung B, Lancellotti P, Otto CM et al. Calcific aortic s tenosis. Nature Reviews Disease Primers. 2016;2(1):16006. DOI: 10.1038/nrdp.2016.6Lindman BR, Clavel M-A, Mathieu P, Iung B, Lancellotti P, Otto CM et al. Calcific aortic s tenosis. Nature Reviews Disease Primers. 2016;2(1):16006. DOI: 10.1038/nrdp.2016.6Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP, Guyton RA et al. 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129(23):e521-643. 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The authors declare that there are no conflicts of interest present.