cardioКардиологияKardiologiia0022-90402412-5660Kardiomag10.18087/cardio.2024.3.n2430cardio-2430Research ArticleОБЗОРЫREVIEWSСтресс–эхокардиография в алгоритме диагностики острого коронарного синдрома без подъема сегмента ST низкого рискаStress-Echocardiography in Low-risk Acute Coronary Syndrome Without Persistent ST-segment Elevation Diagnostic Algorithmhttps://orcid.org/0000-0003-3763-945XАбраменкоЕ. Е.AbramenkoE. E.

Младший научный сотрудник отделения неотложной кардиологии

Associate researcher of the Emergency Cardiology Department, Cardiology Research Institute

lennyaltay@gmail.comhttps://orcid.org/0000-0001-8573-5695РябоваТ. Р.RyabovaT. R.

Кандидат медицинских наук, старший научный сотрудник лаборатории ультразвуковых и функциональных методов исследования 

Candidate of Medical Sciences, Senior Research Fellow of the Department of Functional and Laboratory Diagnostics

rtrtom@mail.ruhttps://orcid.org/0000-0002-4358-7329РябовВ. В.RyabovV. V.

Доктор медицинских наук, заместитель директора по научной и лечебной работе, исполняющий обязанности руководителя отделения неотложной кардиологии 

Doctor of Medical Sciences, Associate Professor, Head of the Emergency Cardiology Department, Deputy Director for Research and Clinical Services

rvvt@cardio-tomsk.ruhttps://orcid.org/0000-0001-6009-0253БощенкоА. А.BoshchenkoA. A.

Доктор медицинских наук, старший научный сотрудник отделения атеросклероза и хронической ишемической болезни сердца, заместитель директора по научной работе 

Doctor of Medical Sciences, Senior Research Fellow of the Department of Atherosclerosis and Chronic Coronary Artery Disease, Deputy Director for Research, Cardiology Research Institute

bosh@cardio-tomsk.ruhttps://orcid.org/0000-0002-7011-4316КарповР. С.KarpovR. S.

Доктор медицинских наук, академик Российской академии наук, научный руководитель НИИ кардиологии 

Doctor of Medical Sciences, Full Member of the Russian Academy of Sciences, Scientific Supervisor, Cardiology Research Institute

karpov@cardio-tomsk.ruНаучно-исследовательский институт кардиологии, «Томский национальный исследовательский медицинский центр Российской академии наук», ТомскРоссияResearch Institute of Cardiology, Tomsk National Research Medical Center of the Russian Academy of Sciences, TomskRussian Federation2024310320246436371Copyright © Kardiomag, 20242024KardiomagKardiomaghttps://cardio.elpub.ru/jour/about/submissions#copyrightNoticehttps://cardio.elpub.ru/jour/article/view/2430

В представленном обзоре литературы рассмотрены возможности стресс–ЭхоКГ как простого, неинвазивного, не сопряженного с лучевой нагрузкой метода для диагностики скрытых нарушений коронарного кровотока у пациентов с острым коронарным синдромом без подъема сегмента ST на электрокардиограмме низкого риска. Представлены возможности расширенного протокола стресс–ЭхоКГ, при котором стандартное выявление преходящих нарушений локальной сократимости, ассоциированных, как правило, с обструктивным поражением коронарных артерий, дополнено оценкой резерва частоты сердечных сокращений, коронарного резерва и другими параметрами. Подобный подход рассматривается как перспективный для получения более полной характеристики функции сердца при нагрузке и точного прогноза клинического случая, позволяющих определить тактику ведения пациента, не ограничивающуюся отбором для реваскуляризации миокарда.

This review addresses the capabilities of stress EchoCG as a simple, non-invasive, non-radiation method for diagnosing occult disorders of coronary blood flow in patients with non-ST-elevation acute coronary syndrome on a low-risk electrocardiogram. The capabilities of the enhanced stress EchoCG protocol are based on supplementing the standard detection of transient disturbances of local contractility, generally associated with coronary artery obstruction, with an assessment of the heart rate reserve, coronary reserve and other parameters. This approach is considered promising for a more complete characterization of heart function during exercise and an accurate prognosis of the clinical case, which allows determining the tactics for patient management not limited to selection for myocardial revascularization.

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