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ВОЗМОЖНОСТИ МАГНИТНО-РЕЗОНАНСНОЙ ТОМОГРАФИИ СЕРДЦА ПРИ ОТБОРЕ КАНДИДАТОВ НА СЕРДЕЧНУЮ РЕСИНХРОНИЗИРУЮЩУЮ ТЕРАПИЮ

https://doi.org/10.24835/1607-0763-2018-4-20-31

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Аннотация

Сердечная ресинхронизирующая терапия (СРТ) – современный и признанный метод лечения пациентов с симптомной хронической сердечной недостаточностью с тяжелой систолической дисфункцией левого желудочка (ЛЖ) и расширенным комплексом QRS (> 150 мс). Эффективность СРТ, так же как любого метода лечения, вариабельна. Известно, что выраженность и локализация рубцовых изменений, их расположение по отношению к стимулируемой области ЛЖ могут вносить вклад в успех СРТ. Помимо оценки глобальной и локальной сократимости сердца, изучения коронарной анатомии, с помощью МРТ сердца возможны изучение локализации и количественная оценка рубцовых изменений. В данном обзоре освещены возможности МРТ сердца в обследовании кандидатов на СРТ с акцентом на стратификацию риска и расположение право- и левожелудочковых электродов.

Об авторах

М. Д. Уцумуева
ФГБУ “НМИЦ кардиологии” Минздрава России.
Россия

Уцумуева Мадина Джаватовна – аспирант отдела клинической электрофизиологии и рентгенохирургических методов лечения нарушений ритма.

Москва.



Н. А. Миронова
ФГБУ “НМИЦ кардиологии” Минздрава России.
Россия

Миронова Наталия Александровна – канд. мед. наук, старший научный сотрудник отдела клинической электрофизиологии и рентгенохирургических методов лечения нарушений ритма сердца.

Москва.



С. Ю. Каштанова
ФГБУ “НМИЦ кардиологии” Минздрава России.
Россия

Каштанова Светлана Юрьевна – аспирант отдела клинической электрофизиологии и рентгенохирургических методов лечения нарушений ритма.

Москва.



О. В. Стукалова
ФГБУ “НМИЦ кардиологии” Минздрава России.
Россия

Стукалова Ольга Владимировна – канд. мед. наук, старший научный сотрудник отдела томографии.

Москва.



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Для цитирования:


Уцумуева М.Д., Миронова Н.А., Каштанова С.Ю., Стукалова О.В. ВОЗМОЖНОСТИ МАГНИТНО-РЕЗОНАНСНОЙ ТОМОГРАФИИ СЕРДЦА ПРИ ОТБОРЕ КАНДИДАТОВ НА СЕРДЕЧНУЮ РЕСИНХРОНИЗИРУЮЩУЮ ТЕРАПИЮ. Медицинская визуализация. 2018;(4):20-31. https://doi.org/10.24835/1607-0763-2018-4-20-31

For citation:


Utsumueva M.D., Mironova N.A., Kashtanova S.Y., Stukalova O.V. POSSIBILITIES OF CARDIAC MAGNETIC RESONANCE IN SELECTION OF CANDIDATES FOR CARDIAC RESYNCHRONIZATION THERAPY. Medical Visualization. 2018;(4):20-31. (In Russ.) https://doi.org/10.24835/1607-0763-2018-4-20-31

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