cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLCcardiovascular-1684Research ArticleИШЕМИЧЕСКАЯ БОЛЕЗНЬ СЕРДЦАCORONARY HEART DISEASEВлияние наружной контрпульсации на перфузию миокарда левого желудочка у больных ишемической болезнью сердцаExtemal counter-pulsation effects on left ventricular myocardial perfusion in patients with coronary heart diseaseСергиенкоИ. В.SergienkoI. V.igor@cardioline.ruГабрусенкоС. А.GabrusenkoS. A.igor@cardioline.ruМалаховВ. В.MalakhovV. V.igor@cardioline.ruБугрийМ. Е.BugriyM. E.igor@cardioline.ruСергиенкоВ. Б.SergienkoV. B.igor@cardioline.ruФГУ Российский кардиологический научно-производственный комплекс Росмедтехнологии, г. МоскваRussian Cardiology Scientific and Clinical Complex, Federal Agency on High Medical Technologies. Moscow200820122008778590Copyright © Сергиенко И.В., Габрусенко С.А., Малахов В.В., Бугрий М.Е., Сергиенко В.Б., 20082008Сергиенко И.В., Габрусенко С.А., Малахов В.В., Бугрий М.Е., Сергиенко В.Б.Sergienko I.V., Gabrusenko S.A., Malakhov V.V., Bugriy M.E., Sergienko V.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/1684Цель

Цель. Оценить влияние наружной контрпульсации (НКП) на перфузию миокарда левого желудочка (ЛЖ).

Материал и методы

Материал и методы. Лечение методом НКП прошли 26 больных с диагнозом ишемиическая болезнь сердца (ИБС): стабильная стенокардия напряжения I-IVФК. Курс лечения - 35 ч для каждого больного, по 1 ч каждая процедура. Всем пациентам до включения в исследование была выполнена однофотонная эмиссионная компьютерная томография миокарда (ОЭКТ) с 99m-Тс-МИБИ по протоколу покой-нагрузка.

Результаты

Результаты. При сравнении результатов ОЭКТ в покое до и после курса НКП выявлено достоверное (p<0,01) уменьшение глубины дефекта перфузии. До лечения площадь дефекта перфузии составила 18,0±13,6 %, после - 17,2±15,7 % (p>0,05), глубина дефекта перфузии - исходно 347,3±282,8 std, после НКП 310±266,0 std (p<0,01). При сравнении результатов ОЭКТ во время нагрузки до и после курса НКП отмечено отсутствие достоверной динамики площади и глубины дефекта перфузии.

Заключение

Заключение. Продемонстрировано улучшение кровоснабжения миокарда ЛЖ у больных ИБС на фоне НКП.

Aim

Aim. To assess the effects of enhanced external counter-pulsation (EECP) on left ventricular (LV) myocardial perfusion.

Material and methods

Material and methods. In total, 26 patients with coronary heart disease (CHD), stable angina, Functional Class (FC) I-IV, were treated with EECP. Treatment course included 35 one-hour procedures. At baseline and after EECP treatment, all patients underwent 99m-Tc-MIBI scintigraphy (single photon emission computed tomography, SPECT) at rest and during stress test.

Results

Results. After EECP treatment, perfusion defect severity assessed by SPECT at rest had significantly reduced (p<0,01). Pre- and post-EECP perfusion defect areas were 18,0±13,6 % and 17,2±15,7 %, respectively (p>0,05); pre- and post-EECP perfusion defect severity - 347,3±282,8 and 310±266,0 std, respectively (p<0,01). No significant dynamics of perfusion defect area or severity was observed for stress EECP.

Conclusion

Conclusion. EECP treatment was associated with improved LV myocardial perfusion in CHD patients.

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