cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2011-5-106-115cardiovascular-1948Research ArticleОБЗОРЫREVIEWSСовременные функциональные методы исследования сердечно-сосудистой системы в диагностике, оценке тяжести и прогнозе больных ишемической болезнью сердцаDiagnostic and prognostic role of the modern instrumental methods for cardiovascular examination in patients with coronary heart diseaseЛупановВ. П.LupanovV. P.

ведущий научный сотрудник отдела проблем атеросклероза

Москва, Тел.: 414-63-06

Moscow

lupanovvp@mail.ruИнститут клинической кардиологии им. А.Л. Мясникова ФГУ Российского кардиологического научнопроизводственного комплекса Минздравсоцразвития РоссииA.L. Myasnikov Research Institute of Clinical Cardiology, Russian Cardiology Scientific and Research Centre201120102011105106115Copyright © Лупанов В.П., 20112011Лупанов В.П.Lupanov V.P.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/1948

Изложены показания, противопоказания, пределы и возможности современных функциональных методов в диагностике ишемической болезни сердца (ИБС). Наряду с распространенными электрокардиографическими пробами с дозированной физической нагрузкой, рассматриваются возможности динамически развивающихся методов, доказавших свою информативность: оценка миокардиальной перфузии, стресс-ЭхоКГ, магнитно-резонансная и мультиспиральная компьютерной томография сердца. Анализируются чувствительность и специфичность методов. Рассматривается последовательность применения функциональных методов и их прогностические возможности при сравнении с коронарографией у больных ИБС.

The paper reviews the indications, contraindications, limitations, and strengths of the modern functional methods for coronary heart disease (CHD) diagnostics. As well as the widely used electrocardiography (ECG) based exercise stress tests, the following informative methods are described: myocardial perfusion assessment, stress echocardiography (EchoCG), magnetic resonance imaging and multi-spiral computed tomography of the heart. The sensitivity, specificity, diagnostic order, and prognostic value of these methods are compared to those of coronary angiography in CHD patients.

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