Амбулаторное мониторирование пульсовых волн: статус проблемы и перспективы. Позиция российских экспертов
https://doi.org/10.15829/1728-8800-2018-6-95-109
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Полный текст:
Аннотация
Прогностическое значение биомаркеров состояния артериальной стенки, определяемых при анализе пульсовых волн (ПВ) в состоянии покоя, — скорости распространения ПВ, центрального артериального систолического и пульсового давления, аортального индекса аугментации, — хорошо документировано в различных популяциях. Эти данные позволили научным сообществам сформулировать соответствующие рекомендации по их использованию в клинической практике. Благодаря техническим достижениям все более доступны автоматические методы оценки упомянутых выше параметров в амбулаторных условиях в течение сут. На данный момент отсутствует достаточное количество результатов исследований для широкого клинического использования амбулаторного суточного мониторирования ПВ и его рутинного клинического применения. Однако, исходя из приемлемой погрешности и воспроизводимости данных, полученных этим методом, его интегрированности с суточным мониторированием артериального давления в плечевой артерии, этот подход представляется перспективным для оценки биомаркеров состояния сосудистой стенке уже на этапе диагностики артериальной гипертонии. Он может обеспечить дальнейшее усовершенствование раннего скрининга пациентов с высоким риском сердечно-сосудистых заболеваний. Необходимы проспективные долгосрочные исследования с оценкой исходов, чтобы показать прогностическое значение суточного мониторирования скорости распространения ПВ, центрального артериального давления и индекса аугментации, измеряемых приборами во всем диапазоне периферического артериального давления и ответить на открытые технические и клинические вопросы.
Об авторах
Ю. В. Котовская
Российский геронтологический научно-клинический центр, ОСП, ФГБОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России
Россия
Россия
Котовская Юлия Викторовна — доктор медицинских наук, профессор, заместитель директора по научной работе.
Москва
А. Н. Рогоза
ФГБУ “Национальный медицинский исследовательский центр кардиологии” Минздрава России
Россия
Россия
Рогоза Анатолий Николаевич — доктор биологических наук, профессор, руководитель отдела новых методов исследования.
Москва
Я. А. Орлова
ФГБОУ ВО Московский государственный университет имени М. В. Ломоносова
Россия
Россия
Орлова Яна Артуровна — доктор медицинских наук, заведующая отделом возраст-ассоциированных заболеваний обособленного подразделения Медицинского научно-образовательного центра
И. Н. Посохов
Лаборатория Гемодинамики, ООО
Россия
Россия
Посохов Игорь Николаевич — доктор медицинских наук.
Нижний Новгород
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Рецензия
Для цитирования:
Котовская Ю.В., Рогоза А.Н., Орлова Я.А., Посохов И.Н. Амбулаторное мониторирование пульсовых волн: статус проблемы и перспективы. Позиция российских экспертов. Кардиоваскулярная терапия и профилактика. 2018;17(6):95-109. https://doi.org/10.15829/1728-8800-2018-6-95-109
For citation:
Kotovskaya Yu.V., Rogoza A.N., Orlova Ya.A., Posokhov I.N. Ambulatory pulse wave monitoring: current and future. Opinion paper of Russian Experts. Cardiovascular Therapy and Prevention. 2018;17(6):95-109. (In Russ.) https://doi.org/10.15829/1728-8800-2018-6-95-109
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ISSN 2619-0125 (Online)
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