
The modern approaches to diagnostic of diastolic cardiac insufficiency: unresolved problems and perspectives
Author(s) -
E.A. Perutskaya,
D. N. Perutskiy,
A.A. Zarudskiy,
K I Proschaev
Publication year - 2016
Publication title -
rossijskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2412-9100
pISSN - 0869-2106
DOI - 10.18821/0869-2106-2016-22-2-95-98
Subject(s) - diastole , ventricle , cardiology , ejection fraction , medicine , hemodynamics , doppler echocardiography , heart failure , blood pressure
According the data of study «EPOCHA-O-CHSN», most of Russian patients with chronic cardiac insufficiency have noncompromised ejection fraction of left ventricle. Therefore, the problem of diagnostic of diastolic chronic cardiac insufficiency seems to be extremely actual. The presented review describes pathogenesis of diastolic dysfunction of myocardium of left ventricle including both hemodynamic and molecular components of this process. It is also related about modern approaches to diagnostic of diastolic cardiac insufficiency. The special emphasis is made on results of Doppler analysis of tissue and stress echocardiography.