arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2010--2-arthyper-1539Research ArticleОБЗОРREVIEWДеформация и скорость деформации - новые возможности количественной оценки регионарной функции миокардаStrain and strain rate - novel technique for quantification of regional myocardial functionКозловП. С.KozlovP. S.noemail@neicon.ruМалевЭ. Г.MalevE. G.edwardmalev@hotmail.comПрокудинаМ. Н.ProkudinaM. N.noemail@neicon.ruКлоковаЕ. С.KlokovaE. S.noemail@neicon.ruЦайН. В.TsaiN. V.noemail@neicon.ruФГУ «Федеральный Центр сердца, крови и эндокринологии им. В.А. Алмазова Росмедтехнологий»РоссияAlmazov Federal Heart, Blood and Endocrinology Centre, St PetersburgRussian Federation201028042010162215218Copyright © Козлов П.С., Малев Э.Г., Прокудина М.Н., Клокова Е.С., Цай Н.В., 20102010Козлов П.С., Малев Э.Г., Прокудина М.Н., Клокова Е.С., Цай Н.В.Kozlov P.S., Malev E.G., Prokudina M.N., Klokova E.S., Tsai N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/1539

Недавние успехи в области визуализации тканевой деформации сделали возможной объективную количественную оценку региональной и глобальной систолической и диастолической функций миокарда. Региональная деформация (strain) и скорость деформации (strain rate) миокарда дает ценную информацию о региональной функции миокарда при различных клинических состояниях. Хотя данная методика все больше используется в научных исследованиях и в практической деятельности, сведения об ее принципах, ограничениях и технических условиях применения являются необходимыми для успешной работы и получения достоверных и воспроизводимых результатов.

Recent developments in the tissue deformation imaging have allowed the cardiologist to objectively quantify regional and global myocardial function. Regional deformation (strain) and deformation rate (strain rate) can be calculated non-invasively in both the left and right ventricle, providing information on regional function in a variety of clinical settings. Although this promising novel technique is increasingly applied in clinical and preclinical research, knowledge about the principles, limitations and technical issues of this technique is mandatory for reliable results and for implementation both in the clinical as well as the scientific field.

деформация миокардаскорость деформациитканевая допплерографиядвухмерная деформацияstrainstrain ratetissue Doppler imagingspeckle trackingReferencesPalka P., Lange A., Fleming A.D. et al. Doppler tissue imaging: myocardial wall motion velocities in normal subjects // J. Am. Soc. Echocardiogr. - 1995. - Vol. 8, № 5, Pt. 1. - P. 659-668.Palka P., Lange A., Fleming A.D. et al. Doppler tissue imaging: myocardial wall motion velocities in normal subjects // J. Am. Soc. Echocardiogr. - 1995. - Vol. 8, № 5, Pt. 1. - P. 659-668.Katz W.E., Gulati V.K., Mahler C.M. et al. Quantitative evaluation of the segmental left ventricular response to dobutamine stress by tissue Doppler echocardiography // Am. J. Cardiol. - 1997. - Vol. 79, № 8. - P. 1036-1042.Katz W.E., Gulati V.K., Mahler C.M. et al. Quantitative evaluation of the segmental left ventricular response to dobutamine stress by tissue Doppler echocardiography // Am. J. Cardiol. - 1997. - Vol. 79, № 8. - P. 1036-1042.Picano E., Lattanzi F., Orlandini A. et al. Stress echocardiography and the human factor: the importance of being expert // J. Am. Coll. Cardiol. - 1991. - Vol. 17, № 3. - P. 666-669.Picano E., Lattanzi F., Orlandini A. et al. Stress echocardiography and the human factor: the importance of being expert // J. Am. Coll. Cardiol. - 1991. - Vol. 17, № 3. - P. 666-669.Hoffmann R., Lethen H., Marwick T. et al. Analysis of interinstitutional observer agreement in interpretation of dobutamine stress echocardiograms // J. Am. Coll. Cardiol. - 1996. - Vol. 27, № 2. - P. 330-336.Hoffmann R., Lethen H., Marwick T. et al. Analysis of interinstitutional observer agreement in interpretation of dobutamine stress echocardiograms // J. Am. Coll. Cardiol. - 1996. - Vol. 27, № 2. - P. 330-336.Heimdal A., Stoylen A., Torp H. et al. Real-time strain rate imaging of the left ventricle by ultrasound // J. Am. Soc. Echocardiogr. - 1999. - Vol. 11, № 11. - P. 1013-1019.Heimdal A., Stoylen A., Torp H. et al. Real-time strain rate imaging of the left ventricle by ultrasound // J. Am. Soc. Echocardiogr. - 1999. - Vol. 11, № 11. - P. 1013-1019.Stoylen A. Strain rate imaging. Cardiac deformation imaging by ultrasound echocardiography. Tissue Doppler and Speckle tracking. - 2005.Stoylen A. Strain rate imaging. Cardiac deformation imaging by ultrasound echocardiography. Tissue Doppler and Speckle tracking. - 2005.Teske A.J., De Boeck B.W.L., Melman P.G. et al. Echocardiographic quantification of myocardial function using tissue deformation imaging, a guide to image acquisition and analysis using tissue Doppler and speckle tracking // Cardiovasc. Ultrasound. - 2007. - Vol. 5, № 1. - P. 27.Teske A.J., De Boeck B.W.L., Melman P.G. et al. Echocardiographic quantification of myocardial function using tissue deformation imaging, a guide to image acquisition and analysis using tissue Doppler and speckle tracking // Cardiovasc. Ultrasound. - 2007. - Vol. 5, № 1. - P. 27.Weidemann F., Jamal F., Sutherland G.R. et al. Myocardial function defined by strain rate and strain during alterations in inotropic states and heart rate // Am. J. Physiol. - 2002. - Vol. 283, № 2. - P. H792-H799.Weidemann F., Jamal F., Sutherland G.R. et al. Myocardial function defined by strain rate and strain during alterations in inotropic states and heart rate // Am. J. Physiol. - 2002. - Vol. 283, № 2. - P. H792-H799.Greenberg N.L., Firstenberg M.S., Castro P.L. et al. Doppler-derived myocardial systolic strain rate is a strong index of left ventricular contractility // Circulation. - 2002. - Vol. 105, № 1. - P. 99-105.Greenberg N.L., Firstenberg M.S., Castro P.L. et al. Doppler-derived myocardial systolic strain rate is a strong index of left ventricular contractility // Circulation. - 2002. - Vol. 105, № 1. - P. 99-105.Hanekom L., Cho G.Y., Leano R. et al. Comparison of two-dimensional speckle and tissue Doppler strain measurement during dobutamine stress echocardiography: an angiographic correlation // Eur. Heart J. - 2007. - Vol. 28, № 14. - P. 1765-1772.Hanekom L., Cho G.Y., Leano R. et al. Comparison of two-dimensional speckle and tissue Doppler strain measurement during dobutamine stress echocardiography: an angiographic correlation // Eur. Heart J. - 2007. - Vol. 28, № 14. - P. 1765-1772.Ingul C.B., Torp H., Aase S.A. et al. Automated analysis of strain rate and strain: feasibility and clinical implications // J. Am. Soc. Echocardiogr. - 2005. - Vol. 18, № 5. - Vol. 411-418.Ingul C.B., Torp H., Aase S.A. et al. Automated analysis of strain rate and strain: feasibility and clinical implications // J. Am. Soc. Echocardiogr. - 2005. - Vol. 18, № 5. - Vol. 411-418.Notomi Y., Lysyansky P., Setser R.M. et al. Measurement of ventricular torsion by two-dimensional ultrasound speckle tracking imaging // J. Am. Coll. Cardiol. - 2005. - Vol. 45, № 12. - P. 2034-2041.Notomi Y., Lysyansky P., Setser R.M. et al. Measurement of ventricular torsion by two-dimensional ultrasound speckle tracking imaging // J. Am. Coll. Cardiol. - 2005. - Vol. 45, № 12. - P. 2034-2041.Helle-Valle T., Crosby J., Edvardsen T. et al. New noninvasive method for assessment of left ventricular rotation: speckle tracking echocardiography // Circulation. - 2005. - Vol. 112, № 20. - P. 3149-3156.Helle-Valle T., Crosby J., Edvardsen T. et al. New noninvasive method for assessment of left ventricular rotation: speckle tracking echocardiography // Circulation. - 2005. - Vol. 112, № 20. - P. 3149-3156.Amundsen B.H., Helle-Valle T., Edvardsen T. et al. Noninvasive myocardial strain measurement by speckle tracking echocardiography: validation against sonomicrometry and tagged magnetic resonance imaging // J. Am. Coll. Cardiol. - 2006. - Vol. 47, № 4. - P. 789-793.Amundsen B.H., Helle-Valle T., Edvardsen T. et al. Noninvasive myocardial strain measurement by speckle tracking echocardiography: validation against sonomicrometry and tagged magnetic resonance imaging // J. Am. Coll. Cardiol. - 2006. - Vol. 47, № 4. - P. 789-793.

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