ssmuБюллетень сибирской медициныBulletin of Siberian Medicine1682-03631819-3684Siberian State Medical University, the Ministry of Healthcare of the Russian Federation10.20538/1682-0363-2019-2-31-43ssmu-2302Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL PAPERSРезультаты стандартной эхокардиографии и использования технологии Velocity Vector Imaging в отдаленные сроки после хирургической реваскуляризации у пациентов с ишемической болезнью сердцаThe results of standard echocardiography and use of Velocity Vector Imaging technology after surgical revascularization in patients with coronary artery diseaseВасильевА. Ю.VasilievA. Yu.

Васильев Александр Юрьевич, д-р мед. наук, профессор, член-корреспондент РАН, заслуженный деятель науки РФ, кафедра лучевой диагностики

127473, г. Москва, ул. Делегатская, 20/1

Vasiliev Alexandr Yu., DM, Professor, Corresponding Member of the RAS, Department of Radiology

20/1, Delegatskaya Str., Moscow, 127473

ПетроваЕ. Б.PetrovaE. B.

Петрова Екатерина Борисовна, канд. мед. наук, доцент, кафедра лучевой диагностики ФДПО

603950, г. Нижний Новгород, пл. Минина, 10/1

Petrova Ekaterina B., PhD, Associate Professor,Department of Radiology

10/1, Minin Sq., Nizhny Novgorod, 603950

eshakhova@yandex.ruФедороваМ. В.FedorovaM. V.

Федорова Марина Вадимовна, канд. мед. наук,врач-кардиолог, отделение хирургического лечения ише-мической болезни сердца

603136, г. Нижний Новгород, ул. Ванеева, 209

Fedorova Marina V., PhD, Cardiologist, Department of Surgery

209, Vaneev Str., Nizhny Novgorod, 603136

ЕфимоваС. Б.EfimovaS. B.

Ефимова Светлана Борисовна, врач-кардиолог, отделение хирургического лечения ишемической болезни сердца

603136, г. Нижний Новгород, ул. Ванеева, 209

Efimova Svetlana B., Cardiologist, 3rd Department of Surgery

209, Vaneev Str., Nizhny Novgorod, 603136

КордатовП. Н.KordatovP. N.

Кордатов Петр Николаевич, канд. мед. наук, врач-кардиолог, зав. отделением хирургического лечения ишемической болезни сердца

603136, г. Нижний Новгород, ул. Ванеева, 209

Kordatov Petr N., PhD, Head of the 3rd Department of Surgery

209, Vaneev Str., Nizhny Novgorod, 603136

Московский медико-стоматологический университет им. А.И. ЕвдокимоваРоссияA.I. Yevdokimov Moscow State University of Medicine and DentistryRussian FederationПриволжский исследовательский медицинский университетРоссияPrivolzhsky Research Medical UniversityRussian FederationСпециализированная кардиохирургическая клиническая больницаРоссияSpecialized Cardiological Clinical HospitalRussian Federation2019110820191823143Copyright © Васильев А.Ю., Петрова Е.Б., Федорова М.В., Ефимова С.Б., Кордатов П.Н., 20192019Васильев А.Ю., Петрова Е.Б., Федорова М.В., Ефимова С.Б., Кордатов П.Н.Vasiliev A.Y., Petrova E.B., Fedorova M.V., Efimova S.B., Kordatov P.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://bulletin.ssmu.ru/jour/article/view/2302

The aim of the study was to assess the impact of surgical revascularization on left ventricular function using standard echocardiographic study and Velocity Vector Imaging technology. Materials and methods. 40 patients with ischemic heart disease were examined before and 12 days, 6, 12 and 24 months after coronary artery bypass grafting (CABG). A standard echocardiographic (EchoCG) study was performed on ultrasound scanner Acuson Х 300 (Siemens, USA) with a 5–1 MHz sector multifrequency sensor. For objective assessment of myocardial function, the analysis of left ventricular (LV) deformation and rotational properties was performed using Syngo VVI (Siemens Medical Solutions USA Inc., США) in 720 LV segments. Results. Standard EchoCG showed a stable systolic, diastolic and contractile LV function during 2 years of follow-up. The study of global values of strain (S) and strain rate (SR) showed a decrease in longitudinal S 6 months after CABG in the right coronary artery (RCA) area in the group of patients with complaints compared to those who had no complaints (p = 0.004), in addition, in this zone there was a tendency to a difference in longitudinal SR between these two groups (p = 0.07). In anterior descending artery area was a tendency to decreased strain of longitudinal fibers (p = 0.06) during the same period of observation. 1 year after CABG, strain decreased in patients with complaints (p = 0.04) in the circumference artery area only in circular fibers. Positive dynamics were noted in the diastolic function of left ventricular fibers and rotation indices. Conclusion. The use of Velocity Vector Imaging after coronary bypass surgery shows a change in the function of myocardial fibers in the areas of coronary arteries, which is important in patients complaining of angina pain. 

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