Продольная деформация миокарда левого предсердия у больных артериальной гипертензией и сахарным диабетом 2-го типа как показатель начальной дисфункции сердца
Обследование кардиологических больных
Дата публикации: марта 14, 2018
Ключевые слова
предсердие
миокард
двухмерная серошкальная деформация
артериальная гипертензия
сахарный диабет
миокард
двухмерная серошкальная деформация
артериальная гипертензия
сахарный диабет
Как цитировать
Аришина О. Н., Алёхин М. Н. Продольная деформация миокарда левого предсердия у больных артериальной гипертензией и сахарным диабетом 2-го типа как показатель начальной дисфункции сердца // Кремлевская медицина. Клинический вестник. 2018. Т. № 1. С. 89-94.
Аннотация
Под дисфункцией левого предсердия понимают изменение целого ряда показателей, отражающих глобальные и региональные особенности работы миокарда предсердий при различных патологических состояниях. Изучение этих показателей на раннем этапе нарушения работы предсердий стало возможным благодаря относительно новому методу исследования – недопплеровскому режиму двухмерной серошкальной деформации (ДСД). Метод ДСД не имеет ограничений, присущих тканевому допплеру, легко воспроизводим и пригоден для определения механической функции предсердий, в том числе при артериальной гипертензии и сахарном диабете 2-го типа.Литература
1. Дедов И.И., Шестакова М.В. Сахарный диабет и артериальная гипертензия. М.: ООО «Медицинское информационное агентство». 2006; 4-5: 8-22.
2. Оганов Р.Г. Смертность от сердечно-сосудистых и других хронических неинфекционных заболеваний среди трудоспособного населения России. Кардиоваскулярная терапия и профилактика. 2006; 3: 4-8.
3. Руководство по артериальной гипертонии. Под ред. акад. Чазова Е.И., профессора Чазовой И.Е. М.: Медиа Медика, 2005. 784.
4. Чазова И.Е. Лечение АГ как профилактика сердечнососудистых осложнений. Журнал сердечная недостаточность. 2002; 3 (1): 14-16.
5. 2003 European Society of Hypertension – European Society of Cardiology guidelines for the management of atrial hypertension. Guidelines Committee. J. Hypertens. 2003; 21: 1011-1053.
6. The Task Force for the management of arterial hypertension of the European Society of Hypertension and of the European Society of Cardioligy. Guidelines for the management of arterial hypertension. J. Hypertens. 2007; 25; 1105-1187.
7. Мычка В.Б., Масенко В.П., Чазова И.Е. Артериальная гипертония на фоне избыточного веса. Обзоры клинической кардиологии. 2006; 7: 13-20.
8. Чазова И.Е. Артериальная гипертония. Стандарты сегодняшнего дня и нерешенные проблемы. Сердце. 2002; 1 (5(5)): 217-219.
9. Leitman M., Lysyansky P., Sidenko S. et al. Twodimensional strain - novel software for real-time quantitative echocardiographic assessment of myocardial function. J. Am. Soc. Echocardiogr. 2004; 17:1021-1029.
10. Perk G., Tunick P.A., Kronzon I. Non-Doppler two-dimensional strain imaging by echocardiography - from technical considerations to clinical applications. J. Am. Soc. Echocardiogr. 2007; 20: 234-243.
11. Tsai W.C., Lee C.H., Lin C.C. et al. Association of left atrial strain rate assessed by speckle tracking echocardiography with paroxysmal atrial fibrillation. Echocardiography. 2009; 26 (10): 1188-1194.
12. Thomas L., McKay T., Byth K. et al. Abnormalities of left atrial function after cardioversion: an atrial strain rate study. Heart. 2007; 93 (1): 89-95.
13. Kuppahally S.S., Akoum N., Burgon N.S. et al. Left atrial strain and strain rate in patients with paroxysmal and persistent atrial fibrillation: relationship to left atrial structural remodeling detected by delayed – enhancement MRI. Circ. Cardiovasc. Imaging. 2010; 3 (3): 231 - 239.
14. Hwang H.J., Choi E.Y. et al. Left atrial strain as predictor of successful outcomes in catheter ablation for atrial fibrillation: a two dimensional myocardial imaging study. J. Interv. Card. Electrophysiol. 2009; 26 (2): 127–132.
15. Borg A.N., Pearce K.A., Williams S.G. et al. Left atrial function and deformation in chronic primary mitral regurgitation. Eur. J. Echocardiogr. 2009; 10 (7): 833 – 840.
16. Cho G.Y., Jo S.H., Kim M.K. et al. Left atrial dyssynchrony assessed by strain imaging in predicting future development of atrial fibrillation in patients with heart failure. Int. J. Cardiol. 2009; 134 (3): 336–341. 17. Shin M.S., Kim B.R., Oh K.G. et al. Echocardiographic assessments of left atrial strain and volume in healthy patients and patients with mitral valvular heart disease by tissue Doppler imaging and 3-dimensional echocardiography. Korean. Circ. J. 2009; 39 (7): 280–287.
18. Cameli M., Lisi M. et al. Chronic mitral regurgitation: left atrial deformation analysis by two- dimensional speckle tracking echocardiography.Echocardiography. 2011; 28 (3): 327-334.
19. Wakami K., Ohte N., Asada K. et al. Correlation between left ventricular end-diastolic pressure and peak left atrial wall strain during left ventricular systole. J. Am. Soc. Echocardiogr. 2009; 22: 847-851.
20. Cameli M., Lisi M., Mondillo S. et al. Left atrial longitudinal strain by speckle tracking echocardiography correlates well with left ventricular filling pressures in patients with heart failure.Cardiovasc.Ultrasound. 2010; 8: 14.
21. D'Andrea A., De Corato G., Scarafile R. et al. Left atrial myocardial function in either physiological or pathological left ventricular hypertrophy: a two-dimensional speckle strain study. Br. J. Sports Med. 2008; 42(8): 696-702.
22. D'Andrea A., Caso P., Romano S. et al. Association between left atrial myocardial function and exercise capacity in patients with either idiopathic or ischemic dilated cardiomyopathy: а two-dimensional speckle strain study. : Int. J. Cardiol. 2009; 132 (3): 354-363.
23. D'Andrea A., Caso P., Romano S. et al. Different effects of cardiac resynchronization therapy on left atrial function in patients with either idiopathic or ischaemic dilated cardiomyopathy: a two-dimensional speckle strain study. Eur. Heart J. 2007 Nov; 28 (22): 2738-48/ Epub 2007. Oct. 24.
24. Di Salvo G., Pacileo G., Castaldi B. et al. Twodimensional strain and atrial function: a study on patients after percutaneous closure of atrial septal defect. Eur. J. Echocardiogr. 10.1093/ejechocard/jen218.
25. Sanchis L., Gabrielli L., Andrea R. et al. Eur. Heart J. Cardiovasc. Imaging. 2015; 16: 62–67.
26. Cameli M., Caputo M., Mondillo S. et al. Feasibility and reference values of left atrial longitudinal strain imaging by two-dimensional speckle tracking. Cardiovasc. Ultrasound. 2009; 8 (7): 6.
27. Vianna-Pinton R., Moreno C.A. et al. Two-dimensional speckle tracking echocardiography of the left atrium: feasibility and regional contraction and relaxation differences in normal subject. J. Am. Soc. Echocardiogr. 2009; 22 (3): 299-305.
28. Алёхин М.Н. Ультразвуковые методы оценки деформации миокарда и их клиническое значение. М.: Видар. 2012. 75-79.
29. Rimbas R.C., Mihaila S., Vinereanu D. Sources of variation in assessing left atrial functions by 2D speckle-tracking echocardiography.
30. Hayashi S., Yamada H. et al. Optimal analysis of left аtrial strain by speckle tracking echocardiography: P-wave versus R-wave trigger. Echocardiography. 2014. DOI: 10.1111/ echo.12834. 31. Калинин А.О., Алёхин М.Н., Бахс Г., Шипачов П.Н. Деформация миокарда предсердий у здоровых лиц в режиме двухмерной серошкальной деформации. Кардиология. 2010; 2: 62-68.
32. Eshoo S., Ross D.L., Thomas L. Impact of mild hypertension on left atrial size and function. Circ.: Cardiovasc. Imaging 2009; 2: 93-99.
33. Калинин А., Алёхин М.Н., Бахс Г., Калныньш А., Шипачов П. Оценка состояния миокарда предсердий в режиме двухмерной серошкальной деформации у больных артериальной гипертензией c небольшой гипертрофией левого желудочка. Кардиология. 2010; 8: 13-20.
34. Abhayaratna W.P., Seward J.B., Appleton C.P. et al. Left atrial size: physiologic determinants and clinical applications. J. Am. Coll. Cardiol. 2006; 47: 2357-2363.
35. Matsuda M., Matsuda Y. Mechanism of left atrial enlargement related to ventricular diastolic impairment in hypertension. Clin. Cardiol. 1996; 19: 954–959.
36. Tsang T.S., Barnes M.E., Gersh B.J., Bailey K.R., Seward J.B. Left atrial volume as a morphophysiologic expression of left ventricular diastolic dysfunction and relation to cardiovascular risk burden. Am. J. Cardiol. 2002; 90: 1284– 1289.
37. Benjamin E.J., D`Agostino R.B., Belanger A.J. et al. Left atrial size and risk of stroke and death. The Framingham Heart Study. Circulation 1995; 92: 835-841.
38. Bruce M. Psaty, Teri A. Manolio, Lewis H. Kuller et al. Incidence of and risk factors for atrial fibrillation in older adults. Circulation. 1997; 96: 2455-2461.
39. Sabharwal N., Cemin R., Rajan K. et al. Usefulness of left atrial volume as a predictor of mortality in patients with ischemic cardiomyopathy. Am. J. Cardiol. 2004; 94: 760-763.
40. Roy B., Boyko V., Schwammenthal E. et al. Long-term prognostic significance of left atrial volume in acute myocardial infarction. J. Am. Coll. Cardiol. 2004; 44: 327-334.
41. Muranaka A., Yuda S.,Tsuchinashi et al. Quantitative assessment of left ventricular and left atrial functions by strain rate imaging in diabetic patients with and without hypertension. Echocardiography. 2009; 26 (3): 262-271.
42. Mondillo S., Cameli M., Luce Caputo M. et al. Early detection of left atrial strain abnormalities by speckle-tracking in hypertensive and diabetic patients with normal left atrial size Eur. J. Echocardiogr. 2011 Apr; 12(4): 299T305. 34.
43. Kouris N. et al. Early impairment of left atrial systolic function measured by 2D STE in pts with diabetes and hypertension. Eur. Heart J. 2013, 34 (suppl 1): DOI 10.1093/ eurheartj/eht310. P5662.
44. Liu Y., Wang K. et al. Noninvasive assessment of left atrial phasic function in patients with hypertension and diabetes using two-dimensional speckle tracking and volumetric parameters. Echocardiogr. 2013. DOI: 10.1111/echo.12492.
45. Kalaycioglu E. et al. Ambulatory arterial stiffness index is associated with impaired left atrial mechanical functions in hypertensive diabetic patients: a speckle tracking study. Anadolu Kardiyol. Derg. 2015; 15(0): 000-000.
46. Kadappu K.K., Boyd A., Eshoo S. et al. Changes in atrial volume in diabetes mellitus: more than diastolic dysfunction? Eur. Heart J. Cardiovascular Imaging. 2012; 13: 1016–1023.
47. Takemoto Y., Barnes M.E., Seward J.B. et al. Usefulness of left atrial volume in predicting first congestive heart failure in patients 65 years of age with well-preserved left ventricular systolic function. Am. J. Cardiol. 2005; 96: 832– 836.
2. Оганов Р.Г. Смертность от сердечно-сосудистых и других хронических неинфекционных заболеваний среди трудоспособного населения России. Кардиоваскулярная терапия и профилактика. 2006; 3: 4-8.
3. Руководство по артериальной гипертонии. Под ред. акад. Чазова Е.И., профессора Чазовой И.Е. М.: Медиа Медика, 2005. 784.
4. Чазова И.Е. Лечение АГ как профилактика сердечнососудистых осложнений. Журнал сердечная недостаточность. 2002; 3 (1): 14-16.
5. 2003 European Society of Hypertension – European Society of Cardiology guidelines for the management of atrial hypertension. Guidelines Committee. J. Hypertens. 2003; 21: 1011-1053.
6. The Task Force for the management of arterial hypertension of the European Society of Hypertension and of the European Society of Cardioligy. Guidelines for the management of arterial hypertension. J. Hypertens. 2007; 25; 1105-1187.
7. Мычка В.Б., Масенко В.П., Чазова И.Е. Артериальная гипертония на фоне избыточного веса. Обзоры клинической кардиологии. 2006; 7: 13-20.
8. Чазова И.Е. Артериальная гипертония. Стандарты сегодняшнего дня и нерешенные проблемы. Сердце. 2002; 1 (5(5)): 217-219.
9. Leitman M., Lysyansky P., Sidenko S. et al. Twodimensional strain - novel software for real-time quantitative echocardiographic assessment of myocardial function. J. Am. Soc. Echocardiogr. 2004; 17:1021-1029.
10. Perk G., Tunick P.A., Kronzon I. Non-Doppler two-dimensional strain imaging by echocardiography - from technical considerations to clinical applications. J. Am. Soc. Echocardiogr. 2007; 20: 234-243.
11. Tsai W.C., Lee C.H., Lin C.C. et al. Association of left atrial strain rate assessed by speckle tracking echocardiography with paroxysmal atrial fibrillation. Echocardiography. 2009; 26 (10): 1188-1194.
12. Thomas L., McKay T., Byth K. et al. Abnormalities of left atrial function after cardioversion: an atrial strain rate study. Heart. 2007; 93 (1): 89-95.
13. Kuppahally S.S., Akoum N., Burgon N.S. et al. Left atrial strain and strain rate in patients with paroxysmal and persistent atrial fibrillation: relationship to left atrial structural remodeling detected by delayed – enhancement MRI. Circ. Cardiovasc. Imaging. 2010; 3 (3): 231 - 239.
14. Hwang H.J., Choi E.Y. et al. Left atrial strain as predictor of successful outcomes in catheter ablation for atrial fibrillation: a two dimensional myocardial imaging study. J. Interv. Card. Electrophysiol. 2009; 26 (2): 127–132.
15. Borg A.N., Pearce K.A., Williams S.G. et al. Left atrial function and deformation in chronic primary mitral regurgitation. Eur. J. Echocardiogr. 2009; 10 (7): 833 – 840.
16. Cho G.Y., Jo S.H., Kim M.K. et al. Left atrial dyssynchrony assessed by strain imaging in predicting future development of atrial fibrillation in patients with heart failure. Int. J. Cardiol. 2009; 134 (3): 336–341. 17. Shin M.S., Kim B.R., Oh K.G. et al. Echocardiographic assessments of left atrial strain and volume in healthy patients and patients with mitral valvular heart disease by tissue Doppler imaging and 3-dimensional echocardiography. Korean. Circ. J. 2009; 39 (7): 280–287.
18. Cameli M., Lisi M. et al. Chronic mitral regurgitation: left atrial deformation analysis by two- dimensional speckle tracking echocardiography.Echocardiography. 2011; 28 (3): 327-334.
19. Wakami K., Ohte N., Asada K. et al. Correlation between left ventricular end-diastolic pressure and peak left atrial wall strain during left ventricular systole. J. Am. Soc. Echocardiogr. 2009; 22: 847-851.
20. Cameli M., Lisi M., Mondillo S. et al. Left atrial longitudinal strain by speckle tracking echocardiography correlates well with left ventricular filling pressures in patients with heart failure.Cardiovasc.Ultrasound. 2010; 8: 14.
21. D'Andrea A., De Corato G., Scarafile R. et al. Left atrial myocardial function in either physiological or pathological left ventricular hypertrophy: a two-dimensional speckle strain study. Br. J. Sports Med. 2008; 42(8): 696-702.
22. D'Andrea A., Caso P., Romano S. et al. Association between left atrial myocardial function and exercise capacity in patients with either idiopathic or ischemic dilated cardiomyopathy: а two-dimensional speckle strain study. : Int. J. Cardiol. 2009; 132 (3): 354-363.
23. D'Andrea A., Caso P., Romano S. et al. Different effects of cardiac resynchronization therapy on left atrial function in patients with either idiopathic or ischaemic dilated cardiomyopathy: a two-dimensional speckle strain study. Eur. Heart J. 2007 Nov; 28 (22): 2738-48/ Epub 2007. Oct. 24.
24. Di Salvo G., Pacileo G., Castaldi B. et al. Twodimensional strain and atrial function: a study on patients after percutaneous closure of atrial septal defect. Eur. J. Echocardiogr. 10.1093/ejechocard/jen218.
25. Sanchis L., Gabrielli L., Andrea R. et al. Eur. Heart J. Cardiovasc. Imaging. 2015; 16: 62–67.
26. Cameli M., Caputo M., Mondillo S. et al. Feasibility and reference values of left atrial longitudinal strain imaging by two-dimensional speckle tracking. Cardiovasc. Ultrasound. 2009; 8 (7): 6.
27. Vianna-Pinton R., Moreno C.A. et al. Two-dimensional speckle tracking echocardiography of the left atrium: feasibility and regional contraction and relaxation differences in normal subject. J. Am. Soc. Echocardiogr. 2009; 22 (3): 299-305.
28. Алёхин М.Н. Ультразвуковые методы оценки деформации миокарда и их клиническое значение. М.: Видар. 2012. 75-79.
29. Rimbas R.C., Mihaila S., Vinereanu D. Sources of variation in assessing left atrial functions by 2D speckle-tracking echocardiography.
30. Hayashi S., Yamada H. et al. Optimal analysis of left аtrial strain by speckle tracking echocardiography: P-wave versus R-wave trigger. Echocardiography. 2014. DOI: 10.1111/ echo.12834. 31. Калинин А.О., Алёхин М.Н., Бахс Г., Шипачов П.Н. Деформация миокарда предсердий у здоровых лиц в режиме двухмерной серошкальной деформации. Кардиология. 2010; 2: 62-68.
32. Eshoo S., Ross D.L., Thomas L. Impact of mild hypertension on left atrial size and function. Circ.: Cardiovasc. Imaging 2009; 2: 93-99.
33. Калинин А., Алёхин М.Н., Бахс Г., Калныньш А., Шипачов П. Оценка состояния миокарда предсердий в режиме двухмерной серошкальной деформации у больных артериальной гипертензией c небольшой гипертрофией левого желудочка. Кардиология. 2010; 8: 13-20.
34. Abhayaratna W.P., Seward J.B., Appleton C.P. et al. Left atrial size: physiologic determinants and clinical applications. J. Am. Coll. Cardiol. 2006; 47: 2357-2363.
35. Matsuda M., Matsuda Y. Mechanism of left atrial enlargement related to ventricular diastolic impairment in hypertension. Clin. Cardiol. 1996; 19: 954–959.
36. Tsang T.S., Barnes M.E., Gersh B.J., Bailey K.R., Seward J.B. Left atrial volume as a morphophysiologic expression of left ventricular diastolic dysfunction and relation to cardiovascular risk burden. Am. J. Cardiol. 2002; 90: 1284– 1289.
37. Benjamin E.J., D`Agostino R.B., Belanger A.J. et al. Left atrial size and risk of stroke and death. The Framingham Heart Study. Circulation 1995; 92: 835-841.
38. Bruce M. Psaty, Teri A. Manolio, Lewis H. Kuller et al. Incidence of and risk factors for atrial fibrillation in older adults. Circulation. 1997; 96: 2455-2461.
39. Sabharwal N., Cemin R., Rajan K. et al. Usefulness of left atrial volume as a predictor of mortality in patients with ischemic cardiomyopathy. Am. J. Cardiol. 2004; 94: 760-763.
40. Roy B., Boyko V., Schwammenthal E. et al. Long-term prognostic significance of left atrial volume in acute myocardial infarction. J. Am. Coll. Cardiol. 2004; 44: 327-334.
41. Muranaka A., Yuda S.,Tsuchinashi et al. Quantitative assessment of left ventricular and left atrial functions by strain rate imaging in diabetic patients with and without hypertension. Echocardiography. 2009; 26 (3): 262-271.
42. Mondillo S., Cameli M., Luce Caputo M. et al. Early detection of left atrial strain abnormalities by speckle-tracking in hypertensive and diabetic patients with normal left atrial size Eur. J. Echocardiogr. 2011 Apr; 12(4): 299T305. 34.
43. Kouris N. et al. Early impairment of left atrial systolic function measured by 2D STE in pts with diabetes and hypertension. Eur. Heart J. 2013, 34 (suppl 1): DOI 10.1093/ eurheartj/eht310. P5662.
44. Liu Y., Wang K. et al. Noninvasive assessment of left atrial phasic function in patients with hypertension and diabetes using two-dimensional speckle tracking and volumetric parameters. Echocardiogr. 2013. DOI: 10.1111/echo.12492.
45. Kalaycioglu E. et al. Ambulatory arterial stiffness index is associated with impaired left atrial mechanical functions in hypertensive diabetic patients: a speckle tracking study. Anadolu Kardiyol. Derg. 2015; 15(0): 000-000.
46. Kadappu K.K., Boyd A., Eshoo S. et al. Changes in atrial volume in diabetes mellitus: more than diastolic dysfunction? Eur. Heart J. Cardiovascular Imaging. 2012; 13: 1016–1023.
47. Takemoto Y., Barnes M.E., Seward J.B. et al. Usefulness of left atrial volume in predicting first congestive heart failure in patients 65 years of age with well-preserved left ventricular systolic function. Am. J. Cardiol. 2005; 96: 832– 836.