emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университетemcardio-309Research ArticleОригинальные научные публикацииOriginal Scientific ResearchСердечно-сосудистая система у женщин с безболевой ишемией миокардаCardiovascular System in Women with Silent Myocardial IschemiaПатеюкИ. В.PateyukI. V.ТереховВ. И.TerechovV. I.ИльинаТ. В.IlinaT. V.ПодголинаЕ. А.PodgolinaE. A.СтаткевичТ. В.StatkevichT. V.МитьковскаяН. П.MitkovskayaN. P.Белорусский государственный медицинский университетBelarusian State Medical University4-я городская клиническая больница имени Н.Е. СавченкоHealthcare City Clinical Hospital No.4Республиканский научно-практический центр «Кардиология»Scientific and Practical Center of Cardiology20171511202511112116Copyright © Патеюк И.В., Терехов В.И., Ильина Т.В., Подголина Е.А., Статкевич Т.В., Митьковская Н.П., 20252025Патеюк И.В., Терехов В.И., Ильина Т.В., Подголина Е.А., Статкевич Т.В., Митьковская Н.П.Pateyuk I.V., Terechov V.I., Ilina T.V., Podgolina E.A., Statkevich T.V., Mitkovskaya N.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/309

Статья посвящена изучению влияния регионарных особенностей распределения жировой ткани на структурно-функциональное состояние сердечно-сосудистой системы у женщин с безболевой ишемией миокарда. В исследование были включены 70 пациенток в постменопаузальном периоде с выявленнымиметодом суточного мониторирования электрокардиограммы эпизодами диагностически значимой бессимптомной депрессии сегмента ST. Установлено, что для женщин постменопаузального периода с безболевой ишемией миокарда эпикардиальное ожирение является неблагоприятным фактором, ассоциированным с высоким кардиоваскулярным риском.

The article is devoted to the study of the influence of regional peculiarities of distribution of adipose tissue on the functional state of the cardiovascular system in women with silent myocardial ischemia. The study included 70 patients in postmenopausal period with episodes of asymptomatic diagnostically significant ST segment depression revealed by means of the method daily monitoring of electrocardiogram. It was found that for postmenopausal women with silent myocardial ischemia epicardial obesity is an unfavorable factor associated with high cardiovascular risk

безболевая ишемия миокардаоднофотонная эмиссионная компьютерная томография миокарда (ОФЭКТ)эпикардиальное ожирениеsilent myocardial ischemiasingle-photon emission computed tomography (SPECT)epicardial adipose tissueReferencesMit'kovskaya N.P., Pateyuk I. V., Statkevich T. V., Terechov V. I. Strukturno-funkzional'noe sostoyanie serdechno- sosudistoy sistemy i kardiovaskulyarnyy risk u pazientov s bezbolevoy ishemiey miokarda [Structural and functional state of the cardiovascular system and cardiovascular risk in patients with painless myocardial ischemia]. Kardiologiya vBelarusi. 2016, vol. 46, no. 3, pp. 89-99. (in Russian).Mit'kovskaya N.P., Pateyuk I. V., Statkevich T. V., Terechov V. I. Strukturno-funkzional'noe sostoyanie serdechno- sosudistoy sistemy i kardiovaskulyarnyy risk u pazientov s bezbolevoy ishemiey miokarda [Structural and functional state of the cardiovascular system and cardiovascular risk in patients with painless myocardial ischemia]. Kardiologiya vBelarusi. 2016, vol. 46, no. 3, pp. 89-99. (in Russian).Druzhilov M. A., Beteleva Yu.E., Kuznezova T. Yu. Tolschina epikardial'nogo zhira - al'ternativa okruzhnosti talii kak samostoyatel'nyy ili vtoroy osnovnoy kriteriy dlya diagnostiki metabolicheskogo sindroma? [Thickness of epicardial fat - an alternative to waist circumference as an independent or second main criterion for diagnosing the metabolic syndrome?]. Rossiyskiy kardiologicheskiy zhurnal, 2014, vol. 3, no.107, pp. 76-81. (in Russian).Druzhilov M. A., Beteleva Yu.E., Kuznezova T. Yu. Tolschina epikardial'nogo zhira - al'ternativa okruzhnosti talii kak samostoyatel'nyy ili vtoroy osnovnoy kriteriy dlya diagnostiki metabolicheskogo sindroma? [Thickness of epicardial fat - an alternative to waist circumference as an independent or second main criterion for diagnosing the metabolic syndrome?]. Rossiyskiy kardiologicheskiy zhurnal, 2014, vol. 3, no.107, pp. 76-81. (in Russian).lacobellis G., Gao Y. J., Sharma A. M. Do cardiac and perivascular adipose tissue play a role in atherosclerosis? Curr Diab Rep, 2008, vol. 8, no 1, pp. 20-24.lacobellis G., Gao Y. J., Sharma A. M. Do cardiac and perivascular adipose tissue play a role in atherosclerosis? Curr Diab Rep, 2008, vol. 8, no 1, pp. 20-24.lacobellis G., Sharma A. M. Epicardial adipose tissue as new cardio-metabolic risk marker and potential therapeutic target in the metabolic syndrome. Curr Pharm, 2007, vol. 13, no. 21, pp. 2180-2184.lacobellis G., Sharma A. M. Epicardial adipose tissue as new cardio-metabolic risk marker and potential therapeutic target in the metabolic syndrome. Curr Pharm, 2007, vol. 13, no. 21, pp. 2180-2184.Drapkina O. M., Korneeva O. N., Drapkina Yu. S. Epikardial'nyy zhir - napadayuschiy ili zapasnoy? [Epicardial fat - an attacker or a spa re]. Razional'naya farmakoterapiya vkardiologii, 2013, vol. 9, no.3, pp. 287-291. (in Russian).Drapkina O. M., Korneeva O. N., Drapkina Yu. S. Epikardial'nyy zhir - napadayuschiy ili zapasnoy? [Epicardial fat - an attacker or a spa re]. Razional'naya farmakoterapiya vkardiologii, 2013, vol. 9, no.3, pp. 287-291. (in Russian).Makarov L. M. Cholterovskoemonitorirovanie [Holter monitoring]. Moskow, Medpraktika-M; 2008. (in Russian).Makarov L. M. Cholterovskoemonitorirovanie [Holter monitoring]. Moskow, Medpraktika-M; 2008. (in Russian).Klocke F. J., Baird M. G., Lorell B. H., Bateman T. M., Messer J. V., Berman D. S., O'Gara P.T., Carabello B. A., Russell RO. Jr, Cerqueira M. D., St John Sutton M. G., DeMaria A.N., Udelson J. E., Kennedy J. W., Verani M. S., Williams K. A., Antman E. M., Smith SC. Jr, Alpert J. S., Gregoratos G., Anderson J. L., Hiratzka L. F., Faxon D. P., Hunt S. A., Fuster V., Jacobs A. K., Gibbons R. J., Russell R. O. ACC/AHA/ASNC guidelines for the clinical use of cardiac radionuclide imaging - executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASNC Committee to Revise the 1995 Guidelines for the Clinical Use of Cardiac Radionuclide Imaging). Circulation, 2003, vol. 108, no. 11, pp. 1404-1418.Klocke F. J., Baird M. G., Lorell B. H., Bateman T. M., Messer J. V., Berman D. S., O'Gara P.T., Carabello B. A., Russell RO. Jr, Cerqueira M. D., St John Sutton M. G., DeMaria A.N., Udelson J. E., Kennedy J. W., Verani M. S., Williams K. A., Antman E. M., Smith SC. Jr, Alpert J. S., Gregoratos G., Anderson J. L., Hiratzka L. F., Faxon D. P., Hunt S. A., Fuster V., Jacobs A. K., Gibbons R. J., Russell R. O. ACC/AHA/ASNC guidelines for the clinical use of cardiac radionuclide imaging - executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASNC Committee to Revise the 1995 Guidelines for the Clinical Use of Cardiac Radionuclide Imaging). Circulation, 2003, vol. 108, no. 11, pp. 1404-1418.Lishmanov Yu.B., Chernov V. I. red. Radionuklldnaya diagnostika dlyaprakticheskich vrachey [Radionuclide diagnostics for practical doctors]. Tomsk, 2004, 387 p. (in Russian).Lishmanov Yu.B., Chernov V. I. red. Radionuklldnaya diagnostika dlyaprakticheskich vrachey [Radionuclide diagnostics for practical doctors]. Tomsk, 2004, 387 p. (in Russian).Glanz S. Mediko-biologicheskayastatistika [Medical and Biological Statistics]. Moscow: Praktika, 1999, 459 p. (in Russian).Glanz S. Mediko-biologicheskayastatistika [Medical and Biological Statistics]. Moscow: Praktika, 1999, 459 p. (in Russian).

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