References

emcardio

Неотложная кардиология и кардиоваскулярные риски

Emergency Cardiology and Cardiovascular Risks journal

2616-633X

Белорусский государственный медицинский университет

10.51922/2616-633X.2023.7.1.1758

emcardio-35

Research Article

Мастер-класс

Master-class

Мультимодальный подход к определению риска развития сердечной недостаточности у пациентов с острым инфарктом миокарда (Часть 2). Инструментальные и визуализирующие предикторы).

A multimodal approach to heart failure risk assesment in patients with acute myocardial infarction (Part 2). Instrumental and imaging predictors)

Цапаева

Н. Л.

Tsapaeva

Минск

Minsk

ntsapaeva@yandex.by

Золотухина

С. Ф.

Zolotuhina

Минск

Minsk

Миронова

Е. В.

Mironova

Е.

Минск

Minsk

Бураковская

Е. В.

Burakovskaja

Е.

Минск

Minsk

Версоцкий

А. .Г.

Viarsotski

Минск

Minsk

УО «Белорусский государственный медицинский университет»Belarusian State Medical University

УЗ «4 городская клиническая больница имени Н.Е. Савченко»4<sup>th</sup> Сity Сlinical Hospital named after Mikalaj Saŭčanka

2023

19062025

7117581767

2025

Цапаева Н.Л., Золотухина С.Ф., Миронова Е.В., Бураковская Е.В., Версоцкий А...

Tsapaeva N., Zolotuhina S., Mironova Е., Burakovskaja Е., Viarsotski A.

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/35

Острый инфаркт миокарда (ОИМ) – стартовая точка для развития сердечной недостаточности (СН), повышающей риск смерти. Формирование СН у пациентов с ОИМ значительно ухудшает прогноз и увеличивает затраты на лечение, что определяет медико-социальную значимость проблемы. Это подчеркивает необходимость не только тщательного мониторинга за пациентами с ОИМ, но является обоснованной мотивацией использования мультимодального подхода к определению индивидуального риска развития сердечной недостаточности у пациентов с ОИМ, поскольку в развитии СН участвуют разные патогенетические механизмы с различным вкладом ведущих нарушений: микроциркуляторной дисфункции, воспаления, кровоизлияния, отека, ремоделирования. Практической реализацией мультимодального подхода является определение клинических, лабораторных, ангиографических и визуализирующих предикторов формирования СН. Для стратификации риска необходимо обосновать оптимальную комбинацию методов прогнозирования, чтобы определить степень риска формирования сердечной недостаточности, ключевой патогенетический механизм развития и, соответственно этому, использовать наиболее адекватные схемы лечения.

Acute myocardial infarction (AMI) is a starting point for the development of heart failure (HF), which increases the risk of death. The development of HF in AMI patients significantly worsens the prognosis and increases treatment costs, which determines the medical and social significance of the problem. This not only emphasizes the necessity of careful monitoring of AMI patients, but also is a reasonable motivation for the use of multimodal approach to determine the individual risk of heart failure development in patients with AMI, since different pathogenetic mechanisms with different contribution of leading disorders are involved in HF development: microcirculatory dysfunction, inflammation, hemorrhage, edema, remodeling. Multimodal approach is implemented by the identification of clinical, laboratory, angiographic and imaging predictors of HF development. For risk stratification it is necessary to substantiate the optimal combination of prognostic methods to determine the degree of heart failure development risk, the key pathogenetic mechanism of its development and, accordingly, to use the most adequate treatment regimens.

инфаркт миокардасердечная недостаточностьлучевые методы диагностикииндекс микроциркуляторного сопротивления

myocardial infarctionheart failureradiation diagnostic methodsindex of microcirculatory resistance

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