emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университет10.51922/2616-633X.2023.7.1.1835emcardio-62Research ArticleОригинальные научные публикацииOriginal Scientific ResearchСреднесрочные и отдаленные результаты интервенционного лечения функциональной митральной недостаточности у пациентов с кардиомиопатиейMid-term and long-term outcomes of functional mitral insufficiency interventional treatment in patients with cardiomyopathyШатоваО. Г.ShatovaO.

Минск

Minsk

bai1982@mail.ruДенисевичТ. Л.DenisevichT.

Минск

Minsk

КурлянскаяЕ. К.KurlyanskayaE.

Минск

Minsk

ПолонецкийО. Л.PoloneckijO.

Минск

Minsk

ОсмоловскаяТ. В.AsmalouskayaT.

Минск

Minsk

Государственное учреждение «Республиканский научно-практический центр «Кардиология»Republican Scientific and Practical Center of Cardiology2023200620257118351844Copyright © Шатова О.Г., Денисевич Т.Л., Курлянская Е.К., Полонецкий О.Л., Осмоловская Т.В., 20252025Шатова О.Г., Денисевич Т.Л., Курлянская Е.К., Полонецкий О.Л., Осмоловская Т.В.Shatova O., Denisevich T., Kurlyanskaya E., Poloneckij O., Asmalouskaya T.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/62

В статье представлены результаты лечения пациентов с кардиомиопатией и выраженной функциональной митральной недостаточностью через 6, 12 и 24 месяцев после имплантации устройства MitraClip. Показано, что к 6 месяцу после интервенционного вмешательства на фоне улучшения функции митрального клапана наблюдался регресс ремоделирования левых камер сердца, а также положительная динамика фракции выброса правого желудочка и давления в легочной артерии. Достигнутый эффект улучшения внутрисердечной гемодинамики сохранялся к 12 месяцу после клипирования митрального клапана. После 12 месяцев выявлены признаки ремоделирования левого желудочка без значимых изменений клапанных характеристик и параметров левого предсердия. В периоды первых 6 месяцев и 6–12 месяцев после установки MitraClip увеличивалась пройденная дистанция в тесте 6-минутной ходьбы и пиковое потребление кислорода с сохранением высоких значений данных показателей к 24 месяцу наблюдения.

The article presents the outcomes of treatment of patients with cardiomyopathy and pronounced functional mitral insufficiency 6, 12 and 24 months after MitraClip device implantation. We observed that 6 months after the intervention, there was regression of left heart chamber remodeling, as well as positive dynamics of right ventricular ejection fraction and pulmonary artery pressure against the background of mitral valve improvement. The achieved effect of improved intracardiac hemodynamics persisted in 12 months after mitral valve clipping. After 12 months, there were signs of left ventricular remodeling without significant changes in valve characteristics and left atrial parameters. During the first 6 to 12 months after MitraClip implantation, the distance walked in the 6-minute walk test and peak oxygen consumption increased, with retention of high values of these indicators in 24 months of follow-up.

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