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Легочное сердце
Легочное сердце
Чучалин А.Г. Легочное сердце. Терапевтический архив. 2023;95(12):1031–1038.
DOI: 10.26442/00403660.2023.12.202497
© ООО «КОНСИЛИУМ МЕДИКУМ», 2023 г.
DOI: 10.26442/00403660.2023.12.202497
DOI: 10.26442/00403660.2023.12.202497
© ООО «КОНСИЛИУМ МЕДИКУМ», 2023 г.
________________________________________________
DOI: 10.26442/00403660.2023.12.202497
Материалы доступны только для специалистов сферы здравоохранения. Авторизуйтесь или зарегистрируйтесь.
Аннотация
Обзор по проблеме легочного сердца преследует две цели: во-первых – восстановить историческую справедливость и показать приоритетные исследования Дмитрия Дмитриевича Плетнева по таким проблемам, как диагностика инфаркта миокарда правого желудочка, клиническая характеристика застойной сердечной недостаточности правого желудочка; во-вторых – изложить современную концепцию легочного сердца. В обзоре приводится анализ патогенетических механизмов развития сердечной недостаточности при легочном сердце. Большое внимание уделено данным эхокардиографии, и подчеркиваются биологические маркеры в оценке функции правого предсердия, правого желудочка, регургитации трехстворчатого клапана, давления в легочной артерии. Выделены прогностически неблагоприятные признаки течения легочного сердца, к которым следует отнести высокую степень регургитации трехстворчатого клапана, амплитуду движения фиброзного кольца клапана (TAPSE) и мерцательную аритмию, развивающуюся при дилатации правого предсердия. В обзоре детально рассмотрен диагностический алгоритм легочного сердца. Он включает оценку актуальных проблем больного человека с легочным сердцем, установление основного заболевания, при котором развился синдром легочного сердца, данные физикального и инструментального обследований. Клиническая картина дополняется описанием кардиогепатологического и ренального синдромов.
Ключевые слова: легочное сердце, сердечная недостаточность, инфаркт миокарда правого желудочка, Дмитрий Дмитриевич Плетнев
Keywords: pulmonary heart, heart failure, right ventricular myocardial infarction, Dmitry D. Pletnev
Ключевые слова: легочное сердце, сердечная недостаточность, инфаркт миокарда правого желудочка, Дмитрий Дмитриевич Плетнев
________________________________________________
Keywords: pulmonary heart, heart failure, right ventricular myocardial infarction, Dmitry D. Pletnev
Полный текст
Список литературы
1. Плетнев Д.Д. Болезни сердца. М., 1936–2022 [Pletnev DD. Bolezni serdtsa. Moscow, 1936–2022 (in Russian)].
2. Плетнев Д.Д. К вопросу о прижизненной дифференциальной диагностики тромбоза правой и левой венечных артерий сердца. Русская клиника. 1925 [Pletnev DD. K voprosu o prizhiznennoi differentsial'noi diagnostiki tromboza pravoi i levoi venechnykh arterii serdtsa. Russkaia klinika. 1925 (in Russian)].
3. Коган Б.Б. Бронхиальная астма. М. 1959 [Kogan BB. Bronkhial'naia astma, Moscow. 1959 (in Russian)].
4. Мухарлямов Н.М. Легочное сердце. М., 1973 [Mukharliamov NM. Legochnoie serdtse. Moscow, 1973 (in Russian)].
5. Starr I, Jeffers WA, Meade RH Jr. The absence of conspicuous increments of venous pressure after severe damage to the right ventricle of the dog, with a discussion of the relation between clinical congestive failure and heart disease. Am Heart J. 1943;26:291-301.
6. Obakata M, Reddy YNV, Melenovsky V, et al. Deterioration in right ventricular structure and function over time in patients with heart failure and preserved ejection fraction. Eur Heart J. 2019;40:68-697. DOI:10.1093/eurheartj/ehy809
7. Hassoun PM. Pulmonary arterial hypertension. N Engl J Med. 2021;385:2361-76. DOI:10.1056/NEJMra2000348
8. Corica B, Marra AM, Basili S. Prevalence of right ventricular dysfunction and impact on all-cause death in hospitalized patients with COVID-19. Sci Rep. 2021;11:17774. DOI:10.1038/s41598-021-96955-8
9. Vonk Noordegraaf A, Westerhof BE, Westerhof N. The relationship between the right ventricle and its load in pulmonary hypertension. J Am Col Cardiol. 2017;69:236-43. DOI:10.1016/j.jacc.2016.10.047
10. Rain S, Andersen S, Najafi F. Right ventricular myocardial stiffness in experimental pulmonary arterial hypertension: relative contribution of fibrosis and myofibril stiffness. Circ Heart Fail. 2016;9:e002636. DOI:10.1161/CIRCHEARTFAILURE.115.002636
11. Widya RL, van der Meer RW, Smith JWA. Right ventricular involvement in diabetic cardiomyopathy. Diabetes Care. 2013;36:457-62. DOI:10.2337/dc12-0474
12. Linssen PBC, Veugen MGJ, Henry RMA. Association of diabetes with right ventricular and atrial structure and function. Cardiovascul Diabetol. 2020;19:88.
DOI:10.1186/s12933-020-01055-y
13. Aslam MI, Hahn VS, Jani V, et al. Reduced right ventricular sarcomere contractility in heart failure with preserved ejection fraction and severe obesity. Circulation. 2021;143:965-7. DOI:10.1161/CIRCULATIONAHA.120.052414
14. Hahn RT. Tricuspid regurgitation. N Engl J Med. 2023;388:1876-91. DOI:10.1056/NEJMra2216709
15. Harada T, Obokata M, Omote K. Functional tricuspid regurgitation and right atrial remodeling in heart failure with preserved ejection fraction. Am J Cardiol. 2022;162:129-35. DOI:10.1016/j.amjcard.2021.09.021
16. Ikoma T, Obokata M, Okada K. Impact of right atrial remodeling in heart right failure with preserved ejection fraction. J Card Fail. 2021;83:897-902. DOI:10.1016/j.cardfail.2020.12.016
17. Offen S, Playford D, Strange G, et al. Adverse prognostic impact of even mild or moderate tricuspid regurgitation. Am Soc Echocard. 2022;35:810-7. DOI:10.1016/j.echo.2022.04.003
18. Tung M, Nah G, Marcus G, Delling FN. Valvular diseases burden in modern era of percutaneous and surgical interventions. Open Heart. 2022;9:e002039.
DOI:10.1136/openhrt-2022-002039
19. Mhanna M, Beran A, Al-Abdouh A. AngioVac for vegetation debulking I right sided infective endocarditis. Curr Probl Cardiol. 2022;47:101353. DOI:10.1016/j.cpcardiol.2022.101353
20. Nguyen A, Schaff HV, Abel MD. Improving outcome of valve replacement for carcinoid heart diseases. J Thorac Cardiovasc Surg. 2019;158:99-107. DOI:10.1016/j.jtcvs.2018.09.025
21. Bateson B, Ham PB, Patel V, Shah R. Delayed presentation of traumatic tricuspid valve injury during index hospitalization. Am Surg. 2018;84:e67-9.
22. Muraru D, Addetia K, Guta AC. Right atrium volume is a major determinant of tricuspid annulus area in functional tricuspid regurgitation. Eur Heart J Cardiovasc Imaging. 2021;22:660-9. DOI:10.1093/ehjci/jeaa286
23. Spinner EM, Lerakis S, Higginson J. Correlates of tricuspid regurgitation as determined by 3D echocardiography: pulmonary arterial pressure, ventricle geometry, annular dilatation, and papillary muscle displacement. Circ Cardiovasc Imaging. 2012;5:43-50. DOI:10.1161/CIRCIMAGING.111.965707
24. Itelman E, Vatury O, Kuperstein R. The association of severe tricuspid regurgitation with poor survival is modified by right ventricular pressure and function. AM Soc Echocardiogr. 2022;35:1028-36. DOI:10.1016/j.echo.2022.06.012
25. Hahn RT, Zamorano JL. The need for a new tricuspid regurgitation grading scheme. Eur Heart J Cardiovasc Imaging. 2017;18:1342-4. DOI:10.1093/ehjci/jex139
26. Friedman LS. Congestive hepatopathy. UpToDate. 2023.
27. Kiernan MS, Udelson JE, Sarnak M. Cardiorenal syndrome: definition, prevalence, diagnosis and pathophysiology. UpToDate. 2023.
28. Coresh J, Astor BC, Greene T. Prevalence of chronic kidney disease and decreased kidney function in the adult US population. Am J Kidney Dis. 2003;41:1. DOI:10.1053/ajkd.2003.50007
29. Bock JS, Gotlieb SS. Cardiorenal syndrome: new perspective. Circulation. 2010;121:2592. DOI:10.1161/CIRCULATIONAHA.109.886473
30. Ronco C, Haapio M, House AA. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52:15275. DOI:10.1016/j.jacc.2008.07.051
31. Smith GL, Lichtman JH, Bracken MB. Renal impairment and outcomes in heart failure. J Am Coll Cardiol. 2006;47:1987. DOI:10.1016/j.jacc.2005.11.084
32. Aronson D, Mittleman MA, Burger AJ. Elevated blood nitrogen level as a predictor of mortality in patients admitted for decompensated heart failure. Am J Med. 2004;116:466. DOI:10.1016/j.amjmed.2003.11.014
33. Kataoka H. The “chloride theory”. Med Hypotheses. 2007;1004:170. DOI:10.1016/j.mehy.2017.06.005
34. Luke RG, Galla JH. It is chloride depletion alkalosis, not contraction alkalosis. J AM Soc Nephrol. 2012;23:204-7. DOI:10.1681/ASN.2011070720
35. Dupont M, Mullens W, Finucan M. Determinants of dynamic changes in serum creatinine in acute decompensated heart failure: the importance of blood pressure reduction during treatment. Eur J Heart Fail. 2013;15:433-40. DOI:10.1093/eurjhf/hfs209
2. Pletnev DD. K voprosu o prizhiznennoi differentsial'noi diagnostiki tromboza pravoi i levoi venechnykh arterii serdtsa. Russkaia klinika. 1925 (in Russian).
3. Kogan BB. Bronkhial'naia astma, Moscow. 1959 (in Russian).
4. Mukharliamov NM. Legochnoie serdtse. Moscow, 1973 (in Russian).
5. Starr I, Jeffers WA, Meade RH Jr. The absence of conspicuous increments of venous pressure after severe damage to the right ventricle of the dog, with a discussion of the relation between clinical congestive failure and heart disease. Am Heart J. 1943;26:291-301.
6. Obakata M, Reddy YNV, Melenovsky V, et al. Deterioration in right ventricular structure and function over time in patients with heart failure and preserved ejection fraction. Eur Heart J. 2019;40:68-697. DOI:10.1093/eurheartj/ehy809
7. Hassoun PM. Pulmonary arterial hypertension. N Engl J Med. 2021;385:2361-76. DOI:10.1056/NEJMra2000348
8. Corica B, Marra AM, Basili S. Prevalence of right ventricular dysfunction and impact on all-cause death in hospitalized patients with COVID-19. Sci Rep. 2021;11:17774. DOI:10.1038/s41598-021-96955-8
9. Vonk Noordegraaf A, Westerhof BE, Westerhof N. The relationship between the right ventricle and its load in pulmonary hypertension. J Am Col Cardiol. 2017;69:236-43. DOI:10.1016/j.jacc.2016.10.047
10. Rain S, Andersen S, Najafi F. Right ventricular myocardial stiffness in experimental pulmonary arterial hypertension: relative contribution of fibrosis and myofibril stiffness. Circ Heart Fail. 2016;9:e002636. DOI:10.1161/CIRCHEARTFAILURE.115.002636
11. Widya RL, van der Meer RW, Smith JWA. Right ventricular involvement in diabetic cardiomyopathy. Diabetes Care. 2013;36:457-62. DOI:10.2337/dc12-0474
12. Linssen PBC, Veugen MGJ, Henry RMA. Association of diabetes with right ventricular and atrial structure and function. Cardiovascul Diabetol. 2020;19:88.
DOI:10.1186/s12933-020-01055-y
13. Aslam MI, Hahn VS, Jani V, et al. Reduced right ventricular sarcomere contractility in heart failure with preserved ejection fraction and severe obesity. Circulation. 2021;143:965-7. DOI:10.1161/CIRCULATIONAHA.120.052414
14. Hahn RT. Tricuspid regurgitation. N Engl J Med. 2023;388:1876-91. DOI:10.1056/NEJMra2216709
15. Harada T, Obokata M, Omote K. Functional tricuspid regurgitation and right atrial remodeling in heart failure with preserved ejection fraction. Am J Cardiol. 2022;162:129-35. DOI:10.1016/j.amjcard.2021.09.021
16. Ikoma T, Obokata M, Okada K. Impact of right atrial remodeling in heart right failure with preserved ejection fraction. J Card Fail. 2021;83:897-902. DOI:10.1016/j.cardfail.2020.12.016
17. Offen S, Playford D, Strange G, et al. Adverse prognostic impact of even mild or moderate tricuspid regurgitation. Am Soc Echocard. 2022;35:810-7. DOI:10.1016/j.echo.2022.04.003
18. Tung M, Nah G, Marcus G, Delling FN. Valvular diseases burden in modern era of percutaneous and surgical interventions. Open Heart. 2022;9:e002039.
DOI:10.1136/openhrt-2022-002039
19. Mhanna M, Beran A, Al-Abdouh A. AngioVac for vegetation debulking I right sided infective endocarditis. Curr Probl Cardiol. 2022;47:101353. DOI:10.1016/j.cpcardiol.2022.101353
20. Nguyen A, Schaff HV, Abel MD. Improving outcome of valve replacement for carcinoid heart diseases. J Thorac Cardiovasc Surg. 2019;158:99-107. DOI:10.1016/j.jtcvs.2018.09.025
21. Bateson B, Ham PB, Patel V, Shah R. Delayed presentation of traumatic tricuspid valve injury during index hospitalization. Am Surg. 2018;84:e67-9.
22. Muraru D, Addetia K, Guta AC. Right atrium volume is a major determinant of tricuspid annulus area in functional tricuspid regurgitation. Eur Heart J Cardiovasc Imaging. 2021;22:660-9. DOI:10.1093/ehjci/jeaa286
23. Spinner EM, Lerakis S, Higginson J. Correlates of tricuspid regurgitation as determined by 3D echocardiography: pulmonary arterial pressure, ventricle geometry, annular dilatation, and papillary muscle displacement. Circ Cardiovasc Imaging. 2012;5:43-50. DOI:10.1161/CIRCIMAGING.111.965707
24. Itelman E, Vatury O, Kuperstein R. The association of severe tricuspid regurgitation with poor survival is modified by right ventricular pressure and function. AM Soc Echocardiogr. 2022;35:1028-36. DOI:10.1016/j.echo.2022.06.012
25. Hahn RT, Zamorano JL. The need for a new tricuspid regurgitation grading scheme. Eur Heart J Cardiovasc Imaging. 2017;18:1342-4. DOI:10.1093/ehjci/jex139
26. Friedman LS. Congestive hepatopathy. UpToDate. 2023.
27. Kiernan MS, Udelson JE, Sarnak M. Cardiorenal syndrome: definition, prevalence, diagnosis and pathophysiology. UpToDate. 2023.
28. Coresh J, Astor BC, Greene T. Prevalence of chronic kidney disease and decreased kidney function in the adult US population. Am J Kidney Dis. 2003;41:1. DOI:10.1053/ajkd.2003.50007
29. Bock JS, Gotlieb SS. Cardiorenal syndrome: new perspective. Circulation. 2010;121:2592. DOI:10.1161/CIRCULATIONAHA.109.886473
30. Ronco C, Haapio M, House AA. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52:15275. DOI:10.1016/j.jacc.2008.07.051
31. Smith GL, Lichtman JH, Bracken MB. Renal impairment and outcomes in heart failure. J Am Coll Cardiol. 2006;47:1987. DOI:10.1016/j.jacc.2005.11.084
32. Aronson D, Mittleman MA, Burger AJ. Elevated blood nitrogen level as a predictor of mortality in patients admitted for decompensated heart failure. Am J Med. 2004;116:466. DOI:10.1016/j.amjmed.2003.11.014
33. Kataoka H. The “chloride theory”. Med Hypotheses. 2007;1004:170. DOI:10.1016/j.mehy.2017.06.005
34. Luke RG, Galla JH. It is chloride depletion alkalosis, not contraction alkalosis. J AM Soc Nephrol. 2012;23:204-7. DOI:10.1681/ASN.2011070720
35. Dupont M, Mullens W, Finucan M. Determinants of dynamic changes in serum creatinine in acute decompensated heart failure: the importance of blood pressure reduction during treatment. Eur J Heart Fail. 2013;15:433-40. DOI:10.1093/eurjhf/hfs209
2. Плетнев Д.Д. К вопросу о прижизненной дифференциальной диагностики тромбоза правой и левой венечных артерий сердца. Русская клиника. 1925 [Pletnev DD. K voprosu o prizhiznennoi differentsial'noi diagnostiki tromboza pravoi i levoi venechnykh arterii serdtsa. Russkaia klinika. 1925 (in Russian)].
3. Коган Б.Б. Бронхиальная астма. М. 1959 [Kogan BB. Bronkhial'naia astma, Moscow. 1959 (in Russian)].
4. Мухарлямов Н.М. Легочное сердце. М., 1973 [Mukharliamov NM. Legochnoie serdtse. Moscow, 1973 (in Russian)].
5. Starr I, Jeffers WA, Meade RH Jr. The absence of conspicuous increments of venous pressure after severe damage to the right ventricle of the dog, with a discussion of the relation between clinical congestive failure and heart disease. Am Heart J. 1943;26:291-301.
6. Obakata M, Reddy YNV, Melenovsky V, et al. Deterioration in right ventricular structure and function over time in patients with heart failure and preserved ejection fraction. Eur Heart J. 2019;40:68-697. DOI:10.1093/eurheartj/ehy809
7. Hassoun PM. Pulmonary arterial hypertension. N Engl J Med. 2021;385:2361-76. DOI:10.1056/NEJMra2000348
8. Corica B, Marra AM, Basili S. Prevalence of right ventricular dysfunction and impact on all-cause death in hospitalized patients with COVID-19. Sci Rep. 2021;11:17774. DOI:10.1038/s41598-021-96955-8
9. Vonk Noordegraaf A, Westerhof BE, Westerhof N. The relationship between the right ventricle and its load in pulmonary hypertension. J Am Col Cardiol. 2017;69:236-43. DOI:10.1016/j.jacc.2016.10.047
10. Rain S, Andersen S, Najafi F. Right ventricular myocardial stiffness in experimental pulmonary arterial hypertension: relative contribution of fibrosis and myofibril stiffness. Circ Heart Fail. 2016;9:e002636. DOI:10.1161/CIRCHEARTFAILURE.115.002636
11. Widya RL, van der Meer RW, Smith JWA. Right ventricular involvement in diabetic cardiomyopathy. Diabetes Care. 2013;36:457-62. DOI:10.2337/dc12-0474
12. Linssen PBC, Veugen MGJ, Henry RMA. Association of diabetes with right ventricular and atrial structure and function. Cardiovascul Diabetol. 2020;19:88.
DOI:10.1186/s12933-020-01055-y
13. Aslam MI, Hahn VS, Jani V, et al. Reduced right ventricular sarcomere contractility in heart failure with preserved ejection fraction and severe obesity. Circulation. 2021;143:965-7. DOI:10.1161/CIRCULATIONAHA.120.052414
14. Hahn RT. Tricuspid regurgitation. N Engl J Med. 2023;388:1876-91. DOI:10.1056/NEJMra2216709
15. Harada T, Obokata M, Omote K. Functional tricuspid regurgitation and right atrial remodeling in heart failure with preserved ejection fraction. Am J Cardiol. 2022;162:129-35. DOI:10.1016/j.amjcard.2021.09.021
16. Ikoma T, Obokata M, Okada K. Impact of right atrial remodeling in heart right failure with preserved ejection fraction. J Card Fail. 2021;83:897-902. DOI:10.1016/j.cardfail.2020.12.016
17. Offen S, Playford D, Strange G, et al. Adverse prognostic impact of even mild or moderate tricuspid regurgitation. Am Soc Echocard. 2022;35:810-7. DOI:10.1016/j.echo.2022.04.003
18. Tung M, Nah G, Marcus G, Delling FN. Valvular diseases burden in modern era of percutaneous and surgical interventions. Open Heart. 2022;9:e002039.
DOI:10.1136/openhrt-2022-002039
19. Mhanna M, Beran A, Al-Abdouh A. AngioVac for vegetation debulking I right sided infective endocarditis. Curr Probl Cardiol. 2022;47:101353. DOI:10.1016/j.cpcardiol.2022.101353
20. Nguyen A, Schaff HV, Abel MD. Improving outcome of valve replacement for carcinoid heart diseases. J Thorac Cardiovasc Surg. 2019;158:99-107. DOI:10.1016/j.jtcvs.2018.09.025
21. Bateson B, Ham PB, Patel V, Shah R. Delayed presentation of traumatic tricuspid valve injury during index hospitalization. Am Surg. 2018;84:e67-9.
22. Muraru D, Addetia K, Guta AC. Right atrium volume is a major determinant of tricuspid annulus area in functional tricuspid regurgitation. Eur Heart J Cardiovasc Imaging. 2021;22:660-9. DOI:10.1093/ehjci/jeaa286
23. Spinner EM, Lerakis S, Higginson J. Correlates of tricuspid regurgitation as determined by 3D echocardiography: pulmonary arterial pressure, ventricle geometry, annular dilatation, and papillary muscle displacement. Circ Cardiovasc Imaging. 2012;5:43-50. DOI:10.1161/CIRCIMAGING.111.965707
24. Itelman E, Vatury O, Kuperstein R. The association of severe tricuspid regurgitation with poor survival is modified by right ventricular pressure and function. AM Soc Echocardiogr. 2022;35:1028-36. DOI:10.1016/j.echo.2022.06.012
25. Hahn RT, Zamorano JL. The need for a new tricuspid regurgitation grading scheme. Eur Heart J Cardiovasc Imaging. 2017;18:1342-4. DOI:10.1093/ehjci/jex139
26. Friedman LS. Congestive hepatopathy. UpToDate. 2023.
27. Kiernan MS, Udelson JE, Sarnak M. Cardiorenal syndrome: definition, prevalence, diagnosis and pathophysiology. UpToDate. 2023.
28. Coresh J, Astor BC, Greene T. Prevalence of chronic kidney disease and decreased kidney function in the adult US population. Am J Kidney Dis. 2003;41:1. DOI:10.1053/ajkd.2003.50007
29. Bock JS, Gotlieb SS. Cardiorenal syndrome: new perspective. Circulation. 2010;121:2592. DOI:10.1161/CIRCULATIONAHA.109.886473
30. Ronco C, Haapio M, House AA. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52:15275. DOI:10.1016/j.jacc.2008.07.051
31. Smith GL, Lichtman JH, Bracken MB. Renal impairment and outcomes in heart failure. J Am Coll Cardiol. 2006;47:1987. DOI:10.1016/j.jacc.2005.11.084
32. Aronson D, Mittleman MA, Burger AJ. Elevated blood nitrogen level as a predictor of mortality in patients admitted for decompensated heart failure. Am J Med. 2004;116:466. DOI:10.1016/j.amjmed.2003.11.014
33. Kataoka H. The “chloride theory”. Med Hypotheses. 2007;1004:170. DOI:10.1016/j.mehy.2017.06.005
34. Luke RG, Galla JH. It is chloride depletion alkalosis, not contraction alkalosis. J AM Soc Nephrol. 2012;23:204-7. DOI:10.1681/ASN.2011070720
35. Dupont M, Mullens W, Finucan M. Determinants of dynamic changes in serum creatinine in acute decompensated heart failure: the importance of blood pressure reduction during treatment. Eur J Heart Fail. 2013;15:433-40. DOI:10.1093/eurjhf/hfs209
________________________________________________
2. Pletnev DD. K voprosu o prizhiznennoi differentsial'noi diagnostiki tromboza pravoi i levoi venechnykh arterii serdtsa. Russkaia klinika. 1925 (in Russian).
3. Kogan BB. Bronkhial'naia astma, Moscow. 1959 (in Russian).
4. Mukharliamov NM. Legochnoie serdtse. Moscow, 1973 (in Russian).
5. Starr I, Jeffers WA, Meade RH Jr. The absence of conspicuous increments of venous pressure after severe damage to the right ventricle of the dog, with a discussion of the relation between clinical congestive failure and heart disease. Am Heart J. 1943;26:291-301.
6. Obakata M, Reddy YNV, Melenovsky V, et al. Deterioration in right ventricular structure and function over time in patients with heart failure and preserved ejection fraction. Eur Heart J. 2019;40:68-697. DOI:10.1093/eurheartj/ehy809
7. Hassoun PM. Pulmonary arterial hypertension. N Engl J Med. 2021;385:2361-76. DOI:10.1056/NEJMra2000348
8. Corica B, Marra AM, Basili S. Prevalence of right ventricular dysfunction and impact on all-cause death in hospitalized patients with COVID-19. Sci Rep. 2021;11:17774. DOI:10.1038/s41598-021-96955-8
9. Vonk Noordegraaf A, Westerhof BE, Westerhof N. The relationship between the right ventricle and its load in pulmonary hypertension. J Am Col Cardiol. 2017;69:236-43. DOI:10.1016/j.jacc.2016.10.047
10. Rain S, Andersen S, Najafi F. Right ventricular myocardial stiffness in experimental pulmonary arterial hypertension: relative contribution of fibrosis and myofibril stiffness. Circ Heart Fail. 2016;9:e002636. DOI:10.1161/CIRCHEARTFAILURE.115.002636
11. Widya RL, van der Meer RW, Smith JWA. Right ventricular involvement in diabetic cardiomyopathy. Diabetes Care. 2013;36:457-62. DOI:10.2337/dc12-0474
12. Linssen PBC, Veugen MGJ, Henry RMA. Association of diabetes with right ventricular and atrial structure and function. Cardiovascul Diabetol. 2020;19:88.
DOI:10.1186/s12933-020-01055-y
13. Aslam MI, Hahn VS, Jani V, et al. Reduced right ventricular sarcomere contractility in heart failure with preserved ejection fraction and severe obesity. Circulation. 2021;143:965-7. DOI:10.1161/CIRCULATIONAHA.120.052414
14. Hahn RT. Tricuspid regurgitation. N Engl J Med. 2023;388:1876-91. DOI:10.1056/NEJMra2216709
15. Harada T, Obokata M, Omote K. Functional tricuspid regurgitation and right atrial remodeling in heart failure with preserved ejection fraction. Am J Cardiol. 2022;162:129-35. DOI:10.1016/j.amjcard.2021.09.021
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Авторы
А.Г. Чучалин*
ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России, Москва, Россия
*pulmomoskva@mail.ru
Pirogov Russian National Research Medical University, Moscow, Russia
*pulmomoskva@mail.ru
ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России, Москва, Россия
*pulmomoskva@mail.ru
________________________________________________
Pirogov Russian National Research Medical University, Moscow, Russia
*pulmomoskva@mail.ru
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