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Прогностически значимые для одногодичных исходов инфаркта миокарда нижней стенки эхокардиографические показатели правого желудочка
Прогностически значимые для одногодичных исходов инфаркта миокарда нижней стенки эхокардиографические показатели правого желудочка
Акрамова Э.Г., Акрамова З.Н. Прогностически значимые для одногодичных исходов инфаркта миокарда нижней стенки эхокардиографические показатели правого желудочка. Терапевтический архив. 2026;98(1):51–55. DOI: 10.26442/00403660.2026.01.203519
© ООО «КОНСИЛИУМ МЕДИКУМ», 2026 г.
© ООО «КОНСИЛИУМ МЕДИКУМ», 2026 г.
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Аннотация
Цель. Установить прогностически значимые для одногодичных исходов инфаркта миокарда нижней стенки левого желудочка (ИМНСЛЖ) эхокардиографические (ЭхоКГ) признаки вовлеченности правого желудочка (ПЖ).
Материалы и методы. Проведен многомерный математический анализ 184 показателей, в том числе 131 ЭхоКГ, 144 пациентов с ИМНСЛЖ.
Результаты. До чрескожного коронарного вмешательства признаки ИМПЖ по электрокардиографии (ЭКГ) – подъем ST в V3R–V4R-отведениях – присутствовали у 45,8% пациентов. На 5–7-й день ИМ значения ЭхоКГ-показателей между группами с инфарктом ПЖ и без него значимо не различались. Среди пациентов с бивентрикулярным инфарктом в 40,9% случаев визуализировали гипокинез базального нижнего сегмента ПЖ, в 9,1% – дилатацию ПЖ, обширную зону нарушения локальной сократимости и глобальную систолическую дисфункцию обоих желудочков. Прогностической значимостью для неблагоприятного постгоспитального исхода ИМНСЛЖ обладали: стентирование более одной коронарной артерии, снижение глобальной циркулярной деформации и визуализация более 4 сегментов с нарушением локальной сократимости ЛЖ (AUC 81,4%, чувствительность 69%, специфичность 83%). Формирование таких неблагоприятных исходов, как повторный ИМ и необходимость аортокоронарного шунтирования, прогнозируют: гипокинез ПЖ по ЭхоКГ, ЭКГ-признаки инфаркта ПЖ, значения индекса конечно-систолического объема и фракции выброса ЛЖ (AUC 71,9%, чувствительность 62%, специфичность 70%).
Заключение. Среди ЭхоКГ-признаков вовлеченности ПЖ прогностически значимым для одногодичных исходов ИМНСЛЖ определен гипокинез базального нижнего сегмента ПЖ. У 40,9% пациентов с бивентрикулярным (по ЭКГ) ИМНС визуализировали гипокинез базального нижнего сегмента ПЖ, в том числе у 9,5% – обширный инфаркт ПЖ с дилатацией ПЖ.
Ключевые слова: инфаркт миокарда нижней стенки, правый желудочек, прогноз, эхокардиография, нарушение локальной сократимости
Materials and methods. Multivariate mathematical analysis of 184 parameters, including 131 echocardiographic ones, of 144 patients with myocardial infarction of the inferior wall of the left ventricle was performed.
Results. Before percutaneous coronary intervention, signs of right ventricular infarction on ECG (ST elevation in V3R–V4R leads) were present in 45.8% of patients. On the 5th–7th day of myocardial infarction the values of echocardiographic parameters between the groups with and without right ventricular infarction did not differ significantly. Among patients with biventricular infarction in 40.9% of cases hypokinesis of the basal inferior segment of the right ventricle was visualized, in 9.1% – dilatation of the right ventricle, a large zone of local contractility impairment and global systolic dysfunction of both ventricles. The prognostic significance for unfavorable posthospital outcomes of inferior wall myocardial infarction was stenting of more than one coronary artery, decreased global circular deformation and visualization of more than four segments with impaired local contractility of the left ventricle (AUC 81.4%, sensitivity 69%, specificity 83%). Such unfavorable outcomes as recurrent myocardial infarction and necessity of aortocoronary bypass surgery are predicted by: hypokinesis of LV on echocardiography, ECG signs of right ventricular infarction, end-systolic volume index and left ventricular ejection fraction (AUC 71.9%, sensitivity 62%, specificity 70%).
Conclusion. Among echocardiographic signs of right ventricular involvement, hypokinesis of the basal inferior segment of the right ventricle was determined to be prognostically significant for one-year outcomes of inferior wall myocardial infarction of the left ventricle. Hypokinesis of the basal inferior segment of the right ventricle was visualized in 40.9% of patients with biventricular (according to ECG) inferior wall infarction, including 9.5% with extensive right ventricular infarction and right ventricular dilatation.
Keywords: inferior wall myocardial infarction, right ventricle, prognosis, echocardiography, local contractility impairment
Материалы и методы. Проведен многомерный математический анализ 184 показателей, в том числе 131 ЭхоКГ, 144 пациентов с ИМНСЛЖ.
Результаты. До чрескожного коронарного вмешательства признаки ИМПЖ по электрокардиографии (ЭКГ) – подъем ST в V3R–V4R-отведениях – присутствовали у 45,8% пациентов. На 5–7-й день ИМ значения ЭхоКГ-показателей между группами с инфарктом ПЖ и без него значимо не различались. Среди пациентов с бивентрикулярным инфарктом в 40,9% случаев визуализировали гипокинез базального нижнего сегмента ПЖ, в 9,1% – дилатацию ПЖ, обширную зону нарушения локальной сократимости и глобальную систолическую дисфункцию обоих желудочков. Прогностической значимостью для неблагоприятного постгоспитального исхода ИМНСЛЖ обладали: стентирование более одной коронарной артерии, снижение глобальной циркулярной деформации и визуализация более 4 сегментов с нарушением локальной сократимости ЛЖ (AUC 81,4%, чувствительность 69%, специфичность 83%). Формирование таких неблагоприятных исходов, как повторный ИМ и необходимость аортокоронарного шунтирования, прогнозируют: гипокинез ПЖ по ЭхоКГ, ЭКГ-признаки инфаркта ПЖ, значения индекса конечно-систолического объема и фракции выброса ЛЖ (AUC 71,9%, чувствительность 62%, специфичность 70%).
Заключение. Среди ЭхоКГ-признаков вовлеченности ПЖ прогностически значимым для одногодичных исходов ИМНСЛЖ определен гипокинез базального нижнего сегмента ПЖ. У 40,9% пациентов с бивентрикулярным (по ЭКГ) ИМНС визуализировали гипокинез базального нижнего сегмента ПЖ, в том числе у 9,5% – обширный инфаркт ПЖ с дилатацией ПЖ.
Ключевые слова: инфаркт миокарда нижней стенки, правый желудочек, прогноз, эхокардиография, нарушение локальной сократимости
________________________________________________
Materials and methods. Multivariate mathematical analysis of 184 parameters, including 131 echocardiographic ones, of 144 patients with myocardial infarction of the inferior wall of the left ventricle was performed.
Results. Before percutaneous coronary intervention, signs of right ventricular infarction on ECG (ST elevation in V3R–V4R leads) were present in 45.8% of patients. On the 5th–7th day of myocardial infarction the values of echocardiographic parameters between the groups with and without right ventricular infarction did not differ significantly. Among patients with biventricular infarction in 40.9% of cases hypokinesis of the basal inferior segment of the right ventricle was visualized, in 9.1% – dilatation of the right ventricle, a large zone of local contractility impairment and global systolic dysfunction of both ventricles. The prognostic significance for unfavorable posthospital outcomes of inferior wall myocardial infarction was stenting of more than one coronary artery, decreased global circular deformation and visualization of more than four segments with impaired local contractility of the left ventricle (AUC 81.4%, sensitivity 69%, specificity 83%). Such unfavorable outcomes as recurrent myocardial infarction and necessity of aortocoronary bypass surgery are predicted by: hypokinesis of LV on echocardiography, ECG signs of right ventricular infarction, end-systolic volume index and left ventricular ejection fraction (AUC 71.9%, sensitivity 62%, specificity 70%).
Conclusion. Among echocardiographic signs of right ventricular involvement, hypokinesis of the basal inferior segment of the right ventricle was determined to be prognostically significant for one-year outcomes of inferior wall myocardial infarction of the left ventricle. Hypokinesis of the basal inferior segment of the right ventricle was visualized in 40.9% of patients with biventricular (according to ECG) inferior wall infarction, including 9.5% with extensive right ventricular infarction and right ventricular dilatation.
Keywords: inferior wall myocardial infarction, right ventricle, prognosis, echocardiography, local contractility impairment
Полный текст
Список литературы
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20. Guo Q, Wang X, Guo RF, et al. The value of CMR high-risk attributes in predicting ventricular remodeling in ST-segment-elevation myocardial infarction patients with mildly reduced or preserved ejection fraction. Zhonghua Xin Xue Guan Bing Za Zhi. 2022;50(9):864-72 (in Chinese). DOI:10.3760/cma.j.cn112148-20220611-00462
21. Larose E, Ganz P, Reynolds HG, et al. Right ventricular dysfunction assessed by cardiovascular magnetic resonance imaging predicts poor prognosis late after myocardial infarction. J Am Coll Cardiol. 2007;49(8):855-62. DOI:10.1016/j.jacc.2006.10.056
22. Qu L, Duan X, Chen H. The effects of sodium-glucose cotransporter 2 inhibitors on the 'forgotten' right ventricle. ESC Heart Fail. 2025;12(2):1045-58. DOI:10.1002/ehf2.15103
23. Ali H, Sarfraz S, Fawad M, Shafique Z. Frequency of Right Ventricular Infarction in Inferior Wall Myocardial Infarction. Cureus. 2020;12(5):e8238. DOI:10.7759/cureus.8238
24. Kanar BG, Tigen MK, Sunbul M, et al. The impact of right ventricular function assessed by 2-dimensional speckle tracking echocardiography on early mortality in patients with inferior myocardial infarction. Clin Cardiol. 2018;41(3):413-8. DOI:10.1002/clc.22890
25. Jensen CJ, Jochims M, Hunold P, et al. Right ventricular involvement in acute left ventricular myocardial infarction: prognostic implications of MRI findings. AJR Am J Roentgenol. 2010;194(3):592-8. DOI:10.2214/AJR.09.2829
26. Poledniczek M, Kammerlander A, Jansen C, et al. Right ventricular strain and tricuspid annular plane systolic excursion are associated with mortality in inferior ST-elevation myocardial infarction. Eur J Clin Invest. 2025;55(6):e70014. DOI:10.1111/eci.70014
27. Fauvel C, Dillinger JG, Bouleti C, et al.; ADDICT-ICCU Investigators. Tricuspid annular plane systolic excursion over systolic pulmonary artery pressure prognostic value for in-hospital adverse events in patients hospitalized for acute coronary syndrome. Eur Heart J Cardiovasc Imaging. 2024;25(9):1244-54. DOI:10.1093/ehjci/jeae110
2. Khan MA, Sammar K, Naz R, et al. Complete heart block in patients presenting with acute anterior wall myocardial infarction. J Ayub Med Coll Abbottabad. 2024;36(2):310-5. DOI:10.55519/JAMC-02-13024
3. Daoulah A, Seraj S, Elmahrouk A, et al. Right ventricular dysfunction as a mortality determinant for patients with cardiogenic shock induced by acute myocardial infarction. Shock. 2025;63(6):885-92. DOI:10.1097/SHK.0000000000002583
4. 2020 Clinical practice guidelines for Acute ST-segment elevation myocardial infarction. Russ J Cardiol. 2020;25(11):251-310 (in Russian). DOI:10.15829/1560-4071-2020-4103
5. Zhao Y, Cui J, Zhang X, et al. Right ventricular function and determining factors of dysfunction in ST-segment-elevation myocardial infarction: a cross-sectional study with cardiac magnetic resonance imaging (MRI). Quant Imaging Med Surg. 2024;14(9):6895-907. DOI:10.21037/qims-23-1804
6. Gorgis S, Gupta K, Lemor A, et al. Impact of Right Ventricular Dysfunction on Outcomes in Acute Myocardial Infarction and Cardiogenic Shock: Insights from the National Cardiogenic Shock Initiative. J Card Fail. 2024;30(10):1275-84. DOI:10.1016/j.cardfail.2024.07.015
7. Watanabe K, Fukui A, Aono T, et al. Successful catheter ablation for sustained ventricular tachycardia in right ventricular infarction after surgery for giant right coronary artery aneurysm: a case report. Eur Heart J Case Rep. 2025;9(3):ytaf097. DOI:10.1093/ehjcr/ytaf097
8. Al-Mashari S, Al-Habsi R, Al-Habsi A, et al. Assessment of ECG Criteria for the Diagnosis of Right Ventricular Involvement. Oman Med J. 2024;39(4):e648. DOI:10.5001/omj.2024.85
9. Orlov VN, Orlov MV. Guide to electrocardiography. 11th ed. Moscow: OOO "Medical Information Agency", 2023 (in Russian).
10. Real C, Perez-Garcia CN, Galan-Arriola C, et al. Right ventricular dysfunction: pathophysiology, experimental models, evaluation, and treatment. Rev Esp Cardiol (Engl Ed). 2024;77(11):957-70. DOI:10.1016/j.rec.2024.05.018
11. Chuchalin AG. Pulmonary heart: A review. Terapevticheskii Arkhiv (Ter. Arkh.). 2023;95(12):1031-8 (in Russian). DOI:10.26442/00403660.2023.12.202497
12. Shrivastav R, Malik A, Hajra A, et al. Impact of right ventricular failure on the outcomes of acute inferior wall myocardial infarction. Future Cardiol. 2024;20(10):563-9. DOI:10.1080/14796678.2024.2378628
13. Boczar KE, Sarwar S, Hakimjavadi R, et al. Multimodality Imaging to Understand Mechanisms of Right Ventricular Disease. Can J Cardiol. 2025:S0828-282X(25)00243-0. DOI:10.1016/j.cjca.2025.03.033
14. Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010;23(7):685-713. DOI:10.1016/j.echo.2010.05.010
15. Mukherjee M, Rudski LG, Addetia K, et al. Guidelines for the Echocardiographic Assessment of the Right Heart in Adults and Special Considerations in Pulmonary Hypertension: Recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr. 2025;38(3):141-86. DOI:10.1016/j.echo.2025.01.006
16. Radwan HI, Alhoseeny AMA, Ghoniem SM, et al. Early right ventricular dysfunction after primary percutaneous coronary intervention in anterior versus isolated inferior myocardial infarction assessed by tissue Doppler imaging and speckle tracking echocardiography. Heart Fail Rev. 2023;28(2):407-17. DOI:10.1007/s10741-022-10278-y
17. Rybakova MK, Alekhine MN, Mitkov VV. Practical guide to ultrasound diagnostics. Echocardiography. Moscow: Vidar, 2008 (in Russian).
18. Matskeplishvili ST, Saidova MA, Mironenko MYu, et al. Standard transthoracic echocardiography. Guidelines 2024. Russ J Cardiol. 2025;30(2):6271 (in Russian). DOI:10.15829/1560-4071-2025-6271
19. Тimofeeva TM, Kobalava ZhD, Safarova AF, Cabello Montoya FE. Prognostic value of periprocedural dynamics of left ventricular ejection fraction and subclinical pulmonary congestion in patients with myocardial infarction. Terapevticheskii Arkhiv (Ter. Arkh.). 2023;95(4):296-301 (in Russian). DOI:10.26442/00403660.2023.04.202159
20. Guo Q, Wang X, Guo RF, et al. The value of CMR high-risk attributes in predicting ventricular remodeling in ST-segment-elevation myocardial infarction patients with mildly reduced or preserved ejection fraction. Zhonghua Xin Xue Guan Bing Za Zhi. 2022;50(9):864-72 (in Chinese). DOI:10.3760/cma.j.cn112148-20220611-00462
21. Larose E, Ganz P, Reynolds HG, et al. Right ventricular dysfunction assessed by cardiovascular magnetic resonance imaging predicts poor prognosis late after myocardial infarction. J Am Coll Cardiol. 2007;49(8):855-62. DOI:10.1016/j.jacc.2006.10.056
22. Qu L, Duan X, Chen H. The effects of sodium-glucose cotransporter 2 inhibitors on the 'forgotten' right ventricle. ESC Heart Fail. 2025;12(2):1045-58. DOI:10.1002/ehf2.15103
23. Ali H, Sarfraz S, Fawad M, Shafique Z. Frequency of Right Ventricular Infarction in Inferior Wall Myocardial Infarction. Cureus. 2020;12(5):e8238. DOI:10.7759/cureus.8238
24. Kanar BG, Tigen MK, Sunbul M, et al. The impact of right ventricular function assessed by 2-dimensional speckle tracking echocardiography on early mortality in patients with inferior myocardial infarction. Clin Cardiol. 2018;41(3):413-8. DOI:10.1002/clc.22890
25. Jensen CJ, Jochims M, Hunold P, et al. Right ventricular involvement in acute left ventricular myocardial infarction: prognostic implications of MRI findings. AJR Am J Roentgenol. 2010;194(3):592-8. DOI:10.2214/AJR.09.2829
26. Poledniczek M, Kammerlander A, Jansen C, et al. Right ventricular strain and tricuspid annular plane systolic excursion are associated with mortality in inferior ST-elevation myocardial infarction. Eur J Clin Invest. 2025;55(6):e70014. DOI:10.1111/eci.70014
27. Fauvel C, Dillinger JG, Bouleti C, et al.; ADDICT-ICCU Investigators. Tricuspid annular plane systolic excursion over systolic pulmonary artery pressure prognostic value for in-hospital adverse events in patients hospitalized for acute coronary syndrome. Eur Heart J Cardiovasc Imaging. 2024;25(9):1244-54. DOI:10.1093/ehjci/jeae110
2. Khan MA, Sammar K, Naz R, et al. Complete heart block in patients presenting with acute anterior wall myocardial infarction. J Ayub Med Coll Abbottabad. 2024;36(2):310-5. DOI:10.55519/JAMC-02-13024
3. Daoulah A, Seraj S, Elmahrouk A, et al. Right ventricular dysfunction as a mortality determinant for patients with cardiogenic shock induced by acute myocardial infarction. Shock. 2025;63(6):885-92. DOI:10.1097/SHK.0000000000002583
4. Острый инфаркт миокарда с подъемом сегмента ST электрокардиограммы. Клинические рекомендации 2020. Российское кардиологическое общество, Ассоциация сердечно-сосудистых хирургов России. Российский кардиологический журнал. 2020;25(11):251-310 [2020 Clinical practice guidelines for Acute ST-segment elevation myocardial infarction. Russ J Cardiol. 2020;25(11):251-310 (in Russian)]. DOI:10.15829/1560-4071-2020-4103
5. Zhao Y, Cui J, Zhang X, et al. Right ventricular function and determining factors of dysfunction in ST-segment-elevation myocardial infarction: a cross-sectional study with cardiac magnetic resonance imaging (MRI). Quant Imaging Med Surg. 2024;14(9):6895-907. DOI:10.21037/qims-23-1804
6. Gorgis S, Gupta K, Lemor A, et al. Impact of Right Ventricular Dysfunction on Outcomes in Acute Myocardial Infarction and Cardiogenic Shock: Insights from the National Cardiogenic Shock Initiative. J Card Fail. 2024;30(10):1275-84. DOI:10.1016/j.cardfail.2024.07.015
7. Watanabe K, Fukui A, Aono T, et al. Successful catheter ablation for sustained ventricular tachycardia in right ventricular infarction after surgery for giant right coronary artery aneurysm: a case report. Eur Heart J Case Rep. 2025;9(3):ytaf097. DOI:10.1093/ehjcr/ytaf097
8. Al-Mashari S, Al-Habsi R, Al-Habsi A, et al. Assessment of ECG Criteria for the Diagnosis of Right Ventricular Involvement. Oman Med J. 2024;39(4):e648. DOI:10.5001/omj.2024.85
9. Орлов В.Н., Орлов М.В. Руководство по электрокардиографии. 11-е изд. М.: ООО «Медицинское информационное агентство», 2023 [Orlov VN, Orlov MV. Guide to electrocardiography. 11th ed. Moscow: OOO "Medical Information Agency", 2023 (in Russian)].
10. Real C, Perez-Garcia CN, Galan-Arriola C, et al. Right ventricular dysfunction: pathophysiology, experimental models, evaluation, and treatment. Rev Esp Cardiol (Engl Ed). 2024;77(11):957-70. DOI:10.1016/j.rec.2024.05.018
11. Чучалин А.Г. Легочное сердце. Терапевтический архив. 2023;95(12):1031-8 [Chuchalin AG. Pulmonary heart: A review. Terapevticheskii Arkhiv (Ter. Arkh.). 2023;95(12):1031-8 (in Russian)]. DOI:10.26442/00403660.2023.12.202497
12. Shrivastav R, Malik A, Hajra A, et al. Impact of right ventricular failure on the outcomes of acute inferior wall myocardial infarction. Future Cardiol. 2024;20(10):563-9. DOI:10.1080/14796678.2024.2378628
13. Boczar KE, Sarwar S, Hakimjavadi R, et al. Multimodality Imaging to Understand Mechanisms of Right Ventricular Disease. Can J Cardiol. 2025:S0828-282X(25)00243-0. DOI:10.1016/j.cjca.2025.03.033
14. Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010;23(7):685-713. DOI:10.1016/j.echo.2010.05.010
15. Mukherjee M, Rudski LG, Addetia K, et al. Guidelines for the Echocardiographic Assessment of the Right Heart in Adults and Special Considerations in Pulmonary Hypertension: Recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr. 2025;38(3):141-86. DOI:10.1016/j.echo.2025.01.006
16. Radwan HI, Alhoseeny AMA, Ghoniem SM, et al. Early right ventricular dysfunction after primary percutaneous coronary intervention in anterior versus isolated inferior myocardial infarction assessed by tissue Doppler imaging and speckle tracking echocardiography. Heart Fail Rev. 2023;28(2):407-17. DOI:10.1007/s10741-022-10278-y
17. Рыбакова М.К., Алехин М.Н., Митьков В.В. Практическое руководство по ультразвуковой диагностике. Эхокардиография. М.: Видар, 2008 [Rybakova MK, Alekhine MN, Mitkov VV. Practical guide to ultrasound diagnostics. Echocardiography. Moscow: Vidar, 2008 (in Russian)].
18. Мацкеплишвили С.Т., Саидова М.А., Мироненко М.Ю., и др. Выполнение стандартной трансторакальной эхокардиографии. Методические рекомендации 2024. Российский кардиологический журнал. 2025;30(2):6271 [Matskeplishvili ST, Saidova MA, Mironenko MYu, et al. Standard transthoracic echocardiography. Guidelines 2024. Russ J Cardiol. 2025;30(2):6271 (in Russian)]. DOI:10.15829/1560-4071-2025-6271
19. Тимофеева Т.М., Кобалава Ж.Д., Сафарова А.Ф., Кабельо Монтойа Ф.Э. Прогностическое значение перипроцедурной динамики фракции выброса левого желудочка и субклинического легочного застоя у пациентов с инфарктом миокарда. Терапевтический архив. 2023;95(4):296-301 [Тimofeeva TM, Kobalava ZhD, Safarova AF, Cabello Montoya FE. Prognostic value of periprocedural dynamics of left ventricular ejection fraction and subclinical pulmonary congestion in patients with myocardial infarction. Terapevticheskii Arkhiv (Ter. Arkh.). 2023;95(4):296-301 (in Russian)]. DOI:10.26442/00403660.2023.04.202159
20. Guo Q, Wang X, Guo RF, et al. The value of CMR high-risk attributes in predicting ventricular remodeling in ST-segment-elevation myocardial infarction patients with mildly reduced or preserved ejection fraction. Zhonghua Xin Xue Guan Bing Za Zhi. 2022;50(9):864-72 (in Chinese). DOI:10.3760/cma.j.cn112148-20220611-00462
21. Larose E, Ganz P, Reynolds HG, et al. Right ventricular dysfunction assessed by cardiovascular magnetic resonance imaging predicts poor prognosis late after myocardial infarction. J Am Coll Cardiol. 2007;49(8):855-62. DOI:10.1016/j.jacc.2006.10.056
22. Qu L, Duan X, Chen H. The effects of sodium-glucose cotransporter 2 inhibitors on the 'forgotten' right ventricle. ESC Heart Fail. 2025;12(2):1045-58. DOI:10.1002/ehf2.15103
23. Ali H, Sarfraz S, Fawad M, Shafique Z. Frequency of Right Ventricular Infarction in Inferior Wall Myocardial Infarction. Cureus. 2020;12(5):e8238. DOI:10.7759/cureus.8238
24. Kanar BG, Tigen MK, Sunbul M, et al. The impact of right ventricular function assessed by 2-dimensional speckle tracking echocardiography on early mortality in patients with inferior myocardial infarction. Clin Cardiol. 2018;41(3):413-8. DOI:10.1002/clc.22890
25. Jensen CJ, Jochims M, Hunold P, et al. Right ventricular involvement in acute left ventricular myocardial infarction: prognostic implications of MRI findings. AJR Am J Roentgenol. 2010;194(3):592-8. DOI:10.2214/AJR.09.2829
26. Poledniczek M, Kammerlander A, Jansen C, et al. Right ventricular strain and tricuspid annular plane systolic excursion are associated with mortality in inferior ST-elevation myocardial infarction. Eur J Clin Invest. 2025;55(6):e70014. DOI:10.1111/eci.70014
27. Fauvel C, Dillinger JG, Bouleti C, et al.; ADDICT-ICCU Investigators. Tricuspid annular plane systolic excursion over systolic pulmonary artery pressure prognostic value for in-hospital adverse events in patients hospitalized for acute coronary syndrome. Eur Heart J Cardiovasc Imaging. 2024;25(9):1244-54. DOI:10.1093/ehjci/jeae110
________________________________________________
2. Khan MA, Sammar K, Naz R, et al. Complete heart block in patients presenting with acute anterior wall myocardial infarction. J Ayub Med Coll Abbottabad. 2024;36(2):310-5. DOI:10.55519/JAMC-02-13024
3. Daoulah A, Seraj S, Elmahrouk A, et al. Right ventricular dysfunction as a mortality determinant for patients with cardiogenic shock induced by acute myocardial infarction. Shock. 2025;63(6):885-92. DOI:10.1097/SHK.0000000000002583
4. 2020 Clinical practice guidelines for Acute ST-segment elevation myocardial infarction. Russ J Cardiol. 2020;25(11):251-310 (in Russian). DOI:10.15829/1560-4071-2020-4103
5. Zhao Y, Cui J, Zhang X, et al. Right ventricular function and determining factors of dysfunction in ST-segment-elevation myocardial infarction: a cross-sectional study with cardiac magnetic resonance imaging (MRI). Quant Imaging Med Surg. 2024;14(9):6895-907. DOI:10.21037/qims-23-1804
6. Gorgis S, Gupta K, Lemor A, et al. Impact of Right Ventricular Dysfunction on Outcomes in Acute Myocardial Infarction and Cardiogenic Shock: Insights from the National Cardiogenic Shock Initiative. J Card Fail. 2024;30(10):1275-84. DOI:10.1016/j.cardfail.2024.07.015
7. Watanabe K, Fukui A, Aono T, et al. Successful catheter ablation for sustained ventricular tachycardia in right ventricular infarction after surgery for giant right coronary artery aneurysm: a case report. Eur Heart J Case Rep. 2025;9(3):ytaf097. DOI:10.1093/ehjcr/ytaf097
8. Al-Mashari S, Al-Habsi R, Al-Habsi A, et al. Assessment of ECG Criteria for the Diagnosis of Right Ventricular Involvement. Oman Med J. 2024;39(4):e648. DOI:10.5001/omj.2024.85
9. Orlov VN, Orlov MV. Guide to electrocardiography. 11th ed. Moscow: OOO "Medical Information Agency", 2023 (in Russian).
10. Real C, Perez-Garcia CN, Galan-Arriola C, et al. Right ventricular dysfunction: pathophysiology, experimental models, evaluation, and treatment. Rev Esp Cardiol (Engl Ed). 2024;77(11):957-70. DOI:10.1016/j.rec.2024.05.018
11. Chuchalin AG. Pulmonary heart: A review. Terapevticheskii Arkhiv (Ter. Arkh.). 2023;95(12):1031-8 (in Russian). DOI:10.26442/00403660.2023.12.202497
12. Shrivastav R, Malik A, Hajra A, et al. Impact of right ventricular failure on the outcomes of acute inferior wall myocardial infarction. Future Cardiol. 2024;20(10):563-9. DOI:10.1080/14796678.2024.2378628
13. Boczar KE, Sarwar S, Hakimjavadi R, et al. Multimodality Imaging to Understand Mechanisms of Right Ventricular Disease. Can J Cardiol. 2025:S0828-282X(25)00243-0. DOI:10.1016/j.cjca.2025.03.033
14. Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010;23(7):685-713. DOI:10.1016/j.echo.2010.05.010
15. Mukherjee M, Rudski LG, Addetia K, et al. Guidelines for the Echocardiographic Assessment of the Right Heart in Adults and Special Considerations in Pulmonary Hypertension: Recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr. 2025;38(3):141-86. DOI:10.1016/j.echo.2025.01.006
16. Radwan HI, Alhoseeny AMA, Ghoniem SM, et al. Early right ventricular dysfunction after primary percutaneous coronary intervention in anterior versus isolated inferior myocardial infarction assessed by tissue Doppler imaging and speckle tracking echocardiography. Heart Fail Rev. 2023;28(2):407-17. DOI:10.1007/s10741-022-10278-y
17. Rybakova MK, Alekhine MN, Mitkov VV. Practical guide to ultrasound diagnostics. Echocardiography. Moscow: Vidar, 2008 (in Russian).
18. Matskeplishvili ST, Saidova MA, Mironenko MYu, et al. Standard transthoracic echocardiography. Guidelines 2024. Russ J Cardiol. 2025;30(2):6271 (in Russian). DOI:10.15829/1560-4071-2025-6271
19. Тimofeeva TM, Kobalava ZhD, Safarova AF, Cabello Montoya FE. Prognostic value of periprocedural dynamics of left ventricular ejection fraction and subclinical pulmonary congestion in patients with myocardial infarction. Terapevticheskii Arkhiv (Ter. Arkh.). 2023;95(4):296-301 (in Russian). DOI:10.26442/00403660.2023.04.202159
20. Guo Q, Wang X, Guo RF, et al. The value of CMR high-risk attributes in predicting ventricular remodeling in ST-segment-elevation myocardial infarction patients with mildly reduced or preserved ejection fraction. Zhonghua Xin Xue Guan Bing Za Zhi. 2022;50(9):864-72 (in Chinese). DOI:10.3760/cma.j.cn112148-20220611-00462
21. Larose E, Ganz P, Reynolds HG, et al. Right ventricular dysfunction assessed by cardiovascular magnetic resonance imaging predicts poor prognosis late after myocardial infarction. J Am Coll Cardiol. 2007;49(8):855-62. DOI:10.1016/j.jacc.2006.10.056
22. Qu L, Duan X, Chen H. The effects of sodium-glucose cotransporter 2 inhibitors on the 'forgotten' right ventricle. ESC Heart Fail. 2025;12(2):1045-58. DOI:10.1002/ehf2.15103
23. Ali H, Sarfraz S, Fawad M, Shafique Z. Frequency of Right Ventricular Infarction in Inferior Wall Myocardial Infarction. Cureus. 2020;12(5):e8238. DOI:10.7759/cureus.8238
24. Kanar BG, Tigen MK, Sunbul M, et al. The impact of right ventricular function assessed by 2-dimensional speckle tracking echocardiography on early mortality in patients with inferior myocardial infarction. Clin Cardiol. 2018;41(3):413-8. DOI:10.1002/clc.22890
25. Jensen CJ, Jochims M, Hunold P, et al. Right ventricular involvement in acute left ventricular myocardial infarction: prognostic implications of MRI findings. AJR Am J Roentgenol. 2010;194(3):592-8. DOI:10.2214/AJR.09.2829
26. Poledniczek M, Kammerlander A, Jansen C, et al. Right ventricular strain and tricuspid annular plane systolic excursion are associated with mortality in inferior ST-elevation myocardial infarction. Eur J Clin Invest. 2025;55(6):e70014. DOI:10.1111/eci.70014
27. Fauvel C, Dillinger JG, Bouleti C, et al.; ADDICT-ICCU Investigators. Tricuspid annular plane systolic excursion over systolic pulmonary artery pressure prognostic value for in-hospital adverse events in patients hospitalized for acute coronary syndrome. Eur Heart J Cardiovasc Imaging. 2024;25(9):1244-54. DOI:10.1093/ehjci/jeae110
Авторы
Э.Г. Акрамова*, З.Н. Акрамова
ФГАОУ ВО «Казанский (Приволжский) федеральный университет» Минобрнауки России, Казань, Россия
*akendge@rambler.ru
Kazan (Volga Region) Federal University, Kazan, Russia
*akendge@rambler.ru
ФГАОУ ВО «Казанский (Приволжский) федеральный университет» Минобрнауки России, Казань, Россия
*akendge@rambler.ru
________________________________________________
Kazan (Volga Region) Federal University, Kazan, Russia
*akendge@rambler.ru
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