Left ventricle diastolic function in the patients after coronary arteries bypass graft combined with left ventricle aneurismectomy according to tissue doppler imaging: one year follow-up Maryna N Dolzhenko, S A Rudenko, S V Potashev, T V Simagina, N N Nosenko, T G Kravchenko Aim: To evaluate left ventricle (LV) diastolic function dynamics in patients after acute myocardial infarction (AMI) after combined operation of coronary artery bypass graft with LV aneurismectomy (CABG + AE) according to the results of tissue Doppler imaging (TDI). Methods: Forty patients after AMI underwent Doppler echocardiography (EchoCG) with TDI and M-mode colour-flow imaging before and in 3 and 12 months after CABG + AE. Mitral annulus (MA) TDI with velocity indices was performed in 4 segments of LV. Results: Conventional transmitral diastolic Doppler indices before and after CABG + AE remained unchanged. TDI showed significant improvement of LV systolic (systolic movement velocity S: 6.1¡0.8, 7.4¡1.2 and 6.9¡1.3 cm/sec. before and in 3 and 12 months after the operation, respectively, p,0.01) and diastolic function after the operation (MA early diastolic movement velocity ( e'): 7.3 ¡ 2.1, 8.4 ¡ 1.5 and 8.9 ¡ 1.8 cm/s.; ratio of transmitral early-flow velocity (E) to MA early-diastolic movement velocity (E/ e'): 18.4 ¡ 2.2, 12.3 ¡ 1.8 and 11.5 ¡ 2.3; ratio of E diastolic flow propagation velocity (Vp) 3.1 ¡ 0.45, 2.2 ¡ 0.38 and 1.8 ¡ 0.16 before and in 3 and 12 months after the operation, respectively, p,0.01). Conclusions:Results of the study demonstrate significant improvement of LV diastolic function in the patient after CABG + AE according to TDI, regardless of transmitral flow pattern. TDI is more sensitive and preload independent method of LV myocardial function evaluation.

Fast technology development over the past decade as well as changes in practical echocardiography (EchoCG) lead to have given rise to a need in the update of previous guidelines for cardiac chambers quantification, which was the aim of this publication by working group of the Association of Cardiovascular Surgeons of Ukraine and Ukrainian Society of Cardiology. This paper provides up-to-date evidence-based data regarding reference ranges for all cardiac chambers, including available data regarding 3D-echocardiography and myocardial deformation (strain), based on the wide range of studies of healthy individuals found in many databases in healthy individuals. In addition, this document contains an attempt to adjust several minor controversies from previous guidelines. This document is based on “Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging” (2015) adapted according to the local peculiarities and printed abridged. Full content of “Cardiac Chamber Quantifica-tion by Echocardiography in Adults: Recommendations from the Association of Cardiovascular Surgeons of Ukraine and Ukrainian Society of Cardiology” is available online at the official Website https://amosovinstitute.org.ua of the National Amosov Institute of Cardiovascular Surgery of the NAMS of Ukraine. This paper contains key recommendations, reference ranges and quantification methods in pictures and tables.

Зважаючи на негайну необхідність стандартизації візуалізації деформації міо-карда (стрейну) в 2010 році Європейська асоціація з ехокардіографії (ЕхоКГ) (нині – Євро-пейська асоціація серцево-судинної візуалізації, EACVI) та Американське товариство з ЕхоКГ (ASE) вперше запросили технічних представників усіх зацікавлених постачальників для участі в загальному проекті з метою концентрації зусиль на зниженні варіабельності вимірювань стрейнів за даними різних виробників програмного забезпечення. Результатом цієї роботи став сумісний ініціативний документ EACVI, ASE та виробників програмного забезпечення, опублікований у 2015 році [1], що забезпечував відповідні загальноприйняті визначення, назви, абревіатури, формули вимірювань і процедури розрахунків фізичних даних, що отри-муються за результатами спекл-трекінг ЕхоКГ (СТЕ), та на сьогодні вже став загальним міжна-родним стандартом. Цей документ є адаптацією сучасного досвіду з СТЕ робочої групи з СТЕ Асоціації серцево-судинних хірургів України та Українського товариства кардіологів з ураху-ванням місцевого досвіду.

Research objective: to determine the risk factors for the spread of coronavirus infection among women of fertile age.Materials and methods. Authors analyzed the medical records (case histories and questionnaires) of 60 women of fertile age who were treated for coronavirus disease. After analysis of medical and social factors women were divided into age groups. Analysis of risk factors for coronavirus disease was determined by calculating the odds ratio according to Wald at p < 0.05.Results. Evaluation of the odds ratio of the COVID-19 chances depending on the nature of work of women of different ages showed that with intense work the risk of disease increases 2.5 times in the age group up to 30 years, which also confirms the analysis of previous indicators, that younger women with moderate workloads have more opportunities to attend mass events and crowds. In the structure of extragenital diseases in women with coronavirus disease, the chances of disease increased 2.6 times in those women who had a history of chronic tonsillitis. Among the history of infectious diseases, the chance ratio of coronavirus disease was increased in women over 30 years of age who had pertussis. Such data may indicate a similar mechanism of development of these diseases, because the causative agent of pertussis also penetrates the upper respiratory tract and may be accompanied by neurological symptoms – the appearance of seizures and bronchospasm.Conclusions. The data obtained in this way allow us to separate a narrower cohort of women of fertile age who may develop coronavirus disease. This will further allow developing proposals for a more efficient distribution of vaccines among the female population of Ukraine and reduce the prevalence of coronavirus infection.

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