Focus ultrasound for cardiology practice. Russian consensus document

Mareev, Yu V; Джиоева, О. Н.; Zorya, O. T.; Pisaryuk, A. S.; Verbilo, S L; Skaletsky, K V; Ионин, В. А.; Драпкина, О. М.; Alekhin, M N; Saidova, M. A.; Сафарова, А. Ф.; Гарганеева, А. А.; Boshchenko, Alla A.; Овчинников, А Г; Chernov, M.Yu.; Агеев, Ф Т; Vasyuk, Yu. A.; Кобалава, Ж. Д.; Nosikov, A. V.; Сафонов, Д. В.; Khudorozhkova, E. D.; Belenkov, Yu. N.; Mitkov, V. V.; Mitkova, M. D.; Мацкеплишвили, С.Т.; Mareev, V Yu

doi:10.18087/cardio.2021.11.n1812

Cited by 7 publications

(1 citation statement)

References 95 publications

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“…(одышка) [2]. В последнее время широкое применение находит ультразвуковой метод диагностики гиперволемии малого круга кровообращения по визуализации феномена В-линий [10]. Однако данный метод требует применения дорогостоящей ультразвуковой аппаратуры и достаточной компетенции специалиста, который проводит исследование, что затрудняет широкое внедрение данного метода в клиническую практику, в частности на амбулаторном приеме.…”

Section:  материалы и методыunclassified

Methodology for Measuring Chest Impedance with Stress Testing and Prospects for Its Use in Patients with Chronic Heart Failure

Кужелева,

Доржиева,

Фатеев

et al. 2024

Кардиология В Беларуси

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Цель. Разработка методики измерения импеданса грудной клетки с помощью прибора «Измеритель иммитанса МНИПИ Е7-20» (Беларусь) и анализ возможности применения результатов измерений для диагностики гиперволемии малого круга кровообращения у пациентов с хронической сердечной недостаточностью (ХСН). Материалы и методы. Проведено исследование с включением 26 пациентов с III функциональным классом ХСН. Группу сравнения составили 25 здоровых добровольцев. Результаты. Исследуемая и контрольная группы различались по гендерно-возрастным, антропометрическим параметрам, а также показателям активного и реактивного сопротивления с поверхности грудной клетки. При этом в группе здоровых добровольцев индекс массы тела и пол испытуемых существенно влияли на значения анализируемых показателей импеданса. В исследовании был осуществлен анализ динамики показателей импеданса при проведении нагрузочной пробы с пассивным подъемом ног. Согласно полученным результатам на фоне нагрузки показатели активного и реактивного сопротивления грудной клетки уменьшались в значительно большей степени в группе пациентов с ХСН, что регистрировалось преимущественно на низких частотах: на частоте 10 кГц р=0,016 и р=0,035, для активного и реактивного сопротивления соответственно. Выводы. Показатели импеданса, измеренные с поверхности грудной клетки, имеют выраженную зависимость от возраста, индекса массы тела и пола испытуемых. Нагрузочная проба (горизонтальное положение с поднятым до 45° ножным концом кровати) удовлетворительно переносится пациентами с ХСН, клинически приводит к усилению одышки. Динамика реактивного и активного сопротивления при проведении нагрузочной пробы более выражена в группе пациентов с ХСН. Purpose. Development of a technique for measuring the chest impedance using the device "Immitance meter MNIPI E7-20" and analysis of the possibility of using the measurement results for the diagnosis of hypervolemia of the pulmonary circulation. Materials and methods. A study with the inclusion of 26 patients with New York Heart Association (NYHA) class III heart failure (CHF) was conducted. The comparison group consisted of 25 healthy volunteers. Results. The study and control groups differed in gender, age, anthropometric parameters, as well as indices of active and reactive resistance from the surface of the chest. At the same time, in the group of healthy volunteers, the body mass index and gender of the subjects significantly influenced the values of the analyzed impedance indicators. The study analyzed the dynamics of impedance indicators in a group of patients with chronic heart failure (CHF) and healthy volunteers. According to the results obtained, the indicators of active and reactive resistance decreased to a significantly greater extent in the group of patients with CHF, which was recorded mainly at low frequencies: at a frequency of 10 kHz p=0.016 and p=0.035, for active and reactive resistance, respectively. Conclusions. The impedance values measured on the chest surface have a pronounced dependence on the age, body mass index and gender of the subjects. The load test (horizontal position with the foot end of the bed raised to 45°), is well tolerated by patients with CHF, leads to increased shortness of breath. The dynamics of reactive and active resistance during the exercise test is more pronounced in the group of patients with CHF.

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Section:  материалы и методыunclassified

Methodology for Measuring Chest Impedance with Stress Testing and Prospects for Its Use in Patients with Chronic Heart Failure

Кужелева,

Доржиева,

Фатеев

et al. 2024

Кардиология В Беларуси

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Experience in the use of focused lung ultrasound in the intensive care practice

Korsunsky¹,

Utina²,

Джиоева

et al. 2023

Cardiovasc Ther Prev

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Surgical interventions, accompanied by a subclavian vein cannulation, are associated with the risk of pneumothorax. Timely detection of this condition reduces the risk of secondary complications. An effective and promising method for the early detection of pneumothorax is lung ultrasound.Aim. To evaluate the routine bedside use of focused lung ultrasound in the early postoperative period in patients after surgical interventions accompanied by subclavian vein cannulation.Material and methods. This retrospective analysis of 304 case records of patients after surgical interventions accompanied by subclavian vein cannulation was carried out. Patients underwent lung auscultation, lung ultrasound according to the Bedside Lung Ultrasound in Emergency (BLUE) protocol 1 and 6 hours after surgery, or unscheduled with a saturation decrease <90%, the appearance of shortness of breath and/or chest pain. When pneumothorax signs were detected, patients underwent an emergency chest x-ray, and an elective x-ray was performed 1 day after the intervention.Results. 304 case records were analyzed, lung ultrasound was performed in 187 (61,5%) men and 117 (38,5%) women. In 8 (2,63%) patients, 1 hour after surgery, an A-profile without lung sliding was detected. In 3 (0,99%) patients, auscultatory breathing weakening was noted, complaints of discomfort and pain during inspiration were noted by 5 (1,64%) patients. In all 8 patients, the diagnosis was confirmed by x-ray. In 5 (1,64%) patients, a mild pneumothorax was detected, which did not require drainage, while 3 patients underwent pleural drainage.Conclusion. Focused lung ultrasound using the BLUE protocol significantly improves the safety profile of patients after subclavian vein puncture, providing high levels of sensitivity and specificity in detecting pneumothorax.

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Ultrasound-assisted examination in internal medicine practice

Drapkina¹,

Джиоева²,

Балахонова³

et al. 2023

Cardiovasc Ther Prev

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The guidelines have been developed for internists, general practitioners, emergency physicians, and paramedics. The guidelines are based on expert consensus papers, accumulated clinical and scientific experience. The methodology for organizing and conducting ultrasound-assisted examinations is described in detail. Algorithms for diagnosing the main syndromes in internal medicine practice are presented to help the practitioner. Particular attention is paid to the methodology of ultrasoundassisted examinations. These guidelines will be of interest to doctors, heads of medical facilities, as well as students of medical universities.

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Focus ultrasound for cardiology practice. Russian consensus document

Cited by 7 publications

References 95 publications

Methodology for Measuring Chest Impedance with Stress Testing and Prospects for Its Use in Patients with Chronic Heart Failure

Methodology for Measuring Chest Impedance with Stress Testing and Prospects for Its Use in Patients with Chronic Heart Failure

Experience in the use of focused lung ultrasound in the intensive care practice

Ultrasound-assisted examination in internal medicine practice

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