systhiperСистемные гипертензииSystemic Hypertension2075-082X2542-2189LLC «ИнтерМедсервис»systhiper-501Research ArticleРЕКОМЕНДАЦИИGUIDELINESРекомендации по применению эхокардиографии при артериальной гипертензии у взрослых: отчет Европейской ассоциации по сердечно-сосудистой визуализации (EACVI) и Американского эхокардиографического общества (ASE). Под редакцией доктора медицинских наук, профессора А.Б.Хадзеговой, члена-корреспондента РАН С.Т.Мацкеплишвили. Перевод с английского: кандидат медицинских наук П.В.КрикуноваRecommendations on the use of echocardiography in adult hypertension: a report from the European Association of Cardiovascular Imaging (EACVI) and the American Society of Echocardiography (ASE)MarwickT. H.MarwickT. H.noemail@neicon.ruGillebertT. C.GillebertT. C.noemail@neicon.ruAurigemmaG. ..AurigemmaG. ..noemail@neicon.ruChirinosJ. ..ChirinosJ. ..noemail@neicon.ruDerumeauxG. ..DerumeauxG. ..noemail@neicon.ruGalderisiM. ..GalderisiM. ..noemail@neicon.ruGottdienerJ. ..GottdienerJ. ..noemail@neicon.ruHaluskaB. ..HaluskaB. ..noemail@neicon.ruOfiliE. ..OfiliE. ..noemail@neicon.ruSegersP. ..SegersP. ..noemail@neicon.ruSeniorR. ..SeniorR. ..noemail@neicon.ruTappR. J.TappR. J.noemail@neicon.ruZamoranoJ. L.ZamoranoJ. L.noemail@neicon.ruХадзеговаА. Б.KhadzegovaA. B.noemail@neicon.ruМацкеплишвилиС. Т.MatskeplishviliS. T.noemail@neicon.ruКрикуновП. В.KrikunovP. V.noemail@neicon.ruФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава РоссииРоссияN.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian FederationRussian FederationФГБОУ ВО «Московский государственный университет им. М.В.Ломоносова»РоссияM.V.Lomonosov Moscow State UniversityRussian FederationФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И.Евдокимова» Минздрава РоссииРоссияA.I.Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian FederationRussian Federation201723122022142628Copyright © Marwick T.H., Gillebert T.C., Aurigemma G..., Chirinos J..., Derumeaux G..., Galderisi M..., Gottdiener J..., Haluska B..., Ofili E..., Segers P..., Senior R..., Tapp R.J., Zamorano J.L., Хадзегова А.Б., Мацкеплишвили С.Т., Крикунов П.В., 20222022Marwick T.H., Gillebert T.C., Aurigemma G..., Chirinos J..., Derumeaux G..., Galderisi M..., Gottdiener J..., Haluska B..., Ofili E..., Segers P..., Senior R..., Tapp R.J., Zamorano J.L., Хадзегова А.Б., Мацкеплишвили С.Т., Крикунов П.В.Marwick T.H., Gillebert T.C., Aurigemma G..., Chirinos J..., Derumeaux G..., Galderisi M..., Gottdiener J..., Haluska B..., Ofili E..., Segers P..., Senior R..., Tapp R.J., Zamorano J.L., Khadzegova A.B., Matskeplishvili S.T., Krikunov P.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.syst-hypertension.ru/jour/article/view/501

Артериальная гипертензия (АГ) продолжает вносить весомый вклад в распространенность сердечно-сосудистых заболеваний. Сохраняются недостатки измерения артериального давления (АД), связанные как с физиологическими аспектами, так и его способностью быстро меняться. Поскольку левый желудочек (ЛЖ) остается одним из главных органов-мишеней при АГ и эхокардиографическая оценка его структуры и функции имеет прогностическую ценность, разработка согласованного мнения по применению эхокардиографии (ЭхоКГ) при этом заболевании очень важна. Последние достижения в оценке гипертрофии ЛЖ (ГЛЖ), а также его систолической и диастолической функции стали поводом для подготовки данного документа. Основная направленность этого документа касается сердечно-сосудистых проявлений АГ, не касаясь диагностики вторичных гипертензий. В разделах рассматривается патофизиология ответа сердечно-сосудистой системы на АГ, оценка массы, геометрии и функции ЛЖ, а также влияние лечения на эти показатели. Настоящая редакция рекомендаций опубликована в European Heart Journal - Cardiovascular Imaging 2015; 16: 577-605. Перевод с английского языка и публикация произведены с согласия Европейской эхокардиографической ассоциации и Американского эхокардиографического общества. Опубликовано от имени Европейского общества кардиологов. Эта статья также была напечатана в журнале Американского общества эхокардиографии. Все права защищены.

Hypertension remains a major contributor to the global burden of disease. The measurement of blood pressure continues to have pitfalls related to both physiological aspects and acute variation. As the left ventricle (LV) remains one of the main target organs of hypertension, and echocardiographic measures of structure and function carry prognostic information in this setting, the development of a consensus position on the use of echocardiography in this setting is important. Recent developments in the assessment of LV hypertrophy and LV systolic and diastolic function have prompted the preparation of this document. The focus of this work is on the cardiovascular responses to hypertension rather than the diagnosis of secondary hypertension. Sections address the pathophysiology of the cardiac and vascular responses to hypertension, measurement of LV mass, geometry, and function, as well as effects of treatment.

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