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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">kpccz</journal-id><journal-title-group><journal-title xml:lang="ru">Комплексные проблемы сердечно-сосудистых заболеваний</journal-title><trans-title-group xml:lang="en"><trans-title>Complex Issues of Cardiovascular Diseases</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2306-1278</issn><issn pub-type="epub">2587-9537</issn><publisher><publisher-name>Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17802/2306-1278-2014-3-124-133</article-id><article-id custom-type="elpub" pub-id-type="custom">kpccz-72</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>МАТЕРИАЛЫ МЕЖРЕГИОНАЛЬНОЙ ШКОЛЫ-СЕМИНАРА «ТОМОГРАФИЯ В КОНТРОЛЕ ЭФФЕКТИВНОСТИ, ВЫЯВЛЕНИИ ОСЛОЖНЕНИЙ И ПОБОЧНЫХ ЭФФЕКТОВ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>МАТЕРИАЛЫ МЕЖРЕГИОНАЛЬНОЙ ШКОЛЫ-СЕМИНАРА «ТОМОГРАФИЯ В КОНТРОЛЕ ЭФФЕКТИВНОСТИ, ВЫЯВЛЕНИИ ОСЛОЖНЕНИЙ И ПОБОЧНЫХ ЭФФЕКТОВ</subject></subj-group></article-categories><title-group><article-title>ОЦЕНКА ЖИЗНЕСПОСОБНОСТИ ПОВРЕЖДЕННОГО МИОКАРДА У КАРДИОХИРУРГИЧЕСКИХ БОЛЬНЫХ: СРАВНЕНИЕ ВОЗМОЖНОСТЕЙ МАГНИТНО-РЕЗОНАНСНОЙ И ЭМИССИОННОЙ ТОМОГРАФИИ</article-title><trans-title-group xml:lang="en"><trans-title>DETECTION OF MYOCARDIAL VIABILITY IN ISСHAEMIC DAMAGE IN CARDIAC SURGERY: COMPARISON OF POSSIBILITIES OF MAGNETIC RESONANCE AND EMISSION TOMOGRAPHY</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Уcов</surname><given-names>В. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Usov</surname><given-names>W. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук</p><p>заведующий отделением рентгеновских и томографических методов, профессор</p><p>Адрес для переписки:Усов В. Ю., 634012, Томск, ул. Киевская, 111А. Тел. 8 (3822) 55-43-74</p></bio><bio xml:lang="en"><p>Dr. Med. Sci.</p><p>head of department of roentgen and tomographic diagnostic methods, professor</p><p>Correspondence address:V. Yu. Usov, 111A, Kievskaya St., Tomsk, 634012. Tel. +7 (3822) 55-43-74</p></bio><email xlink:type="simple">mritomsk@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Архангельский</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Arkhangelsky</surname><given-names>V. A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Федоренко</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedorenko</surname><given-names>E. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Федеральное государственное бюджетное учреждение «Научно-исследовательский институт кардиологии» Сибирского отделения Российской академии медицинских наук, Томск<country>Россия</country></aff><aff xml:lang="en">Federal State Budgetary Institution «Research Institute for Сardiology» of Siberian Branch under the Russian Academy of Medical Sciences, Tomsk<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Закрытое акционерное общество «Научно-производственная фирма «АЗ», Москва<country>Россия</country></aff><aff xml:lang="en">Research and production company “AZ”, Moscow<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>02</day><month>07</month><year>2015</year></pub-date><volume>0</volume><issue>3</issue><fpage>124</fpage><lpage>133</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Уcов В.Ю., Архангельский В.А., Федоренко Е.В., 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="ru">Уcов В.Ю., Архангельский В.А., Федоренко Е.В.</copyright-holder><copyright-holder xml:lang="en">Usov W.Y., Arkhangelsky V.A., Fedorenko E.V.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.nii-kpssz.com/jour/article/view/72">https://www.nii-kpssz.com/jour/article/view/72</self-uri><abstract><p>Представлен обзор современных методов эмиссионной (однофотонной эмиссионной компьютерной томографии – ОФЭКТ и позитронной эмиссионной томографии – ПЭТ) и магнитно-резонансной томографии (МРТ) в отношении возможностей оценки тяжести повреждения миокарда и прогнозирования эффективности реваскуляризирующих вмешательств при коронарном атеросклерозе. Обсуждается термин «жизнеспособность миокарда». Показано, что сохранность гематомиокардиального барьера определяет функциональную сохранность миокарда, а ее оценка с помощью контрастированной МРТ миокарда – наиболее точный и в то же время доступный метод диагностики и прогноза как у пациентов с постинфарктным кардиосклерозом, так и при стенокардии без перенесенного инфаркта миокарда. Предположено, что комбинация МР-коронарографии и контрастированной МРТ миокарда позволит за одно исследование полностью получать весь комплекс данных, необходимых для планирования эндоваскулярного и хирургического лечения. Методы ОФЭКТ и ПЭТ сохранят значение для патофизиологических исследований коронарной ишемии в клинике и эксперименте, качественной оценки кинетики лекарственных препаратов.</p></abstract><trans-abstract xml:lang="en"><p>The article comprises a review of modern methods of magnetic resonance imaging (MRI) and emission tomography (single-photon emission and positron emission computed tomography – SPECT and PET) as tools for diagnosis and prognosis of myocardial ischemic damage, in particular in coronary revascularization. The definition of term «myocardial viability» is discussed. It has been shown that the integrity of blood-tissue barrier between myocardium and microcirculatory vessels is the most sensitive marker of tissue viability and of functional integrity of myocardium. It’s evaluation by means of contrast-enhanced MRI of myocardium is the most available and most precise technique of diagnosis and prognosis both in patients with post-infarction myocardial scarring and in patients with coronary disease without myocardial infarction. It is proposed that in the nearest future the combination of MR-coronarography and contrast-enhanced MRI of myocardium will deliver a possibility to obtain the full set of data necessary for planning of endovascular and surgical treatment of various forms of coronary heart disease. PET and SPECT techniques currently are of some essential interest for pathophysiologic studies of coronary ischemia in clinical and experimental studies as well as for qualitative visual studies of pharmacokinetics.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>жизнеспособность миокарда</kwd><kwd>ишемия</kwd><kwd>МРТ с контрастным усилением</kwd><kwd>ОЭКТ</kwd><kwd>ПЭТ</kwd></kwd-group><kwd-group xml:lang="en"><kwd>myocardial viability</kwd><kwd>ischemia</kwd><kwd>contrast-enhanced MRI</kwd><kwd>SPECT</kwd><kwd>PET</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Колесов В. И . Хирургическое лечение коронарной болезни сердца. Л.: Медицина, 1966. 312 с.</mixed-citation><mixed-citation xml:lang="en">Колесов В. И . Хирургическое лечение коронарной болезни сердца. 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