prmedПервичная медико-санитарная помощьPrimary Health Care (Russian Federation)3034-41233034-4565LTD "Silicea-Poligraf"10.15829/3034-4123-2025-79UQGNNIprmed-79Research ArticleОКАЗАНИЕ МЕДИЦИНСКОЙ ПОМОЩИ РАЗЛИЧНЫМ ГРУППАМ НАСЕЛЕНИЯPROVIDING MEDICAL CARE TO VARIOUS GROUPS OF THE POPULATIONУльтразвук-ассистированная диагностика декомпенсации сердечной недостаточности в практике врача-терапевта. Методические рекомендацииUltrasound-assisted diagnosis of decompensated heart failure in general practice. Guidelinehttps://orcid.org/0000-0002-5384-3795ДжиоеваО. Н.DzhioevaO. N.

Джиоева Ольга Николаевна — д.м.н., доцент, в.н.с. отдела фундаментальных и прикладных аспектов ожирения, директор Института профессионального образования, руководитель лаборатории кардиовизуализации, вегетативной регуляции и сомнологии.

Петроверигский пер., 10, стр. 3, Москва, 101990

Olga N. Dzhioeva.

Petroverigsky Lane, 10, bld. 3, Moscow, 101990

dzhioevaon@gmail.comhttps://orcid.org/0000-0001-8993-7892РогожкинаЕ. А.RogozhkinaE. A.

Рогожкина Елизавета Александровна — к.м.н., м.н.с. лаборатории кардиовизуализации, вегетативной регуляции и сомнологии отдела фундаментальных и прикладных аспектов ожирения.

Петроверигский пер., 10, стр. 3, Москва, 101990

Elizaveta A. Rogozhkina.

Petroverigsky Lane, 10, bld. 3, Moscow, 101990

lizarogozkina@gmail.comhttps://orcid.org/0000-0002-2812-959XИвановаА. А.IvanovaA. A.

Иванова Анна Александровна — к.м.н., м.н.с. отдела фундаментальных и прикладных аспектов ожирения.

Петроверигский пер., 10, стр. 3, Москва, 101990

Anna A. Ivanova.

Petroverigsky Lane, 10, bld. 3, Moscow, 101990

annaivanova12121@yandex.ruhttps://orcid.org/0000-0001-5321-676XВеденикинТ. Ю.VedenikinT. Yu.

Веденикин Тимофей Юрьевич — врач анестезиолог-­реаниматолог отделения анестезиологии-­реанимации №3 для лечения больных кардиологического профиля.

ул. Лобненская, д. 10. Москва, 127411

Timofey Yu. Vedenikin.

Lobnenskaya str., bld. 10, Moscow, 127411

vedenikin@yandex.ruhttps://orcid.org/0000-0002-4453-8430ДрапкинаО. М.DrapkinaO. M.

Драпкина Оксана Михайловна — д.м.н., профессор, академик РАН, директор.

Петроверигский пер., 10, стр. 3, Москва, 101990

Oxana M. Drapkina.

Petroverigsky Lane, 10, bld. 3, Moscow, 101990

drapkina@bk.ruФГБУ "Национальный медицинский исследовательский центр терапии и профилактической медицины" Минздрава РоссииРоссияNational Medical Research Center for Therapy and Preventive MedicineRussian FederationГБУЗ города Москвы Городская клиническая больница им. В.В. Вересаева Департамента здравоохранения города МосквыРоссияVeresaev City Clinical HospitalRussian Federation20252301202624112137Copyright © Джиоева О.Н., Рогожкина Е.А., Иванова А.А., Веденикин Т.Ю., Драпкина О.М., 20262026Джиоева О.Н., Рогожкина Е.А., Иванова А.А., Веденикин Т.Ю., Драпкина О.М.Dzhioeva O.N., Rogozhkina E.A., Ivanova A.A., Vedenikin T.Y., Drapkina O.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://prmed.elpub.ru/jour/article/view/79

В методических рекомендациях изложены современные подходы к диагностике острой декомпенсации сердечной недостаточности с применением ультразвуковых методов исследования. Ключевое внимание уделено аспектам проведения ультразвук-­ассистированных осмотров на амбулаторном этапе с целью оценки выраженности застойных явлений и динамического наблюдения пациентов с сердечной недостаточностью врачами первичного звена. Подробное описание методики, алгоритмизация проведения ультразвук-­ассистированной диагностики острой декомпенсации сердечной недостаточности и обширное научное обоснование эффективности изложенных в пособии методов делают пособие актуальным, практикоориентированным и полезным для специалистов здравоохранения.

Учебно-­методическое пособие может быть использовано врачами-­терапевтами первичного звена, кардиологами, врачами общей практики, а также специалистами других областей, которые в клинической практике сталкиваются с ведением пациентов с острой декомпенсацией сердечной недостаточности.

This guideline describes modern approaches to diagnosing acute decompensated heart failure using ultrasound imaging. Key attention is given to ultrasound use in outpatient settings to assess the congestion severity and monitoring of patients with heart failure by primary care physicians. A detailed description of the methodology, algorithms for performing ultrasound-assisted diagnosis of acute decompensated heart failure, and extensive evidence-based rationale make it relevant, practice-oriented, and useful for healthcare professionals.

This teaching aid can be used by primary care physicians, cardiologists, general practitioners, and other specialists involved in the clinical management of patients with acute decompensated heart failure.

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