zdorПроблемы здоровья и экологииHealth and Ecology Issues2220-09672708-6011Gomel State Medical University10.51523/2708-6011.2022-19-2-02zdor-2272Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESПричины, предрасполагающие факторы и клинические последствия спонтанного эхокардиографического контрастированияCauses, predisposing factors and clinical implications of spontaneous echocardiographic contrasthttps://orcid.org/0000-0002-6356-1177БакалецН. Ф.BakaletsN. F.

Бакалец Наталья Федоровна, к.м.н., доцент, заведующий кафедрой поликлинической терапии и общеврачебной практики

г. Гомель

Natalia F. Bakalets, PhD (Med), Associate Professor, Head of the Department of Polyclinic Therapy and General Medical Practice

Gomel

natalya.bakalets@gmail.comhttps://orcid.org/0000-0002-6259-9384ПаремскаяЕ. С.ParemskayaA. S.

Паремская Елена Сергеевна, заведующий отделением ультразвуковой диагностики, ГУЗ «Гомельская центральная городская клиническая поликлиника»; главный внештатный городской специалист по ультразвуковой диагностике

г. Гомель

Alena S. Paremskaya, Head of the Department of Ultrasound Diagnostics, Gomel Central City Clinical Polyclinic, chief freelance city specialist in ultrasound diagnostics

Gomel

paremsraya.y@mail.ruhttps://orcid.org/0000-0002-0553-6977ЮрковскийД. С.YurkovskiyD. S.

Юрковский Дмитрий Сергеевич, врач ультразвуковой диагностики, ГУЗ «Гомельская центральная городская клиническая поликлиника»; ассистент кафедры лучевой диагностики с курсом ФПКиП,

г. Гомель

Dmitrie S. Yurkovskiy, diagnostic medical sonographer, Gomel Central City Clinical Polyclinic, Assistant Lecturer at the Department of Radiation Diagnostics with the course of the Faculty of Advanced Training and Retraining

Gomel

dimon-yrk@yandex.ruГомельский государственный медицинский университетGomel State Medical UniversityГомельская центральная городская клиническая поликлиникаGomel Central City Clinical PolyclinicГомельский государственный медицинский университет; Гомельская центральная городская клиническая поликлиникаGomel State Medical University; Gomel Central City Clinical Polyclinic20223006202219212–24Copyright © Бакалец Н.Ф., Паремская Е.С., Юрковский Д.С., 20222022Бакалец Н.Ф., Паремская Е.С., Юрковский Д.С.Bakalets N.F., Paremskaya A.S., Yurkovskiy D.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.gsmu.by/jour/article/view/2272

Спонтанное эхокардиографическое контрастирование является проявлением сладж-синдрома в полостях сердца. Факторами, предрасполагающими к появлению этого феномена, считаются фибрилляция предсердий, митральный стеноз, протез митрального клапана, дилатация левого предсердия, снижение фракции выброса левого желудочка, гиперкоагуляционные состояния крови, воспалительные заболевания, дислипидемия. Спонтанное эхоконтрастирование представляет собой протромбогенное состояние и увеличивает риск тромбэмболических событий, в том числе цереброваскулярных осложнений. В настоящей статье представлен аналитический обзор литературных источников по данному феномену с целью его изучения и определения лечебной тактики в каждом клиническом случае.

Spontaneous echocardiographic contrast is a manifestation of SLUDGE syndrome in the cavities of the heart. The factors that contribute to the emergence of this phenomenon are atrial fibrillation, mitral stenosis, mitral valve prosthesis, left atrial dilatation, decreased left ventricular ejection fraction, hypercoagulable blood conditions, inflammatory diseases, dyslipidemia. Spontaneous echo contrast is a prothrombogenic condition and increases the risk of thromboembolic events, including cerebrovascular complications. This article presents an analytical review of literary sources on this phenomenon for the purpose of its study and determination of treatment tactics in each clinical case.

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