<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<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">evrazkar</journal-id><journal-title-group><journal-title xml:lang="ru">Евразийский Кардиологический Журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Eurasian heart journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2225-1685</issn><issn pub-type="epub">2305-0748</issn><publisher><publisher-name>Евразийская ассоциация кардиологов</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.38109/2225-1685-2012-2-6-15</article-id><article-id custom-type="elpub" pub-id-type="custom">evrazkar-5448</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>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL PAPERS</subject></subj-group></article-categories><title-group><article-title>ДИАГНОСТИКА И ЛЕЧЕНИЕ ОТЕКА ЛЕГКИХ</article-title><trans-title-group xml:lang="en"><trans-title>DYAGNOSIS AND TREATMENT OF CARDIAC PULMONARY OEDEMA</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>Терещенко</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Tereschenko</surname><given-names>S. N.</given-names></name></name-alternatives><email xlink:type="simple">stereschenko@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>Жиров</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhirov</surname><given-names>I. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Наконечников</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Nakonechnikov</surname><given-names>S. N.</given-names></name></name-alternatives><email xlink:type="simple">snn_cardio@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>НИИ кардиологии им А. Л. Мясникова ФБГУ РКНПК Минздрава РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian cardiology research and clinical complex, Ministry of health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2012</year></pub-date><pub-date pub-type="epub"><day>30</day><month>06</month><year>2012</year></pub-date><volume>0</volume><issue>2</issue><fpage>6</fpage><lpage>15</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Терещенко С.Н., Жиров И.В., Наконечников С.Н., 2012</copyright-statement><copyright-year>2012</copyright-year><copyright-holder xml:lang="ru">Терещенко С.Н., Жиров И.В., Наконечников С.Н.</copyright-holder><copyright-holder xml:lang="en">Tereschenko S.N., Zhirov I.V., Nakonechnikov S.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" 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.heartj.asia/jour/article/view/5448">https://www.heartj.asia/jour/article/view/5448</self-uri><abstract><p>Представлены современные сведения о патогенезе, диагностике и лечебных стратегиях у пациентов с кардиогенным отеком легких. В табличной форме изложен дифференциальный диагноз, приведены алгоритмы медикаментозной и респираторной поддержки.</p></abstract><trans-abstract xml:lang="en"><p>In this review are outlined key points of pathogenesis, differential diagnosis and treatment strategy in cardiac pulmonary oedema. Are included table data of medical and respiratory assistance?</p></trans-abstract><kwd-group xml:lang="ru"><kwd>кардиогенный отек легких</kwd><kwd>инотропные средства</kwd><kwd>вазодилататоры</kwd><kwd>неинвазивная вентиляция легких</kwd><kwd>pulmonary oedema</kwd><kwd>inotropic drugs</kwd><kwd>vasodilators</kwd><kwd>non-invasive ventilation</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">Swedberg К., Nieminen M.S., Cleland J., et all. Guidelines for the diagnosis and treatment of chronic heart failure: executive summary (update 2005). The task force for the diagnosis and treatment of chronic heart failure of the European Society of Cardiology. Eur Heart J 26: 1115-1140</mixed-citation><mixed-citation xml:lang="en">Swedberg К., Nieminen M.S., Cleland J., et all. Guidelines for the diagnosis and treatment of chronic heart failure: executive summary (update 2005). The task force for the diagnosis and treatment of chronic heart failure of the European Society of Cardiology. Eur Heart J 26: 1115-1140</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Mariell Jessup, M.D., and Susan Brozena, M.D. Heart Failure NEJM 2003, N 20, Volume 348: 2007-2018.</mixed-citation><mixed-citation xml:lang="en">Mariell Jessup, M.D., and Susan Brozena, M.D. Heart Failure NEJM 2003, N 20, Volume 348: 2007-2018.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Alla F., Zannad F., Filippatos G. Epidemiology of acute heart failure syndromes at Heart Fail Rev. 2007 Jun; 12(2): 91-5.</mixed-citation><mixed-citation xml:lang="en">Alla F., Zannad F., Filippatos G. Epidemiology of acute heart failure syndromes at Heart Fail Rev. 2007 Jun; 12(2): 91-5.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Konstam M.A. Progress in heart failure management? Lessons from the real world. Circulation 2000; 102: 1076-1078.</mixed-citation><mixed-citation xml:lang="en">Konstam M.A. Progress in heart failure management? Lessons from the real world. Circulation 2000; 102: 1076-1078.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Cleland J.G., Swedberg K., Follath F. et al. The EuroHeart Failure survey programme-a survey on the quality of care among patients with heart failure in Europe. Part 1: Patient characteristics and diagnosis. Eur Heart J 2003; 24: 442-463.;</mixed-citation><mixed-citation xml:lang="en">Cleland J.G., Swedberg K., Follath F. et al. The EuroHeart Failure survey programme-a survey on the quality of care among patients with heart failure in Europe. Part 1: Patient characteristics and diagnosis. Eur Heart J 2003; 24: 442-463.;</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Fox K.F., Cowie M.R., Wood D.A. et al. Coronary artery disease as the cause of incident heart failure in the population. Eur Heart J 2001; 22: 228-236.;</mixed-citation><mixed-citation xml:lang="en">Fox K.F., Cowie M.R., Wood D.A. et al. Coronary artery disease as the cause of incident heart failure in the population. Eur Heart J 2001; 22: 228-236.;</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">ATKhadra A.S., Salem D.N., Rand W.M. et al. Warfarin anticoagulation and survival: a cohort analysis from the studies of left ventricular dysfunction. J Am Coll Cardiol 1998; 31: 749-753</mixed-citation><mixed-citation xml:lang="en">ATKhadra A.S., Salem D.N., Rand W.M. et al. Warfarin anticoagulation and survival: a cohort analysis from the studies of left ventricular dysfunction. J Am Coll Cardiol 1998; 31: 749-753</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Mosesso V. N., Dunford J., Blackwel T., Griswell J. K. Prehospital therapy for acute congestive heart failure: state of the art. Prehospital Emergency Care January 2003; 7: 13-23</mixed-citation><mixed-citation xml:lang="en">Mosesso V. N., Dunford J., Blackwel T., Griswell J. K. Prehospital therapy for acute congestive heart failure: state of the art. Prehospital Emergency Care January 2003; 7: 13-23</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Nieminen M.S., D. Brutsaert, K. Dickstein at all. EuroHeart Failure Survey II): a survey on hospitalized acute heart failure patients: description of population European Heart Journal Vol. 27, N 22 Pp. 2725-2736 2006</mixed-citation><mixed-citation xml:lang="en">Nieminen M.S., D. Brutsaert, K. Dickstein at all. EuroHeart Failure Survey II): a survey on hospitalized acute heart failure patients: description of population European Heart Journal Vol. 27, N 22 Pp. 2725-2736 2006</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Cotter G., Kaluski E., Moshkovitz Y., Milovanov O., Krakover R., Vered Z. Pulmonary edema: new insight on pathogenesis and treatment. Curr Opin Cardiol. 2001; 16: 159-63.</mixed-citation><mixed-citation xml:lang="en">Cotter G., Kaluski E., Moshkovitz Y., Milovanov O., Krakover R., Vered Z. Pulmonary edema: new insight on pathogenesis and treatment. Curr Opin Cardiol. 2001; 16: 159-63.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Mitchell J.E., Palta S. New diagnostic modalities in the diagnosis of heart failure. // J Natl Med Assoc. - 2004 Nov. -№ 6(11). - p. 1424-30.</mixed-citation><mixed-citation xml:lang="en">Mitchell J.E., Palta S. New diagnostic modalities in the diagnosis of heart failure. // J Natl Med Assoc. - 2004 Nov. -№ 6(11). - p. 1424-30.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Berger R., Huelsman M., Strecker K., et al. В-type natriuretic peptide predicts sudden death in patients with chronic heart failure. // Circulation. -2002. - № 105. - p.2392-2397</mixed-citation><mixed-citation xml:lang="en">Berger R., Huelsman M., Strecker K., et al. В-type natriuretic peptide predicts sudden death in patients with chronic heart failure. // Circulation. -2002. - № 105. - p.2392-2397</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Torbjorn Omlandt Heart failure in the emergency department*: Is В-type natriuretic peptide a better prognostic indicator than clinical assessment?. // Journal of the American College of Cardiology. - September 2004. - Volume 44. - Issue 6, 15. - p. 1334-1336</mixed-citation><mixed-citation xml:lang="en">Torbjorn Omlandt Heart failure in the emergency department*: Is В-type natriuretic peptide a better prognostic indicator than clinical assessment?. // Journal of the American College of Cardiology. - September 2004. - Volume 44. - Issue 6, 15. - p. 1334-1336</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Muders F., Kromer E.P., Griese D.P., et al. Evaluation of plasma natriuretic peptides as markers for left ventricular dysfunction. // Am Heart J. - 1997. - № 134. - p. 442-449.</mixed-citation><mixed-citation xml:lang="en">Muders F., Kromer E.P., Griese D.P., et al. Evaluation of plasma natriuretic peptides as markers for left ventricular dysfunction. // Am Heart J. - 1997. - № 134. - p. 442-449.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Maeda K., Takayoshi T., Wada A., et al. Plasma brain natriuretic peptide as a biochemical marker of high left ventricular end-diastolic pressure in patients with symptomatic left ventricular dysfunction. // Am Heart J. - 1998. - № 135. - p. 825-832.</mixed-citation><mixed-citation xml:lang="en">Maeda K., Takayoshi T., Wada A., et al. Plasma brain natriuretic peptide as a biochemical marker of high left ventricular end-diastolic pressure in patients with symptomatic left ventricular dysfunction. // Am Heart J. - 1998. - № 135. - p. 825-832.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Aberle D.R., Wiener-Kronish J.P., Webb W.R., Matthay M.A. Hydrostatic versus increased permeability pulmonary edema: diagnosis based on radiographic criteria in critically ill patients. Radiology 1988; 168: 73-9.</mixed-citation><mixed-citation xml:lang="en">Aberle D.R., Wiener-Kronish J.P., Webb W.R., Matthay M.A. Hydrostatic versus increased permeability pulmonary edema: diagnosis based on radiographic criteria in critically ill patients. Radiology 1988; 168: 73-9.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Duane P.G., Colice G.L. Impact of noninvasive studies to distinguish volume overload from ARDS in acutely ill patients with pulmonary edema: analysis of the medical literature from 1966 to 1998. Chest 2000; 118: 1709-17.</mixed-citation><mixed-citation xml:lang="en">Duane P.G., Colice G.L. Impact of noninvasive studies to distinguish volume overload from ARDS in acutely ill patients with pulmonary edema: analysis of the medical literature from 1966 to 1998. Chest 2000; 118: 1709-17.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Lorraine B. Ware, M.D., and Michael A. Matthay, M.D. Acute Pulmonary Edema NEJM 2005 N 26Volume 353: 2788-2796</mixed-citation><mixed-citation xml:lang="en">Lorraine B. Ware, M.D., and Michael A. Matthay, M.D. Acute Pulmonary Edema NEJM 2005 N 26Volume 353: 2788-2796</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Swan H.J., Ganz W., Forrester J., Marcus H., Diamond G., Chonette D. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med 1970; 283: 447-51.</mixed-citation><mixed-citation xml:lang="en">Swan H.J., Ganz W., Forrester J., Marcus H., Diamond G., Chonette D. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med 1970; 283: 447-51.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Masip J., Betbese A.J., Paez J. et al. Non-invasive pressure support ventilation versus conventional oxygen therapy in acute cardiogenic pulmonary oedema: a randomised trial. Lancet 2000; 356: 2126-2132.</mixed-citation><mixed-citation xml:lang="en">Masip J., Betbese A.J., Paez J. et al. Non-invasive pressure support ventilation versus conventional oxygen therapy in acute cardiogenic pulmonary oedema: a randomised trial. Lancet 2000; 356: 2126-2132.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Sharon A., Shpirer I., Kaluski E. et al. High-dose intravenous isosorbide-dinitrate is safer and better than Bi-PAPventilation combined with conventional treatment for severe pulmonary edema. J. Am Coll Cardiol 2000; 36: 832-837.</mixed-citation><mixed-citation xml:lang="en">Sharon A., Shpirer I., Kaluski E. et al. High-dose intravenous isosorbide-dinitrate is safer and better than Bi-PAPventilation combined with conventional treatment for severe pulmonary edema. J. Am Coll Cardiol 2000; 36: 832-837.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Brater D.C. Resistance to loop diuretics. Why it happens and what to do about it. Drugs 1985; 30: 427-443</mixed-citation><mixed-citation xml:lang="en">Brater D.C. Resistance to loop diuretics. Why it happens and what to do about it. Drugs 1985; 30: 427-443</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Kramer W.G., Smith W.B., Ferguson J. et al. Pharmacodynamics of torsemide administered as an intravenous injection and as a continuous infusion to patients with congestive heart failure. J. Clin Pharmacol 1996; 36: 265-270.</mixed-citation><mixed-citation xml:lang="en">Kramer W.G., Smith W.B., Ferguson J. et al. Pharmacodynamics of torsemide administered as an intravenous injection and as a continuous infusion to patients with congestive heart failure. J. Clin Pharmacol 1996; 36: 265-270.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Channer K.S., McLean K.A., Lawson-Matthew P. et al. Combination diuretic treatment in severe heart failure: a randomised controlled trial. Br Heart J. 1994; 71: 146-150.</mixed-citation><mixed-citation xml:lang="en">Channer K.S., McLean K.A., Lawson-Matthew P. et al. Combination diuretic treatment in severe heart failure: a randomised controlled trial. Br Heart J. 1994; 71: 146-150.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Cotter G., Metzkor E., Kaluski E. et al. Randomised trial of high-dose isosorbide dinitrate plus low-dose furosemide versus high-dose furosemide plus low-dose isosorbide dinitrate in severe pulmonary oedema. Lancet 1998; 351: 389-393.</mixed-citation><mixed-citation xml:lang="en">Cotter G., Metzkor E., Kaluski E. et al. Randomised trial of high-dose isosorbide dinitrate plus low-dose furosemide versus high-dose furosemide plus low-dose isosorbide dinitrate in severe pulmonary oedema. Lancet 1998; 351: 389-393.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Cotter G., Weissgarten J., Metzkor E. et al. Increased toxicity of highdose furosemide versus low-dose dopamine in the treatment of refractory congestive heart failure. Clin Pharmacol Ther 1997; 62: 187-193.</mixed-citation><mixed-citation xml:lang="en">Cotter G., Weissgarten J., Metzkor E. et al. Increased toxicity of highdose furosemide versus low-dose dopamine in the treatment of refractory congestive heart failure. Clin Pharmacol Ther 1997; 62: 187-193.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Katz A.M. Potential deleterious effects of inotropic agents in the therapy of chronic heart failure. Circulation 1986; 73: lll 184-11190</mixed-citation><mixed-citation xml:lang="en">Katz A.M. Potential deleterious effects of inotropic agents in the therapy of chronic heart failure. Circulation 1986; 73: lll 184-11190</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Kivikko M., Lehtonen L., Colucci W.S. Sustained hemodynamic effects of intravenous levosimendan. Circulation 2003; 107: 81-86.</mixed-citation><mixed-citation xml:lang="en">Kivikko M., Lehtonen L., Colucci W.S. Sustained hemodynamic effects of intravenous levosimendan. Circulation 2003; 107: 81-86.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Innes C.A., Wagstaff A.J. Levosimendan: A review of its use in the management of acute decompensated heart failure. Drugs 2003,63: 2651-2671.</mixed-citation><mixed-citation xml:lang="en">Innes C.A., Wagstaff A.J. Levosimendan: A review of its use in the management of acute decompensated heart failure. Drugs 2003,63: 2651-2671.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Follath F., Cleland J.G., Just H. et al. Efficacy and safety of intravenous levosimendan compared with dobutamine in severe low-output heart failure (the LIDO study): a randomised double-blind trial. Lancet 2002; 360: 196-202.</mixed-citation><mixed-citation xml:lang="en">Follath F., Cleland J.G., Just H. et al. Efficacy and safety of intravenous levosimendan compared with dobutamine in severe low-output heart failure (the LIDO study): a randomised double-blind trial. Lancet 2002; 360: 196-202.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Slawsky M.T., Colucci W.S., Gottlieb S.S. et al. Acute hemodynamic and clinical effects of levosimendan in patients with severe heart failure. Study Investigators. Circulation 2000; 102: 2222-2227.</mixed-citation><mixed-citation xml:lang="en">Slawsky M.T., Colucci W.S., Gottlieb S.S. et al. Acute hemodynamic and clinical effects of levosimendan in patients with severe heart failure. Study Investigators. Circulation 2000; 102: 2222-2227.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
