Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ Π’ΠΠΠ Π² ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΠΈ Ρ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ΠΌ Π°Π½Π³ΠΈΠΎΠ½Π΅Π½Π½ΡΡ ΡΠ°ΠΊΡΠΎΡΠΎΠ² Ρ Π±ΠΎΠ»ΡΠ½ΡΡ ΠΠΠ‘ Ρ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ Π΄ΠΈΡΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΡΠ»Π°
ΠΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ Π°Π»ΡΡΠ° ECGF Π² ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ ΠΎΠ΄Π½ΠΎΠ³ΠΎ Π±ΠΎΠ»ΡΡΠ° Ρ ΡΠ΅Π»ΡΡ ΠΈΠ½Π΄ΡΠΊΡΠΈΠΈ Π°Π½Π³ΠΈΠΎΠ³Π΅Π½Π΅Π·Π° Ρ Π±ΠΎΠ»ΡΠ½ΡΡ Ρ Ρ ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΠΠ‘ Π² Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΡΠ΅ ΡΡΠΎΠΊΠΈ Π½Π΅ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎ. ΠΠΈΡΡΠ΅ΡΡΠ°ΡΠΈΡ Π½Π° ΡΠΎΠΈΡΠΊΠ°Π½ΠΈΠ΅ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ ΠΊΠ°Π½Π΄ΠΈΠ΄Π°ΡΠ° ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΡ Π½Π°ΡΠΊ ΠΠ°ΡΡΠ½ΡΠΉ ΡΡΠΊΠΎΠ²ΠΎΠ΄ΠΈΡΠ΅Π»Ρ Π°ΠΊΠ°Π΄Π΅ΠΌΠΈΠΊ Π ΠΠΠ, ΠΏΡΠΎΡ. Π. Π. ΠΠΎΠΊΠ΅ΡΠΈΡ. ΠΠ½Π³ΠΈΠΎΠ³Π΅Π½Π½ΡΡ ΡΠ°ΠΊΡΠΎΡΠΎΠ² Π² ΠΌΠΈΠΎΠΊΠ°ΡΠ΄, ΠΎΡΠ΅Π²ΠΈΠ΄Π½ΠΎ, ΡΠ΅Π»Π΅ΡΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎ ΠΎΡΡΡΠ΅ΡΡΠ²Π»ΡΡΡ Π½Π΅ Π² Π²ΠΈΠ΄Π΅ ΠΎΠ΄Π½ΠΎΠ³ΠΎ Π±ΠΎΠ»ΡΡΠ°, Π² Π΄ΡΠΎΠ±Π½ΡΡ ΠΏΠΎΡΡΠΈΡΡ . ΠΠ»Ρ Π·Π°ΠΊΡΠ΅ΠΏΠ»Π΅Π½ΠΈΡ Π°Π½Π³ΠΈΠΎΠ³Π΅Π½Π½ΠΎΠ³ΠΎ… Π§ΠΈΡΠ°ΡΡ Π΅ΡΡ >
- Π‘ΠΎΠ΄Π΅ΡΠΆΠ°Π½ΠΈΠ΅
- ΠΡΠ΄Π΅ΡΠΆΠΊΠ°
- ΠΠΈΡΠ΅ΡΠ°ΡΡΡΠ°
- ΠΡΡΠ³ΠΈΠ΅ ΡΠ°Π±ΠΎΡΡ
- ΠΠΎΠΌΠΎΡΡ Π² Π½Π°ΠΏΠΈΡΠ°Π½ΠΈΠΈ
Π‘ΠΎΠ΄Π΅ΡΠΆΠ°Π½ΠΈΠ΅
- Π‘ΠΏΠΈΡΠΎΠΊ ΡΠΎΠΊΡΠ°ΡΠ΅Π½ΠΈΠΉ
- ΠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅
- ΠΠ»Π°Π²Π°.
- I. ΠΠ±Π·ΠΎΡ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ
- 1. Π’Π΅ΡΠ°ΠΏΠ΅Π²ΡΠΈΡΠ΅ΡΠΊΠΈΠΉ Π°Π½Π³ΠΈΠΎΠ³Π΅Π½Π΅Π·
- 1. 1. ΠΠ±ΡΠΈΠ΅ ΡΠ²Π΅Π΄Π΅Π½ΠΈΡ ΠΎ ΡΠ΅ΡΠ°ΠΏΠ΅Π²ΡΠΈΡΠ΅ΡΠΊΠΎΠΌ Π°Π½Π³ΠΈΠΎΠ³Π΅Π½Π΅Π·Π΅
- 1. 2. ΠΡΡΠΎΡΠΈΡ Π²ΠΎΠΏΡΠΎΡΠ°
- 1. 3. Π§Π΅Π³ΠΎ ΠΌΡ Ρ ΠΎΡΠΈΠΌ Π΄ΠΎΡΡΠΈΡΡ ΡΠ΅ΡΠ°ΠΏΠ΅Π²ΡΠΈΡΠ΅ΡΠΊΠΈΠΌ Π°Π½Π³ΠΈΠΎΠ³Π΅Π½Π΅Π·ΠΎΠΌ
- 1. 4. Π‘ΡΠΈΠΌΡΠ»Ρ ΠΈ ΠΌΠ΅Ρ Π°Π½ΠΈΠ·ΠΌΡ Π½Π΅ΠΎΠ²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·Π°ΡΠΈΠΈ
- 1. 5. ΠΡΠ±ΠΎΡ ΡΠ΅ΡΠ°ΠΏΠ΅Π²ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π°Π³Π΅Π½ΡΠ°
- 1. 6. ΠΠΎΡΡΠ°Π²ΠΊΠ° Π°Π½Π³ΠΈΠΎΠ³Π΅Π½Π½ΡΡ Π°Π³Π΅Π½ΡΠΎΠ²
- 1. 7. ΠΠΎΠΌΠ±ΠΈΠ½Π°ΡΠΈΡ ΡΠ°ΠΊΡΠΎΡΠΎΠ² ΡΠΎΡΡΠ° ΠΈ ΠΎΡΠ½ΠΎΠ²Π½ΡΠ΅ Π³Π΅Π½Ρ ΠΏΠ΅ΡΠ΅ΠΊΠ»ΡΡΠ°ΡΠ΅Π»ΠΈ
- 1. 8. ΠΠ°Π²Π΅ΡΡΠ΅Π½Π½ΡΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ
- 2. Π’ΡΠ°Π½ΡΠΌΠΈΠΎΠΊΠ°ΡΠ΄ΠΈΠ°Π»ΡΠ½Π°Ρ Π»Π°Π·Π΅ΡΠ½Π°Ρ ΡΠ΅Π²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·Π°ΡΠΈΡ
- 2. 1. ΠΡΡΠΎΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΡΠ΅Π΄ΠΏΠΎΡΡΠ»ΠΊΠΈ
- 2. 2. ΠΠ°Π·Π΅ΡΡ Π΄Π»Ρ ΡΠ΅Π²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·Π°ΡΠΈΠΈ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π°
- 2. 3. Π‘ΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ΠΈΡ ΠΎ ΠΌΠ΅Ρ Π°Π½ΠΈΠ·ΠΌΠ°Ρ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ Π’ΠΠΠ
- 3. ΠΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ: ΡΠΈΠΌΠΏΡΠΎΠΌΠ°ΡΠΈΠΊΠ°, ΠΏΠ΅ΡΡΡΠ·ΠΈΡ, ΡΡΠ½ΠΊΡΠΈΡ ΠΈ Π²ΡΠΆΠΈΠ²Π°Π΅ΠΌΠΎΡΡΡ Π. Π Π°Π½Π΄ΠΎΠΌΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ ΠΈ Π±ΠΎΠ»ΡΡΠΈΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΈΠ·ΠΎΠ»ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠΉ Π’ΠΠΠ Π. ΠΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² Π’ΠΠΠ Π² ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΠΈ Ρ ΠΠΠ¨
- ΠΠ»Π°Π²Π°.
- II. ΠΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ
- 2. 1. ΠΠ±ΡΠ°Ρ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠ°Ρ Ρ Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊΠ° Π±ΠΎΠ»ΡΠ½ΡΡ
- 2. 2. ΠΠ΅ΡΠΎΠ΄ΠΈΠΊΠΈ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ
- 2. 2. 1. ΠΠ»Π΅ΠΊΡΡΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΠ³ΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅
- 2. 2. 2. Π₯ΠΎΠ»ΡΠ΅ΡΠΎΠ²ΡΠΊΠΎΠ΅ ΠΌΠΎΠ½ΠΈΡΠΎΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅
- 2. 3. ΠΡ
ΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΠ³ΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅
- 2. 2. 4. ΠΠ΅Π»ΠΎΡΡΠ³ΠΎΠΌΠ΅ΡΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅
- 2. 2. 5. Π‘ΡΡΠ΅ΡΡ ΠΡ ΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΠ³ΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅
- 2. 2. 6. ΠΠΎΡΠΎΠ½Π°ΡΠΎΠ°Π½Π³ΠΈΠΎΠ³ΡΠ°ΡΠΈΡ
- 2. 2. 7. ΠΠ΅Π²Π°Ρ Π²Π΅Π½ΡΡΠΈΠΊΡΠ»ΠΎΠ³ΡΠ°ΡΠΈΡ
- 2. 2. 8. Π Π°Π΄ΠΈΠΎΠ½ΡΠΊΠ»ΠΈΠ΄Π½ΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ
- 2. 2. 8. 1. ΠΠΠ-ΡΠΈΠ½Ρ ΡΠΎΠ½ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½Π°Ρ ΡΠΎΠΌΠΎΡΡΠΈΠ½ΡΠΈΠ³ΡΠ°ΡΠΈΡ (Gated-SPECT) ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° (ΡΠΈΠ½Ρ ΡΠΎ-ΠΠ€ΠΠΠ’)
- 2. 2. 8. 2. ΠΠΎΠ·ΠΈΡΡΠΎΠ½Π½ΠΎ-ΡΠΌΠΈΡΡΠΈΠΎΠ½Π½Π°Ρ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΡ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° (ΠΠΠ’)
- 2. 3. ΠΡΠ΅Π½ΠΊΠ° ΠΊΠ°ΡΠ΅ΡΡΠ²ΠΎ ΠΆΠΈΠ·Π½ΠΈ
- 2. 4. ΠΠ°Π·Π΅ΡΠ½ΡΠ΅ ΡΡΡΠ°Π½ΠΎΠ²ΠΊΠΈ
- 2. 5. Π‘Π²Π΅Π΄Π΅Π½ΠΈΡ ΠΎ ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠ΅ a-ECGF
- 2. 5. 1. Π‘ΡΡΡΠΊΡΡΡΠ° a-ECGF
- 2. 5. 2. ΠΡΠΎΠΈΠ·Π²ΠΎΠ΄ΡΡΠ²ΠΎ ΠΈ ΠΎΡΠΈΡΠ΅Π½ΠΈΠ΅ a-ECGF
- 2. 5. 3. ΠΡΠΎΠ±Π° Π½Π° Ρ ΠΎΡΠΈΠΎΠ°Π»Π»Π°Π½ΡΠΎΠΈΠ΄Π½ΠΎΠΉ ΠΌΠ΅ΠΌΠ±ΡΠ°Π½Π΅
- 2. 5. 4. ΠΡΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅ ΠΏΠΈΡΠΎΠ³Π΅Π½Π½ΠΎΡΡΠΈ a-ECGF
- 2. 5. 5. ΠΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½ΠΈΠ΅ Π°Π½Π³ΠΈΠΎΠ³Π΅Π½Π½ΠΎΠ³ΠΎ ΠΏΠΎΡΠ΅Π½ΡΠΈΠ°Π»Π° a-ECGF Π² ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Ρ Π½Π° ΠΆΠΈΠ²ΠΎΡΠ½ΡΡ
- 2. 5. 6. Π€Π°ΡΠΌΠ°ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΠΎΡΡΡ
- 2. 6. Π‘ΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΎΠ±ΡΠ°Π±ΠΎΡΠΊΠ°
- II. ΠΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ
- III. Π‘ΡΠ°Π²Π½Π΅Π½ΠΈΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² Π² Π³ΡΡΠΏΠΏΠ°Ρ
Π’ΠΠΠ Π² ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΠΈ Ρ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ΠΌ ΡΠ°ΠΊΡΠΎΡΠ° ΡΠΎΡΡΠ° ΡΠ½Π΄ΠΎΡΠ΅Π»ΠΈΠ°Π»ΡΠ½ΡΡ
ΠΊΠ»Π΅ΡΠΎΠΊ (a-ECGF) ΠΈ Placebo Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
ΠΠΠ‘ Ρ ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΠΉ ΡΡΠ°Π΄ΠΈΠ΅ΠΉ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΡ ΠΊΠΎΡΠΎΠ½Π°ΡΠ½ΡΡ
Π°ΡΡΠ΅ΡΠΈΠΉ
- 3. 1. ΠΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ²
- IV. Π‘ΡΠ°Π²Π½Π΅Π½ΠΈΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² Π² Π³ΡΡΠΏΠΏΠ°Ρ
Ρ ΠΈΠ·ΠΎΠ»ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠΉ Π’ΠΠΠ , Π’ΠΠΠ +ΠΠΠ¨, Π’ΠΠΠ +ΠΠΠ Π
- 4. 1. ΠΠ΅ΡΡΡΠ·ΠΈΡ: ΠΎΠ±ΡΠΈΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΠΈ Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ° ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ ΠΏΠΎ ΡΡΠΎΠΊΠ°ΠΌ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π±ΠΎΠ»ΡΠ½ΡΡ
- 4. 2. ΠΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ²
Π‘ΠΏΠΈΡΠΎΠΊ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ
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