ACTUAL ASPECTS OF DIAGNOSIS AND MONITORING OF PATIENTS WITH ASCENDING AORTIC DILATATION
Abstract
Thе review systematizes modern approaches to the diagnosis and dynamic monitoring of patients with dilation of the ascending thoracic aorta in accordance with current guidelines from international cardiology societies. The issue of inconsistent terminology across various publications, guidelines, and recommendations is discussed. Key aspects of diagnostics based on an analysis of publications in Russian-language (eLibrary) and English-language (PubMed, Scopus, Web of Science, Google Scholar) databases are examined, including criteria for selecting imaging methods and monitoring strategies for patients with ascending thoracic aortic dilatation. Special attention is given to a comparative analysis of the advantages and limitations of echocardiography, multispiral computed tomography, and magnetic resonance imaging in assessing aortic dimensions. The principles of multimodal imaging, which improve diagnostic accuracy and complication risk prediction, are summarized. Additionally, optimal timing and frequency of dynamic monitoring are analyzed, taking into account individual risk factors. The results of this review may be useful for general practitioners and in personalizing of patient management strategies.
References
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