O‘zbekiston кardiologiyasi 3-jild 2-son (2026) · 13-27-betlar

The Contemporary Role of Stress Echocardiography in the Diagnosis and Management of Chronic Coronary Syndrome: From Physiology to Clinical Strategy

Fozilov, Khurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod, Фозилов, Х, Бекметова, Ф, Рузиев, Б, Оринбаев, Ш, Fozilov, Xurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod

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Annotatsiya

Chronic coronary syndrome (CCS) remains one of the leading causes of mortality and disability worldwide, particularly in Central Asian countries and the Republic of Uzbekistan. This review presents a contemporary perspective on the role of stress echocardiography in the diagnosis, risk stratification, and determination of treatment strategies in patients with CCS. The evolution of the CCS concept, the key pathophysiological mechanisms of ischemia (epicardial stenosis, coronary microvascular dysfunction, and vasospasm), and ANOCA/INOCA conditions are discussed. The diagnostic and prognostic value of stress echocardiography is compared with that of other modalities, including exercise electrocardiography, SPECT, PET, and stress cardiac MRI. Particular attention is paid to exercise stress echocardiography performed using a semi-supine bicycle ergometer, the advantages of imaging at peak exercise, and contemporary quantitative techniques, including strain imaging and coronary flow reserve assessment. An analysis of landmark trials (COURAGE, FAME, and ISCHEMIA) and the 2024 ESC Guidelines showed that stress echocardiography serves as an effective gatekeeper for invasive coronary angiography and plays an important role in decision-making regarding endovascular revascularization. The cost-effectiveness, safety, and operator dependence of the method are also discussed. Conclusion. Stress echocardiography is an accessible, safe, and highly effective functional diagnostic method with an optimal cost-effectiveness profile. In the Republic of Uzbekistan and Central Asia, the widespread implementation of stress echocardiography, particularly using a semi-supine bicycle ergometer, may substantially optimize diagnostic algorithms and improve treatment outcomes in patients with chronic coronary syndrome.

chronic coronary syndromestress echocardiographysemi-supine bicycle ergometerischemiarisk stratificationrevascularizationcoronary flow reservestrain (myocardial deformation)Central AsiaUzbekistan

Metadata manbasi: jurnal OAI-PMH arxivi · Sindex toʻliq matnni saqlamaydi, manbaga havola beradi.

Iqtibos olish

APA 7 
Fozilov, Khurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod, Фозилов, Х, Бекметова, Ф, Рузиев, Б, Оринбаев, Ш, Fozilov, Xurshid, Bekmetova, Feruza, Ruziyev, Behzod & Orinbayev, Sherzod (2026). The Contemporary Role of Stress Echocardiography in the Diagnosis and Management of Chronic Coronary Syndrome: From Physiology to Clinical Strategy. O‘zbekiston кardiologiyasi, 3(2), 13-27.
GOST R 7.0.5 
Fozilov, Khurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod, Фозилов, Х, Бекметова, Ф, Рузиев, Б, Оринбаев, Ш, Fozilov, Xurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod The Contemporary Role of Stress Echocardiography in the Diagnosis and Management of Chronic Coronary Syndrome: From Physiology to Clinical Strategy // O‘zbekiston кardiologiyasi. 2026. Т. 3. № 2. С. 13-27.
BibTeX 
@article{khurshid2026,
  author  = {Fozilov, Khurshid and Bekmetova, Feruza and Ruziyev, Behzod and Orinbayev, Sherzod and Фозилов, Х and Бекметова, Ф and Рузиев, Б and Оринбаев, Ш and Fozilov, Xurshid and Bekmetova, Feruza and Ruziyev, Behzod and Orinbayev, Sherzod},
  title   = {The Contemporary Role of Stress Echocardiography in the Diagnosis and Management of Chronic Coronary Syndrome: From Physiology to Clinical Strategy},
  journal = {O‘zbekiston кardiologiyasi},
  year    = {2026},
  volume  = {3},
  number  = {2},
  pages   = {13-27}
}
RIS 
TY  - JOUR
AU  - Fozilov, Khurshid
AU  - Bekmetova, Feruza
AU  - Ruziyev, Behzod
AU  - Orinbayev, Sherzod
AU  - Фозилов, Х
AU  - Бекметова, Ф
AU  - Рузиев, Б
AU  - Оринбаев, Ш
AU  - Fozilov, Xurshid
AU  - Bekmetova, Feruza
AU  - Ruziyev, Behzod
AU  - Orinbayev, Sherzod
TI  - The Contemporary Role of Stress Echocardiography in the Diagnosis and Management of Chronic Coronary Syndrome: From Physiology to Clinical Strategy
JO  - O‘zbekiston кardiologiyasi
PY  - 2026
VL  - 3
IS  - 2
SP  - 13
EP  - 27
ER  -