microcirculationРегионарное кровообращение и микроциркуляцияRegional blood circulation and microcirculation1682-66552712-9756Academician I.P. Pavlov First St. Petersburg State Medical University10.24884/1682-6655-2023-22-4-4-10microcirculation-1239Research ArticleОБЗОРЫREVIEWSАнатомический механизм формирования гидродинамических условий организации потоков крови в полостях сердцаAnatomical mechanism for forming hydrodynamic conditions of the blood flow organization in heart cavitieshttps://orcid.org/0000-0002-8552-6727МилюковВ. Е.MilyukovV. E.

Милюков Владимир Ефимович – д-р. мед. наук, профессор, исполняющий обязанности зав. кафедрой топографической анатомии и оперативной хирургии

117997, Москва, ул. Островитянова, д. 1

Milyukov Vladimir Ye. – Doctor of Medical Sciences, Pro- fessor, Acting head, Department of Topographic Anatomy and Operative Surgery

Moscow

Milyucov@mail.ruhttps://orcid.org/0000-0001-8445-3688БрюхановВ. А.BryukhanovV. A.

Брюханов Валерий Александрович – студент института клинической медицины им. Н. В. Склифосовского

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Bryukhanov Valery A. – Student, Institute of Clinical Medicine named after n. V. Sklifosovsky

Moscow

bryuhanov02@mail.ruhttps://orcid.org/0000-0003-2190-6648НгуенК. К.NguyenK. K.

Нгуен Као Кыонг – канд. мед. наук, декан факультета фармако-медсестринского дела

г. Далат, ул. Тон Тхат Тунг, д. 27

Nguyen Cao Cuong – PhD in Medicine, Dean, Faculty of Pharmacy and nursing

Da lat city

nguyencaocuong2712@gmail.comФедеральное государственное автономное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет им. Н. И. Пирогова» Министерства здравоохранения Российской ФедерацииРоссияPirogov Russian national research Medical UniversityRussian FederationФедеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет им. И. М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский Университет)РоссияFirst Moscow State Medical University named after I. M. SechenovRussian FederationУиверситет им. ЙерсенаВьетнамYersin University of Da LatViet Nam202327122023224410Copyright © Милюков В.Е., Брюханов В.А., Нгуен К.К., 20232023Милюков В.Е., Брюханов В.А., Нгуен К.К.Milyukov V.E., Bryukhanov V.A., Nguyen K.K.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.microcirc.ru/jour/article/view/1239

Изучение закономерностей организации гемодинамических условий в полостях сердца является трудным вопросом, так как данный орган имеет сложную геометрическую конфигурацию и применение классических теорий гидродинамики приводит к значительным противоречиям, являющимся объектом дискуссий. В настоящее время исследователи склоняются к вихревой (смерчеообразной) организации движения потоков крови в сердце. Под вихревой организацией понимают структуру течения с круговым или закрученным перемещением крови вокруг виртуальной центральной оси, что обеспечивает ей способность накапливать кинетическую энергию (КЭ) во время закручивания. При этом закрученное движение крови следует отличать от турбулентного, для которого характерно хаотическое движение вихрей разных величин и диссипация КЭ. Целью настоящего обзора является обобщение результатов и выводов исследований, посвященных анатомическому механизму формирования условий организации закрученного движения потоков крови в левом желудочке (ЛЖ), а также клиническая оценка и способы исследования закрученных потоков у пациентов. 

Studying the regularities of organization of hemodynamic conditions in the heart cavities is a complex issue, since this organ has a complex geometric configuration and applying classical theories of hydrodynamics leads to significant contradictions, which are the object of discussion. Currently, researchers tend to vortex (tornado-like) organization of blood flow movement in the heart. A vortex organization is understood as a flow structure with circular or swirling movement of blood around a virtual central axis, which provides it with the ability to accumulate kinetic energy (KE) during swirling. At the same time, the swirling movement of blood should be distinguished from the turbulent one, which is characterized by the chaotic movement of vortices of different magnitudes and the dissipation of KE. The purpose of this review is to summarize the results and conclusions of studies on the anatomical mechanism of forming the conditions for the organization of swirling blood flow in the left ventricle (LV), as well as clinical evaluation and methods of studying swirling flows in patients.

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