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[4](https://trimm.ru/blog/articles/chto-takoe-funktsionalnaya-diagnostika-kak-ee-provodyat-i-chto-delaet-vrach-diagnost/)[5](https://funkc-diagnostika.med.cap.ru/poleznie-ssilki-partneri-informaciya-pacientam/statji-na-medicinskie-temi-iz-interneta/vrach-funkcionaljnoj-diagnostiki). Специалист исследует, например: \n* **Сердечно-сосудистую систему** — выявляет нарушения сердечного ритма, ишемические изменения [13](https://doctora-khv.ru/company/news/funkcionalnaya-diagnostika-chto-eto-i-pochemu-ona-vazhna/). \n* **Дыхательную систему** — оценивает функцию лёгких, диагностирует заболевания бронхов и лёгких [3](https://www.fdoctor.ru/funkcionalnaya-diagnostika/). \n* **Нервную систему** — исследует состояние центральной и периферической нервной системы [3](https://www.fdoctor.ru/funkcionalnaya-diagnostika/). \n\n## Обязанности\nВрач функциональной диагностики не назначает медикаментозную терапию, но его обследование помогает: \n* **Уточнить, скорректировать или подтвердить предварительный диагноз** [5](https://funkc-diagnostika.med.cap.ru/poleznie-ssilki-partneri-informaciya-pacientam/statji-na-medicinskie-temi-iz-interneta/vrach-funkcionaljnoj-diagnostiki). Диагноз ставится на основании анализа всех результатов [5](https://funkc-diagnostika.med.cap.ru/poleznie-ssilki-partneri-informaciya-pacientam/statji-na-medicinskie-temi-iz-interneta/vrach-funkcionaljnoj-diagnostiki). \n* **Провести динамическое наблюдение** за изменением состояния организма во время терапевтических мероприятий [5](https://funkc-diagnostika.med.cap.ru/poleznie-ssilki-partneri-informaciya-pacientam/statji-na-medicinskie-temi-iz-interneta/vrach-funkcionaljnoj-diagnostiki). \n* **Провести тесты** — нагрузочные, медикаментозные, функциональные — для выбора эффективной терапии [5](https://funkc-diagnostika.med.cap.ru/poleznie-ssilki-partneri-informaciya-pacientam/statji-na-medicinskie-temi-iz-interneta/vrach-funkcionaljnoj-diagnostiki). \n\n## Методы\nДля исследований врач функциональной диагностики использует, например: \n* **Электрокардиографию (ЭКГ)** — запись показателей электрической активности сердца [3](https://www.fdoctor.ru/funkcionalnaya-diagnostika/)[13](https://doctora-khv.ru/company/news/funkcionalnaya-diagnostika-chto-eto-i-pochemu-ona-vazhna/). \n* **Холтеровское мониторирование ЭКГ** — длительное (обычно в течение 24–48 часов) регистрация ЭКГ для выявления нарушений сердечного ритма, которые могут не проявляться на обычной ЭКГ [13](https://doctora-khv.ru/company/news/funkcionalnaya-diagnostika-chto-eto-i-pochemu-ona-vazhna/). \n* **Спирометрию** — метод исследования функции лёгких, который измеряет объём и скорость выдоха [13](https://doctora-khv.ru/company/news/funkcionalnaya-diagnostika-chto-eto-i-pochemu-ona-vazhna/). \n\nНекоторые аппараты, используемые для функциональной диагностики:\n\n\n\n## Показания\nОбратиться к врачу функциональной диагностики обычно направляет терапевт или узкий специалист после первичного осмотра и сбора анамнеза [2](https://xn----dtbebgjz2aat5d5d.xn--p1ai/our_services/vrach_fd/). Некоторые показания: \n* **Жалобы на боли в груди, одышку, головокружение, обмороки, аритмии** — может потребоваться ЭКГ или УЗИ сердца [2](https://xn----dtbebgjz2aat5d5d.xn--p1ai/our_services/vrach_fd/). \n* **Подозрение на заболевания нервной системы**, такие как эпилепсия, мигрень или проблемы со сном — могут назначить ЭЭГ [2](https://xn----dtbebgjz2aat5d5d.xn--p1ai/our_services/vrach_fd/). \n* **Оценка состояния сосудов**, например, при варикозном расширении вен или атеросклерозе [2](https://xn----dtbebgjz2aat5d5d.xn--p1ai/our_services/vrach_fd/). \n\n## Где получить\nПолучить специальность врача функциональной диагностики можно через обучение в ординатуре после окончания медицинского вуза или через профессиональную переподготовку для врачей других специальностей [20](https://vc.ru/education/1757052-perepodgotovka-na-vracha-funkcionalnoi-diagnostiki-obyazannosti-mesta-raboty-specialistov-vidy-obucheniya-gde-proiti-kursy-s-diplomom). 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