MECHANISMS OF CHRONIC HEART INSUFFICIENCY DEVELOPMENT IN PATIENTS WITH ISCHEMIC HEART DISEASE AT POSTINFARCTION PERIOD
Keywords:
myocardial remodeling, diastolic dysfunction, chronic heart insufficiencyAbstract
It has been studied the condition of systolic and diastolic functionof left ventricular in 115 patients with postinfarctioncardiosclerosisat recovery stage.After 2 months of myocardial infarction it has been found the thickening of muscular concentric remodeling in 14,8%, concentric hypertrophy – 53% and excentric hypertrophy in 32,2% of patients.
Dyastolic kind of chronic heart insufficiency has been determined in 47% panients,systolic – in 23,8%, dyastolic with systolic – in 28,6% patients.In all form of remodeling there was decrease of dyastolic depression and atrial filling as well.Maximum decrease of dyastolic depression was observed at patients with excentric heart hypertrophy.
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