Remodelling of the left ventricle in patients with IHD with chronic heart failure
Abstract
The heart failure caused by the coronary heart disease (IHD) continues to remain one of the most important problems of applied medicine of the whole world.
The research objective was to study features of remodeling of the left ventricle at patients of IHD with chronic heart failure. 127 patients of IHD are surveyed and treated. Middle age 63.7 years. From them 83 men and 44 women. 2 functional class of heart failure on NYHA (FC HF) are revealed at 23 patients, 3 FC – at 72 patients and 4 FC – at 31.
At patients about 1–2 FC NYHA indicators only of a longitudinal streyn to-10.4±0.9% are authentically lowered. Circular deformation in the bazal departments and in the field of a top authentically didn’t change. Patients about 3–4 FC have a sharp decrease in deformation of a myocardium as in longitudinal -5.5±0.6%, and circular the directions in the bazal departments-5.6±0.8% and in the field of a top – -7.7±0.6%. And sharply deformation in the field of a top falls, and decrease in rotation by -3.1±0.4° in the bazal departments is also noted, at the level of a top of 2.9±0.2° and a twist of 5,4±0.5°. Significantly decreases, thus, diagnostics of changes of function of rotation, violations of circular deformation of the left ventricle (a circular streyn) allows to judge extent of violation of sokratitelny function of the left ventricle.
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