State of Left Ventricular Systolic and Diastolic Function in Patients with Postinfarction Cardiosclerosis and Obesity
Journal Title: Міжнародний ендокринологічний журнал - Year 2014, Vol 6, Issue 62
Abstract
Cardiovascular diseases are one of the major causes of mortality worldwide, the main contribution to its structure belongs to ischemic heart disease. One of the major factors for the progression of ischemic heart disease is obesity. The objective of the work — to carry out an analysis of the state of left ventricular systolic and diastolic function in patients with postinfarction cardiosclerosis and obesity. Materials and Methods. The study retrospectively included 76 patients with ischemic heart disease, who had myocardial infarction, with concomitant obesity. Comparison group consisted of 80 patients with ischemic heart disease, who had myocardial infarction, without obesity. All patients underwent general clinical and instrumental examination. Statistical analysis of the data was performed using the statistical software package Statistica 8.0, Microsoft Office Excel 2003. Results. It is found that the degree of reduction in left ventricular contractility is an important indicator of myocardial compensatory reserves exhaustion and has a significant impact on the severity of clinical manifestations in patients with postinfarction cardiosclerosis and obesity. Conclusions. Comorbidity of obesity and postinfarction remodeling potentiate the increase of the heart size, dilatation of the heart cavities on the background of inotropic myocardial function reduction. In most patients with postinfarction cardiosclerosis and obesity, left ventricular diastolic dysfunction manifested by a type of relaxation disturbance.
Authors and Affiliations
P. P. Kravchun
Keywords
Related Articles
- EP ID EP229526
- DOI -
- Views 69
- Downloads 0
Decubitus Ulcers of Soft Tissues in Patients with Type 2 Diabetes Mellitus: Clinical Strategies, Insulin Resistance Indicators, Comprehensive Treatment Aspects
Background. The causes of decubitus ulcers include ischaemia and neurotrophic tissue changes induced by their chronic compression, continuous pathologic moisture and shift of tissues that determine local ishaemia. The ai...
Role of Training System in the Formation of Active Motivation to Self-Management in Patients with Diabetes Mellitus
The article presents research data confirming the importance of self-management training to achieve and maintain long-term compensation in patients with diabetes mellitus. There are provided an analysis of the literature...
Quality of Life in Patients with Diabetes Mellitus Type 2 with Metabolic Neuropathy against Pathogenic Therapy
Quality of Life in Patients with Diabetes Mellitus Type 2 with Metabolic Neuropathy against Pathogenic Therapy
Features of the Clinical Course of Adrenal Incidentalomas
The objective of the study was to examine the clinical features of adrenal incidentalomas. 98 clinical observations of patients with adrenal incidentalomas receiving in- and out-patient treatment in the clinic of Republi...
Choice of Method for Type 2 Diabetes Mellitus Prevention: as Pathogenetic Approach Using Voglibose
Aim. Substantiation of necessity of pathogenetic approach to the choice of method for type 2 diabetes mellitus prevention on the basis of studying clinical efficiency and tolerability of voglibose in persons with impaire...