Features of structural and functional state of the heart in patients with chronic heart failure with comorbid hypertension

Authors

  • I. V. Drozdova State Institution «Ukrainian State Institute of Medical and Social Problems of Disability Ministry of Public Health of Ukraine», Dnipro,

DOI:

https://doi.org/10.14739/2310-1210.2017.3.100575

Keywords:

heart failure, hypertension

Abstract

The aim - to identify structural and functional features of cardiac remodeling in patients with chronic heart failure associated with hypertension.

Materials and Methods. Hemodynamic, structural and functional changes have been studied in 77 patients (21 women and 56 men) with chronic heart failure with preserved left ventricular ejection fraction using echocardiography. The first group consisted of 46 patients with heart failure and hypertension, the second group included 31 patients with CHF without hypertension. All groups were comparable to age and sex.

Results. In patients with heart failure and a history of hypertension remodeling processes were characterized by increase in LAV (17.8%, p<0.05), LVPWd (16.3%, p<0.05), IVSd (12.7%, p<0.05), RWT (22.4%, p<0.05) and ejection fraction (13.3%, p<0.05), compared with patients without hypertension, with a predominance of eccentric and concentric hypertrophy and diastolic dysfunction by type of abnormal relaxation.

Conclusions. In CHF patients with hypertension remodeling processes are characterized by walls thickening, increase in left atrium volume, left ventricular myocardial mass, left ventricular ejection fraction with a predominance of eccentric and concentric hypertrophy and diastolic dysfunction by type of abnormal relaxation that are reasonable to use in practice of medical and social expertise.

 

References

Kovalenko, V. M., & Dorohoi, A. P. (2016). Sertsevo-sudynni khvoroby: medyko-sotsialne znachennia ta stratehiia rozvytku kardiolohii v Ukraini [Cardiovascular disease: medical and social importance and strateniya of Cardiology in Ukraine]. Ukrainskyi kardiolohichnyi zhurnal, 3, 5–14. [in Ukrainian].

Drozdova, I. V., Vasylieva, L. O., Babets, A. A., & Stepanova, L. H. (2016). Tserebro-vaskuliarni khvoroby v Ukraini: do pytannia analizu ta prohnozuvannia [Cerebrovascular disease in Ukraine: the question the analysis and prediction]. East European Scientific journal Wschodnioeuropejskie Czasopismo Naukowe, 10(2), 8–12. [in Ukrainian].

Brzyżkiewicz, H., Konduracka, E., Gajos, G., & Janion, M. (2016). Incidence of chronic heart failure with preserved left ventricular ejection fraction in patients with hypertension and isolated mild diastolic dysfunction. Polish Archives Of Internal Medicine, 126(1–2), 12–18.

Arques, S., Roux, E., & Luccioni, R. (2007). Current clinical applications of spectral tissue Doppler echocardiography (E/E' ratio) as a noninvasive surrogate for left ventricular diastolic pressures in the diagnosis of heart failure with preserved left ventricular systolic function. Cardiovascular Ultrasound, 5(1). doi: 10.1186/1476-7120-5-16.

Nechesova, T. A., Korobko, I. Yu., & Kuznecova, N. I. (2008). Remodelirovanie levogo zheludochka: patogenez i metody ocenki [Left ventricular remodeling: pathogenesis and evaluation methods]. Medicinskie novosti, 11, 7–13. [in Russian].

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How to Cite

1.
Drozdova IV. Features of structural and functional state of the heart in patients with chronic heart failure with comorbid hypertension. Zaporozhye Medical Journal [Internet]. 2017May5 [cited 2024Nov.2];(3). Available from: http://zmj.zsmu.edu.ua/article/view/100575

Issue

No. 3 (2017)

Section

Original research

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