Peculiarities of vegetative regulation of heart activity and diurnal profile of blood pressure in patients with acute myocardial infarction, complicated by left ventricle aneurysm

Authors

  • S. M. Kyselov Zaporizhzhіa State Medical University,

DOI:

https://doi.org/10.14739/2310-1210.2015.5.53737

Keywords:

Arrhythmia, Prolonged QT Interval, Blood Pressure Monitoring

Abstract

In patients with myocardial infarction indexes of vegetative regulation of heart activity and diurnal blood pressure profile are connected with complicated trend of the disease.

Aim. To study peculiarities of heart activity vegetative regulation, violations of heart rhythm and diurnal profile of blood pressure.

Methods and results. In 108 patients with acute Q-wave myocardial infarction were investigated indexes of combined diurnal monitoring of ECG and blood pressure in dependence of left ventricle aneurysm formation.

Conclusions. Increasing of sympatic influence of vegetative nervous system, prevalence of ventricular arrhythmias of «high grade», QT-interval length and predominantly adverse type of diurnal blood pressure profile were noticed in patients with myocardial infarction, complicated by left ventricle aneurysm.

References

Golukhova, E. Z., Alieva, A. M., Kakuchaya, T. T., Voevodina, V. M., Arakelyan, H. H., & Mrikaev, D. V. (2009) Variabel′nost′ serdechnogo ritma i metody yeyo ocenki [Heart rhythm variability and methods of its evaluation]. Kreativnaya kardiologiya, 1, 76–82. [in Russian].

Dolzhenko, M. N. (2009) Anevrizma levogo zheludochka: definicii, mekhanizmy formirovaniya, diagnostika, pokazaniya k operacii, prognoz [Aneurism of left ventricle: definitions, formation mechanisms, diagnostics, indications to surgical treatment, prognosis]. Serceva nedostatnist, 2, 28–37. [in Ukrainian].

Knyshov, H. V., & Rudenko, S. A. (2008) Anevrizma levogo zheludochka: sovremennye principy khirurhicheskogo lecheniya [Aneurysm of left ventricle: modern principles of surgical treatment]. Mystetstvo likuvannia, 5(51), 65–68. [in Ukrainian].

Mullabaeva, G. U., Kurbanov, R. D., Akkiev, B. T., Sayfiddinova, N. B. (2011) Dinamika variabel′nosti ritma serdca i zheludochkovykh aritmij u bol′nykh Q-volnovym infarktom miokarda [The Heart rate variability and ventricular arrhythmias dynamics in patients with acute myocardial infarction]. Sibirskij medicinskij zhurnal, 2(26), 47–50. [in Russian].

Solieiko, O. V. (2008) Klinichna evoliucia khronichnoi postinfarktnoii anevrysmy sertsia [Clinic evolution of chronic postinfarction heart aneurysm]. Mystetstvo likuvannia, 5(51), 60–64. [in Ukrainian].

Diaz, A., Bourassa, M. G., Guertin, M. C., & Tardif, J. C. (2005) Long-term prognostic value of resting heart rate in patients with suspected or proven coronary artery disease. Eur. Heart J., 26, 967–974.

Follath, F., Hjalmarson, A., & Tubaro, M. (2007) Vsemirnyj kongress klinicheskikh issledovanij v oblasti serdechno-sosudistykh zabolevanij [International congress of clinical investigators in area of cardio-vascular diseases]. Zdorovia Ukrainy, 14, 16–17. [in Ukrainian].

Fox, K., Ferrari, R., Tendera, M., Steg, P. G., & Ford, I. (2006) BEAUTIFUL Streering Committee. Rationale and design of a randomized, double-blind, placebo-controlled trial of ivabradine in patients with stable coronary artery disease and left ventricular systolic dysfunction: the morBidity-mortality EvAlUaTion of the I (f) inhibitor ivabradine in patients with coronary disease and left ventricULar dysfunction (BEAUTIFUL) study. Am. Heart. J., 152(5), 860–866.

Gadaleta, F., Llois, S., Sinisi, V., Quiles, J., Avanzas, P., & Kaski, J. (2008) Corrected QT interval prolongation: a new predictor of cardiovascular risk in patients with non-STelevation acute coronary syndrome. Rev Esp Cardiol Jun, 61(6), 572–578. doi:10.1016/S1885-5857(08)60180-2.

Jouven, X., Empana, J.-P., Schwartz, P. J., Desnos, M., Courbon, D., & Ducimetière, P. (2005) Heart rate profile during exercise as a predictor of sudden death. New Engl. J. Med., 352, 1951–1958. doi: 10.1056/NEJMoa043012.

How to Cite

1.
Kyselov SM. Peculiarities of vegetative regulation of heart activity and diurnal profile of blood pressure in patients with acute myocardial infarction, complicated by left ventricle aneurysm. Zaporozhye Medical Journal [Internet]. 2015Nov.20 [cited 2024Jul.21];17(5). Available from: http://zmj.zsmu.edu.ua/article/view/53737

Issue

Section

Original research