RIGHT VENTRICULAR DYSFUNCTION IN CORONARY HEART DISEASE: MODERN CONCEPTS OF THE PROBLEM AND METHODS OF DIAGNOSIS
Keywords:
ischemic heart disease, right ventricle, myocardial dysfunction, echocardiographyAbstract
Our current medicine has been struggling for many years and continues to deal with a decrease in morbidity in the world, and the result of this, as a rule, should be reflected in a decrease in the number of hospitalizations of patients and the financial costs of treatment. Achieving such results is possible with the help of early detection of signs of an unfavorable prognosis of diseases and the implementation of appropriate preventive measures.
One of such urgent medical and social problems of modern cardiology is coronary heart disease due to atherosclerotic lesions of the coronary bed [1]. This is due to its high prevalence, high rates of disability and mortality associated with this pathology. In particular, myocardial infarction (MI) is considered an insidious complication of this kind of disease.
Thus, according to European experts, 21% of men and 22% of women die as a result of coronary heart disease during the year, which is about 2 million deaths per year [2]. The survival prognosis of patients with MI largely depends on the severity of postinfarction remodeling and the degree of myocardial dysfunction, which are the basis for the development and progression of heart failure [3].
It should be noted that today, from a practical point of view, the hemodynamic characteristics of the left ventricle (LV) are the most in demand and the most studied, since this is the main chamber, directly dependent on the damage to the coronary arteries, and its functionality reliably determines the prospects for survival. Much less information has been received about right ventricular (RV) dysfunction and its role in the development of adverse effects. However, with the introduction into clinical practice of new possibilities for diagnosing cardiac imaging, dysfunction of the right sections, namely, the right ventricle, becomes the subject of further search for solutions to the above problems.
This review will consider the main aspects of the right ventricle, modern methods for diagnosing its dysfunction and the impact on prognosis.
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