LEFT VENTRICULAR DIASTOLIC DYSFUNCTION IN PATIENTS WITH MYOCARDIAL INFARCTION
Keywords:
diastolic dysfunction, heart failure, ejection fraction, echocardiographyAbstract
Although the existence of diastole became known at the beginning of the last century, for a long time it was perceived as a simple interval during which the chambers of the heart are passively filled for the subsequent injection cycle. The prognostic value of LV systolic function has been comprehensively studied, and relatively little is known about the effect of diastolic dysfunction on the prognosis of patients with LV. To date, only a few publications contain information about the optimal time frame in which LV DF indicators acquire the greatest prognostic value. The contribution of diastolic dysfunction to the development of CHF after MI in patients with preserved systolic function remains poorly understood. After MI, LV diastolic dysfunction is considered to be the earliest marker preceding the expanded picture of CHF. At the same time, according to many researchers, the type of LV diastolic dysfunction corresponds to the severity of CHF manifestations.
The development of pathology occurs before the development of the appearance of the clinic and symptoms, as well as therapeutic effects on the mechanisms, which makes it difficult to study, due to insufficient information. Numerous studies state that the following risk factors prevail for the development of diastolic heart failure against the background of IHD, such as female gender, the presence of concomitant pathology in the form of diabetes mellitus, obesity, arterial hypertension, metabolic syndrome and others.
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