Abstract
Women with a long course of hypertension, which leads to the development of chronic heart failure, valid factors are the presence of diabetes mellitus, coronary artery disease and the advantage of a favorable concentric type of LV remodeling with preserved systolic function. In men of the same age, myocardial remodeling has a less favorable course with an increase in the size of the left ventricle and LA on the background of a more pronounced decrease in systolic function.
Highlights
Women with a long course of hypertension, which leads to the development of chronic heart failure, valid factors are the presence of diabetes mellitus, coronary artery disease and the advantage of a favorable concentric type of LV remodeling with preserved systolic function
Materials and methods. 67 patients with hypertension, diabetes mellitus and coronary artery disease were examined, and the studied parameters were compared depending on the sex and age of the patients
Modeling, the values of the relative thickness of the posterior wall (RIVST) and interventricular septum (IVST) were separately calculated, which allows to identify the asymmetric nature of LV geometry by the formulas: = (2 x TLVPW) / EDD; TLWPV = (2 x TILVMW) / EDD
Summary
Women with a long course of hypertension, which leads to the development of chronic heart failure, valid factors are the presence of diabetes mellitus, coronary artery disease and the advantage of a favorable concentric type of LV remodeling with preserved systolic function. Gender and age differences in the development and course of the most socially significant diseases, which primarily include cardiovascular disease, require a comprehensive study in different age groups, clarifying their nature, establishing differences between men and women for their primary and secondary prevention , as well as the compilation of an individualized algorithm of examination and treatment [5]. The aim of this work was to determine the sex and age characteristics of hemodynamic parameters and myocardial changes in patients with hypertension, diabetes mellitus and coronary heart disease.
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