Choroby współwystępujące u osób z kombinowaną wadą zastawkową serca

Abstract

Introduction. Multivalvular heart disease has congenital or acquired etiology (e.g. rheumatic fever, atherosclerosis, calcification of the valves, remodeling and dilatation of ventricles). The basis of valvular degeneration is failure of endothelial tissue. The consequence of a long-standing heart defect is a progressive heart failure (HF). The aim of the study is to emphasize that the heart failure and the atrial fibrillation are frequently related to the combined valvular disease. Material and methods. The study involves documentation of 109 patients with a compound heart defect treated from 2006 to 2016. Other factors which were considered in the statistical calculation are: heart failure classified in NYHA scale, presence of a cardiac infarction, diabetes, MAS syndrome, obesity, circulatory arrest, dyspnea, chest pain, fatigability, unconsciousness, dizziness and performed cardioversion. Results. Heart failure neither correlated with a valvular disease (p > 0,05) nor with fainting (p=0,9). Furthermore there was no correlation between HF and heart infarct or coronary arterial disease. Authors can find no dependency between grade of HF (NYHA 2-4) and diabetes mellitus. Conclusions. The risk for the development of these diseases in the research group is much higher than in general population. It is essential to pay special attention to the concomitance heart failure, the atrial fibrillation and valvular diseases.