CONSTITUTIONAL FEATURES IN MEN WITH DIFFERENT TYPES OF LEFT VENTRICULAR REMODELING AND HAVE CORONARY HEART DISEASE

Abstract

Purpose. The study of constitutional features in men with various types of left ventricular remodeling, having a comorbid association of arterial hypertension with coronary heart disease.
 Materials and methods. We examined 57 men with isolated arterial hypertension and 115 men with arterial hypertension combined with coronary artery disease. The standard method of anthropometric research used, followed by the determination of constitutional types, as well as the determination of types of geometric LV remodeling according to ultrasound examination of the heart.
 Results. The constitutional features of the frequency of unfavorable types of remodeling in men of the examined groups revealed. The largest group among the examined men, both with isolated arterial hypertension and with arterial hypertension in combination with coronary artery disease, consisted of representatives of the muscular and abdominal type of constitution. The presence of left ventricular remodeling detected in 91.2% of the examined men with isolated hypertension and in 89.6% of men with hypertension in combination with coronary artery disease. At the same time, both among men with isolated hypertension and men with hypertension in combination with coronary heart disease, the most common type of geometry was concentric left ventricular hypertrophy. It found that in all constitutional types, patients with concentric left ventricular hypertrophy were more common.
 Conclusion. Left ventricular hypertrophy was more common in all constitutional types in men of both groups. Normal geometry of the left ventricle more often observed in men with isolated arterial hypertension of the thoracic constitutional type, and among men with arterial hypertension in combination with coronary artery disease - of the muscular type.