Abstract
Central hemodynamic parameters in 40 patients with arterial hypertension, postinfarction cardiosclerosis and type 2 diabetes were evaluated. Based on the study, it is proved that type 2 diabetes mellitus is a predictor of concentric LV myocardial hypertrophy, which can be considered as a reaction of the heart to prolonged increased load and disruption of myocardial microcirculation, contributes to complex structural and functional reorganization of the heart with a tendency to reduce myocardial contractility. Comorbidity of hypertension, postinfarction cardiosclerosis and type 2 diabetes increases the incidence of signs of left ventricular diastolic dysfunction type 1 (type of relaxation disorder), which leads to a worsening of the prognosis of cardiovascular complications.
Highlights
INDICATORS OF CENTRAL CARDIOHEMODYNAMICS IN PATIENTS WITH ARTERIAL HYPERTENSION WITH POSTINFARCTION CARDIOSCLEROSIS AND DIABETES MELLITUS TYPE 2
When comparing the obtained cardiohemodynamic parameters in comparative groups of patients with AH, postinfarction cardiosclerosis (PICS) in the presence and absence of type 2 diabetes mellitus (NIDD), it was determined that the relative interventricular septum thickness (RIVST), the relative thickness of the left ventricle posterior wall (RTLVPW), the left ventricular myocardium mass index (LVMMI), and the thickness index of left ventricular myocardium wall (TILVMW) (р
The data obtained suggest that type 2 diabetes mellitus (NIDD) is a predictor of the development of concentric LV myocardial hypertrophy in patients with AH and postinfarction cardiosclerosis (PICS), which is a heart response to prolonged exercise, as well as a violation of the microcirculation processes in the myocardium, which contributes to the complex structural and functional restructuring of the heart with the occurrence of predominantly concentric remodeling and concentric LV hypertrophy with a tendency to decrease the myocardial contractility
Summary
Candidate of Medical Sciences, Associate Professor, Associate Professor of Clinical Pharmacology and Internal Medicine Kharkiv National Medical University of the Ministry of Health of Ukraine, Ukraine. Candidate of Medical Sciences, radiologist SI "Institute of Medical Radiology and Oncology. General practitioner of family medicine Multidisciplinary Medical Center Life Park, Ukraine
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