Heart remodeling in patients with post-infarction cardiosclerosis at various stages of chronic heart failure
Abstract
The study investigated right ventricular (RV) remodeling during chronic heart failure (CHF) progression in patients with post-infarction cardiosclerosis (PICS). In total, 69 PICS patients and 14 healthy controls were examined. RV length and volume, its systolic and diastolic function were assessed by echocardiography method. At CHF Stages I-IIA, no substantial changes in RV volume and function were observed, but Stage I was characterized by significant RV length reduction, comparing to the controls. At CHF Stage IIB, RV length and volume were significantly increased, and systolic and diastolic dysfunction was observed. It could be concluded that RV remodeling in PICS patients starts at CHF Stage I already, due not to increased RV load, but to heart anatomy features, as interventricular septum is common for both ventriculi.
About the Authors
V. V. Masur
Тверская государственная медицинская академия Росздрава
Russian Federation
Russian Federation
A. M. Kalinkin
Тверская государственная медицинская академия Росздрава
Russian Federation
Russian Federation
O. A. Zamoraev
Тверская государственная медицинская академия Росздрава
Russian Federation
Russian Federation
E. S. Masur
Тверская государственная медицинская академия Росздрава
Russian Federation
Russian Federation
References
1. Национальные рекомендации ВНОК и ОССН по диагностике и лечению ХСН (второй пересмотр), 2006.
2. Белов Ю.В., Вараскин В.А. Постинфарктное ремоделирование левого желудочка сердца -от концепции к хирургическому лечению//М., 2002. с 17.
3. Никитин Н.П., Алявин А.Л., Голоскова В.Ю. и др. Особенности процесса позднего ремоделирования сердца у больных, перенесших инфаркт миокарда, и их прогностическое значение//Кардиология, 1999; 1: 54-58.
4. Сандриков В.А., Кулагина Т.Ю., Гаврилов А.В. и др. Систолическая и диастолическая функция миокарда у больных ишемической болезнью сердца//Кардиология и сердечнососудистая хирургия, 2008; 1: 14-17.
5. Buckberg G.D. Congestive heart failure: treat the disease, not the symptom -return to normalcy//Thorac. Cardiovasc. Surg. 2001; 121: 628-637.
6. Dor V., Di Donato M. Ventricular remodeling in coronary artery disease//Curr. Opin. Cardiol. 1997; 12: 533-537.
7. Schiller N.B., Shah P.M., Crawford M. et al. Recommendаtions for quantitation of the left ventricle by two-dimensional echocardiography//J. Am. Soc. Echocardiogr., 2:358, 1989.
8. Tomita M., Masuda H., Sumi T. et al. Estimation of right ventricular volume by modified echocardiographic subtraction method//Am.Heart J., 123:1011, 1992.
Review
For citations:
Masur V.V., Kalinkin A.M., Zamoraev O.A., Masur E.S. Heart remodeling in patients with post-infarction cardiosclerosis at various stages of chronic heart failure. Russian Journal of Cardiology. 2008;(3):18-21. (In Russ.)
Views:
815
Email this article 