Preview

Rational Pharmacotherapy in Cardiology

Advanced search

IS THERE AN ALTERNATIVE TO EJECTION FRACTION IN INSTRUMENTAL EVALUATION OF CHRONIC HEART FAILURE SEVERITY IN POST-MYOCARDIAL INFARCTION PATIENTS?

https://doi.org/10.20996/1819-6446-2010-6-3-329-332

Full Text:

Abstract

Aim. To find echocardiographic indicators of the heart remodeling which provide the best evaluation of chronic heart failure (CHF) severity in post-myocardial infarction patients.

Material and methods. Patients (n=100) with CHF related with ischemic heart disease (post-myocardial infarction) have been examined. The CHF severity was assessed by Scale of Clinical State Evaluation (SCSE) in V.Yu. Mareev's modification and 6-minute walk test. The echocardiography was performed with registration of the heart cavities size, left ventricle (LV) myocardium mass, LV asynergy index, LV sphericity index, time of LV isovolumic contraction and relaxation, Е/А ratio for mitral flow, grade of valvular regurgitation and pulmonary hypertension.

Results. The maximal correlation values of CHF severity was observed with intensity of diastolic dysfunction, systolic LV size and volume, LV asynergia index, integrated systolic remodeling index, degree of mitral regurgitation. Correlation value of CHF severity with LV ejection fraction was less than this with above mentioned indices.

Conclusion. The early echocardiographic markers of CHF were found. These are LV systolic sphericity index, LV integrated systolic remodeling index, LV systolic myocardial stress.

About the Authors

T. A. Kazakovtseva
City Hospital N1 named after N.I.Pirogov
Russian Federation
Leninsky prosp. 8, korp. 10, Moscow, 117049


N. A. Shostak
Russian State Medical University
Russian Federation

Chair of Faculty Therapy named after academician A.I. Nesterov

Ostrovityaninova ul. 1, Moscow, 117997 



References

1. Терещенко С.Н., Павликова У.П., Мерай И.А. Место мозгового натрийуретического пептида в диагностике сердечной недостаточности. Журнал Сердечная недостаточность 2003;4(2):103-4.

2. Cleland J.G., Swedberg K., Follath F., et al. The EuroHeart Failure survey programme — a survey on the quality of care among patients with heart failure in Europe. Part 1: patient characteristics and diagnosis. Eur Heart J 2003;24(5):442-63.

3. Агеев Ф.Т., Даниелян М.О., Мареев В.Ю. и др. Больные с хронической сердечной недостаточностью в российской амбулаторной практике: особенности контингента, диагностики и лечения (по материалам исследования ЭПОХА-О-ХСН). Журнал Сердечная недостаточность 2004;5(1):4-7.

4. Беленков Ю.Н., Мареев В.Ю. Как мы диагностируем и лечим сердечную недостаточность в реальной клинической практике в начале21века? Результаты исследования IMPRUVMENT HF. Consilium Medicum 2001;3(2):65-72.

5. Mannaerts H.F., van der Heide J.A., Kamp O., et al. Early identification of left ventricularremodelling after myocardial infarction, assessed by transthoracic 3D echocardiography. Eur Heart J. 2004;25(8):680-7.

6. Васюк Ю.А., Козина А.А., Ющук Е.Н., и др. Особенности диастолической функции и ремоделирования левого желудочка у больных артериальной гипертензией и ишемической болезнью сердца. Журнал Сердечная недостаточность 2003;4(2):190-2.

7. Bruch C., Schmermund A., Marin D., et al. Tei-index in patients with mildto-moderate congestive heart failure. Eur Heart J 2000;21(22):1888-95.

8. Шиллер Н., Осипов М.А. Клиническая эхокардиография.М.:Мир,1993.

9. Реброва О.Ю. Статистический анализ медицинских данных. М., 2006.

10. Фейгенбаум Х. Эхокардиография. 5-е изд. Пер. с англ. М.: Видар, 1999.

11. Калюжин В.В., Калюжин О.В., Тепляков А.Т., Караулов А.В. Хроническая сердечная недостаточность. Вопросы этиологии. М.: МИА, 2006.


For citation:


Kazakovtseva T.A., Shostak N.A. IS THERE AN ALTERNATIVE TO EJECTION FRACTION IN INSTRUMENTAL EVALUATION OF CHRONIC HEART FAILURE SEVERITY IN POST-MYOCARDIAL INFARCTION PATIENTS? Rational Pharmacotherapy in Cardiology. 2010;6(3):329-332. (In Russ.) https://doi.org/10.20996/1819-6446-2010-6-3-329-332

Views: 331


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1819-6446 (Print)
ISSN 2225-3653 (Online)