Prognostic value of myocardial remodeling in patients with arterial hypertension and coronary heart disease
- Authors: Kovalchuk A.N.1
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Affiliations:
- Branch №7 «1586 Military Clinical Hospital» of Ministry of Defense of Russia
- Issue: Vol 24, No 4 (2022)
- Pages: 47-49
- Section: Articles
- URL: https://journals.eco-vector.com/0025-8342/article/view/113966
- DOI: https://doi.org/10.29296/25879979-2022-04-09
- ID: 113966
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Abstract
Objective of the study. To study prognostic value of myocardial remodeling in patients with arterial hypertension and coronary heart disease according to the literature data.
Material and Methods. 13 Russian and 3 foreign publications were analyzed, in which the prognostic value of myocardial remodeling in patients with arterial hypertension and coronary heart disease was discussed.
Results. Left ventricular hypertrophy in patients with arterial hypertension is an independent risk factor of negative prognosis in patients with arterial hypertension. The detection of left ventricular dilatation was associated with a 98% increased risk of cardiovascular complications. Frequency of concentric hypertrophy, dilatation and diastolic dysfunction of the left ventricle was higher in those patients with atrial fibrillation than in the group without atrial fibrillation.
Conclusion. Myocardial remodeling processes are associated with the progressing and worsening clinical course of arterial hypertension and coronary heart disease. Concentric hypertrophy and dilatation of the left ventricle are the most prognostically unfavorable variants of left ventricular structure and geometry disorders.
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About the authors
Andrey N. Kovalchuk
Branch №7 «1586 Military Clinical Hospital» of Ministry of Defense of Russia
Author for correspondence.
Email: akovalchuk69@rambler.ru
general practitioner, cardiologist, deputy chief
Russian Federation, TverReferences
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