HERALD of North-Western State Medical University named after I.I. MechnikovHERALD of North-Western State Medical University named after I.I. Mechnikov2618-71162618-9704Eco-Vector928510.17816/mechnikov201810287-91Research ArticlePortrait of the patient with intermediate ejection fraction of the left ventricle on the background of acute decompencation of heart failureSkorodumovaE. G.lisavetta91@mail.ruKostenkoV. A.lisavetta91@mail.ruSkorodumovaE. A.lisavetta91@mail.ruSiverinaA. V.lisavetta91@mail.ruRysevA. V.lisavetta91@mail.ruPovzunA. S.lisavetta91@mail.ruSt. Petersburg I.I. Dzhanelidze Research Institute of Emergency medicine15072018102879107082018Copyright © 2018, Skorodumova E.G., Kostenko V.A., Skorodumova E.A., Siverina A.V., Rysev A.V., Povzun A.S.2018<p><strong>Background</strong>. Medico-statistical portrait of patient are a fairly new concept.</p>
<p><strong>Materials and methods</strong>. 71 patients with intermediate ejection fraction of left ventricle (ILVEF) under acute decompensation of chronic heart failure were examined, 51 of them were male (71.8%) and 20 female (28.2%). Main cause of cronic heart failure was ischemic heart disease and arterial hypertension. The Charlson comorbidity index and Stevensons hemodynamic profile of patients. The average age of the individuals is 65.6 12.1 years. Statistical processing of the data was carried out using the method of multifactor analysis using SPSS 23 and the Microsoft Office Excel 10.0 package.</p>
<p><strong>Results</strong>. Main features of portrait of a patient with ILVEF with acute decompensation of heart failure, which has an high risk of death, is a male aged 64 to 71 years, with a Charlsons comorbidity index equal to 5 points and higher, as well as a hemodynamic profile of B or C. Portrait of a patient with ILVEF who has a low risk of death a male / female aged 55 to 64 with a Charlsons index from 1 to 4 points, as well as hemodynamic profile A and L.</p>
<p><strong>The conclusion</strong>. This article describes a creation of mathematical model for patients with ILVEF and acute decompensation of chronic heart failure under background of comorbidity and hemodynamics with a check of the obtained models using ROC-analysis</p>acute decompencationheart failureintermediate functionleft ventricularpatient’s portraitострая декомпенсациясердечная недостаточностьпромежуточная фракция выбросалевый желудочекпортрет пациента[Komajda M, Lam CS. Heart failure with preserved ejection fraction: a clinical dilemma. Eur Heart J. 2014;35:1022-1032.][Ponikovsky P, Voors AA, Anker SD, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2016;37(27):2129-2200.][Charlson ME, Pompei P, Ales KL, et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis. 1987;40:373-383.][Скородумова Е.Г., Костенко В.А., Скородумова Е.А., Рысев А.В. Проблемы и специфика диагностики острой сердечной недостаточности у пациентов с пограничной функцией левого желудочка на догоспитальном этапе // Скорая помощь. - 2018. - № 1. - С. 16-19. [Skorodumova EG, Kostenko VA, Skorodumova EA, Rysev AV. Problems and Specificity of Diagnosis of Acute Heart Failure in Patients with Left Ventricular Edge Function at Prehospital Stage. First Aid. 2018;(1):16-19. (In Russ.)]][Костенко В.А., Ситникова М.Ю., Скородумова Е.А., и др. Новая шкала оценки двухлетнего прогноза выживаемости для пациентов, госпитализированных в многопрофильный стационар по поводу острой декомпенсированной сердечной недостаточности // Кардиология. - 2017. - Т. 57. - № 6. - С. 33-39. [Kostenko VA, Sitnikova MYu, Skorodumova EA, et al. A new scale for assessing a two-year survival prognosis for patients hospitalized in a multidisciplinary hospital for acute decompensated heart failure. Cardiology. 2017;57(6):33-39. (In Russ.)]][Charlson M, Wells MT, Ullman R. The Charlson comorbidity index can be used prospectively to identify patients who will incur high future costs. PLoS One. 2014;9(12):112-479.]