Polyarteritis nodosa refers to the group of systemic vasculitides affecting small and medium arteries. It is characterized by inflammation of the vascular wall with the development of aneurysmus and thrombosis. The article presents a rare clinical case of polyarteritis nodosa, which has not been diagnosed for a long time and gives the description of the diagnostic search, performance of differential diagnosis as a result of which the diagnosis of systemic vasculitis has been defined.
The echocardiographic indices and electrocardiographic changes of lipid blood spectrum in patients with tyroidcardiomyopathias have been analyzed. Cardiomyopathia in hypothyrosis is characterized by hypertrophy of left ventricle with diastolic dysfunction and hydropericardium. Tyrotoxiccardiomyopathia is characterized by dilatation of left atrium, hypertrophy of left ventricle, dilatation of right ventricle, lung hypertension. The systolic pressure in lung artery in the patients with hypothyrosis is reliably higher and right ventricle is reliably larger. The patients with hypothyrosis revealed a reliable increase of cholesterol at the expense of low-dense lipoproteids. The content of triglycerides and high-dense lipoproteids did not differ.
The data of the present review indicate that due to the recently constantly increasing amount of data on the significance of specific gender differences among cardiovascular diseases, choice of the treatment with the account of gender features is becoming of higher demand. This makes it possible to improve and optimize the rendering of medical aid to females and males.
Objective: to assess the parameters of echocardiography, structure of cardiovascular pathology in patients suffering from morphea. Material and methods. The echocardiographic data and cardiovascular pathology were studied in 74 patients with morphea. Results. Diastolic dysfunction of the left ventricle was revealed in 37.5 % of the morphea patients, dilatation of the left atrium was found in 10.8% of the patients, pathological regurgitation on the aortic valve - in 21.62 %. 86.5 % of the patients had morphea combined with arterial hypertension. Conclusion: Such comorbid pathologies as arterial hypertension, dilatation of the left atrium, pathological regurgitation on the aortic valve and left ventricular diastolic dysfunction are common for patients with morphea.
Spontaneous echocardiographic contrast is a manifestation of SLUDGE syndrome in the cavities of the heart. The factors that contribute to the emergence of this phenomenon are atrial fibrillation, mitral stenosis, mitral valve prosthesis, left atrial dilatation, decreased left ventricular ejection fraction, hypercoagulable blood conditions, inflammatory diseases, dyslipidemia. Spontaneous echo contrast is a prothrombogenic condition and increases the risk of thromboembolic events, including cerebrovascular complications. This article presents an analytical review of literary sources on this phenomenon for the purpose of its study and determination of treatment tactics in each clinical case.
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