Chronic heart failure with an intermediate ejection fraction of the left ventricle in patients hospitalized in the cardiology hospital.

Abstract

Aim. Identification of clinical, anamnestic, etiological, echocardiographic features of chronic heartfailure with an intermediate ejection fraction of the left ventricle among patients hospitalized in the cardiology hospital. Material and methods. Analyzed 423 hospitalization. The diagnosis of CHF was present 378patients (89,6%), the median age was 62 [56; 69]. All patients underwent six-minute walk test, followed by determination of the functional class of heart failure, ultrasound of the heart. Results. In the group of patients Cnppv met significantly less complaints of shortness of breath and weakness, in comparison with patients suffering from Snfu and Ssfv (p<0.05). The severity of violations of the functional state ofpatients with CHF was progressively increased by reducing the levels of LVEF less than 40%. The vast majority of the reason for the development of CHF was a combination of coronary heart disease and arterial hypertension found in 82% of cases in the total cohort. In isolation, these diseases were the cause of heart failure in 3% (coronary heart disease) and 3.4% (arterial hypertension) patients. Conclusion. The incidence of heart failure with an intermediate ejection fraction of the left ventricle among patients with CHF, hospitalized in the cardiology hospital, was 12%. Patients Cnppv had removed the clinical symptoms, despite significant pathological changes in echocardiographic parameters. In addition, the development of Snpf in 93% of cases on a background of myocardial infarction significantly aggravates the prognosis of life ofpatients suffering this pathology.

Patterns of immunological reactions in the pathogenesis of chronic heart failure: review

“…Согласно данным, полученным в рамках фрагмента исследования ЭПОХА-О-ХСН II, выполненного в НИИ кардиологии Томского НИМЦ в 2016 году, в структуре причин ХСН со сниженной ФВ ЛЖ преобладала ИБС -у 67,3 % больных, у половины из которых регистрировался перенесенный острый ИМ (в 36,5 % случаев) [17]. Среди причин ХСН с сохраненной ФВ ЛЖ (СНсФВ) высока доля хронических сердечно-сосудистых заболеваний и их факторов риска, таких как артериальная гипертония, сахарный диабет 2 типа, ожирение, хронические заболевания почек [18].…”