Systolic-diastolic attitude in patients with acute decompensation of heart failure
https://doi.org/10.24884/2072-6716-2021-22-3-19-23
Abstract
The aim of the study was to evaluate the systolic-diastolic ratio in patients with acute decompensation of heart failure against the background of the intermediate function of the left ventricle. This article is based on data from 585 electrocardiograms of 195 patients (98 males and 97 females), the average age was 64.6±14.8 years. By the level of the ejection fraction of left ventricle (LVEF), all patients were divided into three groups: with a reduced LVEF an intermediate LVEF and a preserved LVEF. As a result it was shown that in the groups of intermediate and low EF, when the systole of ventricles dominate over the diastole, but under the treatment ratio changed to the prevalence of diastole. In the preserved LVEF sample diastole dominates at all stages of the observation. Analysis of the ratio described may be useful for assessment of treatment effectiveness and coronary flow in patients with different types of LV function under acute heart failure decompensation.
About the Authors
E. G. Skorodumova
St. Petersburg Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Elizaveta G. Skorodumova
Moscow
V. A. Kostenko
St. Petersburg Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Viktor A. Kostenko
Moscow
E. A. Skorodumova
St. Petersburg Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Elena А. Skorodumova
Moscow
I. N. Gayvoronskiy
Kirov Military Medical Academy (branch)
Russian Federation
Russian Federation
Ivan N. Gayvoronskiy
Moscow
A. V. Siverina
St. Petersburg Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Anna V. Siverina
Moscow
A. V. Rysev
St. Petersburg Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Aleksander V. Rysev
Moscow
References
1. Mareev V. Yu., Fomin I. V., Ageev F. T. et al. Chronic heart failure (CHF). Heart failure, 2017, Vol. 18, No 1, pp. 3–40 (In Russ.).
2. Ageev F. T., Ovchinnikov A. G., Dreeva Z. V. Heart failure with intermediate ejection fraction. Heart failure, 2017, Vol. 18, No 1, рр. 67–71 (In Russ.). doi: 10.18087 / rhfj.2017.1.2337.
3. Arutyunov G. P., Kolesnikova E. A., Begrambekova Yu.L. et al. Recommendations for the appointment of physical training in patients with chronic heart failure. Heart Failure, 2017, Vol. 18, No 1, pp. 41–46 (In Russ.). doi: 10.18087/rhfj.2017.1.2339.
4. Skorodumova E. G., Kostenko V. A., Skorodumova E. A., Rysev A. V. The width of distribution of erythrocytes is a potentially new marker of acute decompensation of heart failure. Cardiology: news, opinions, training, 2017, No 1, pp. 40–43 (In Russ.).
5. Skorodumova E. G., Kostenko V. A., Skorodumova E. A., Siverina A. V. Problems and specificity of diagnosis of acute heart failure in patients with borderline left ventricular function at the prehospital stage. Emergency medical care, 2018, No 1, pp. 16–19 (In Russ.).
6. Malov Y. S. Stress tests in the diagnosis of chronic heart failure. Bulletin of the Russian Military Medical Academy, 2016, Vol. 1, No 53, pp. 62–66 (In Russ.).
Review
For citations:
Skorodumova E.G., Kostenko V.A., Skorodumova E.A., Gayvoronskiy I.N., Siverina A.V., Rysev A.V. Systolic-diastolic attitude in patients with acute decompensation of heart failure. EMERGENCY MEDICAL CARE. 2021;22(3):19-23. (In Russ.) https://doi.org/10.24884/2072-6716-2021-22-3-19-23
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