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Heart remodeling at different stages of chronic heart failure in patients with postinfarction cardiosclerosis and dilated cardiomyopathy

Author(s): V.V. Mazur | A.M. Kalinkin | E.S. Mazur

Journal: Racionalʹnaâ Farmakoterapiâ v Kardiologii
ISSN 1819-6446

Volume: 6;
Issue: 6;
Start page: 818;
Date: 2010;
Original page

Keywords: dilated cardiomyopathy | myocardial infarction | congestive heart failure | remodeling of the heart | right ventricle.

Aim. To study the features of cardiac remodeling in patients with dilated cardiomyopathy (DCM) and postinfarction cardiosclerosis (PICS), that can be used for differential diagnosis of these diseases.Material and methods. Patients with DCM (27 men and 5 women; aged 43.1±2.3) and patients with PICS (62 men; aged 56.4±1.1) and chronic heart failure (CHF) were included in the study. The diagnosis of DCM was based on clinical investigation, which also includes coronary angiography. The diagnosis of DCM in 19 patients was proven by the results of postmortem investigation. The diagnosis of PICS was based on documented history of myocardial infarction, ECG and echocardiographic sings. Echocardiography was performed in all patients and 14 healthy volunteers.Results. End-systolic size (ESS) of left ventricular (LV) in patients with DCM and PICS at I (respectively 7.60±0.17 and 7.94±0.18 cm), IIA (7.66±0.28 and 8.64±0.30 cm) and IIB stages of CHF (8.26±0.28 and 8.94±0.15 cm) was significantly more than this in healthy volunteers (6.36±0.16, all p
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