Left Ventricular Contractile State in patients Undergoing Rehabilitation after myocardial infarction
PDF

Keywords

acute myocardial infarction
remodeling
heart failure
stenting

Abstract

In patients with postinfarction cardiosclerosis chronic heart failure occurs and progresses in the presence of cardiovascular risk factors such as hypertension (HT), diabetes mellitus (DM), dyslipidemia, smoking, obesity, sedentary lifestyle. According to clinical anamnesis and ECG data of post-myocardial infarction patients the course and prognosis of the disease was more favourable in patients who underwent endovascular reperfusion therapy using coronary stenting. Conducting percutaneous coronary intervention (PCI) contributed to significant increase in left ventricular ejection fraction, lower end-systolic volume and myocardial mass and reduced LV myocardial performance index compared to patients who didn’t undergo revascularization. Reperfusion therapy improved course of postinfarction cardiosclerosis and therefore it should be a priority treatment of patients with acute myocardial infarction. 
PDF

References

Amosova K.M., Sychenko Yu.O., Rudenko Yu.V. The effectiveness of the reperfusion therapy method in various categories of patients with acute coronary syndrome with ST elevation. Sertse i sudyny. 2012; 2:8-23.

Bershtein L.L., Novikov V.I., Vishnevskii A.Yu. The postinfarction left ventricular remodeling prognosis // Kardiologiia. 2011; 3: 17-23.

Boldyreva M.O. Compative study of results of coronary angiography of patients with primary and secondary infarction. Kardiologiia. 2013; 5: 34-37.

Evstratova S.G., Gazarian G.A., Zakharov I.V. Efficiency of reperfusion therapy at right ventricular predominant dysfunction syndrome accompanying the inferior myocardial infarction. Kardiologiia. 2013; 4: 4-11.

Fettser D.V., Batyralliev T.A., Niiazova-Karben Z.A. Clinical and antigraphic factors influencing improvement of left ventricle function after implantation of standard metallic stents for the patients with chronic occlusions of coronary arteries. Kardiologiia. 2011; 2: 52-58.

Gazarian G.A., Zakharov I.V., Golikov A.P. Early and late percutaneous coronary interventions during the acute period of myocardial infarction. Kardiologiia. 2011; 11: 10-15.

Imanov G., Bakhshaliev A., Azizov V. Dynamics of echocardiographic indicators of left ventricular remodeling in patients with acute myocardial infarction after successful primary angioplasty dependent on status of coronary blood flow before the intervention. Kardiologiia. 2011; 7: 13-16.

Ioseliani D.G., Kostianov I.Yu., Machitidze E.Ts. Comparative evaluation of results of course and treatment on hospitalization stages of patients with Q-formative acute myocardial infarction at reperfusion and without it. Kardiologiia. 2011; 7: 8-12.

Kobernyk N.M. Role of hemovascular hemostasis in the progression of chronic heart failure in elderly patients with previous myocardial infarction with Q elevation. Ukrainskyi Kardiolohichnyi Zhurnal. 2011; 1:79-85.

Kovalenko V.M., Nesukai O.H., Danylenko O.O. Geometry of left ventricular contraction is a new view on the problem in the light of the structural organization of the myocardium. Ukrayinskyi Medychnyi Chasopys. 2013; 2: 183-187.

Kovalenko V.M., Nesukai O.H., Polenova N.S. The value of echocardiography in the assessment of myocardial viability in patients with myocardial infarction with Q elevation. Ukrainskyi Kardiolohichnyi Zhurnal. 2013; 2: 23-28.

Kyiak Yu.H., Barnett O.Yu. Remodeling, hibernation and apoptosis of cardiomyocytes at arterial hypertension and infarction as a predictor of heart failure. Klinichni Doslidzhennia. 2011; 2: 27-34.

Lakomkin S.V., Skvortsov A.A., Goriunova T.V. Galectin-3 is a new diagnostic and forecast marker of chronic cardiac failure. Kardiologiia. 2012; 3: 45-52.

Markov V.A., Vyshlov E.V., Sevastianova D.S. Comparative efficiency off pharmacy-invasive strategy of myocardial reperfusion and primary angioplasty in patients with acute myocardial infarction ST elevation. Kardiologiia. 2013; 10: 10-15.

Oganov R.G., Fomina I.G. Heart diseases: Guide for doctors. Litterra, Moscow, 2006; 1328.

Sabate M., Brugaletta S., Ceguier A. The examination trial (evelrolimus-eluting stents versus bare-metal stents in ST-segment elevation myocardial infarction). Journal of the American College of Cardiology Foundation. 2014; 7:64-71.

Sheiko S.O. Features of left ventricular remodeling in elderly patients with heart failure and anemic syndrome manifestations. Arkhiv klinichnoii medytsyny. 2011; 1:66-71.

Shumakov V.A., Malinovskaia I.E., Tereshkevich L.P. Study of postinfarction course in 2 years observation period, evaluation of treatment and contraindication. Ukrainskyi Kardiolohichnyi Zhurnal. 2012; 6: 58-61.

Slydzevska I.K., Babii L.M., Savytskyi S.Yu. Evaluation of survival of patients with acute myocardial infarction according to the five-year observation. Ukrainskyi Kardiolohichnyi Zhurnal. 2011; 3: 7-11.

Todurov B.M., Zharinov O.I., Stroganova N.P. Evaluation of myocardium viability of patients with ischemic heart disease and systolic left ventricular dysfunction. Ukrainskyi Kardiolohichnyi Zhurnal. 2012; 1: 64-72.

Tseluiko V.I., Lozovaia T.A., Knysh D.A. Features of hemodynamics and diastolic function indicators in patients with myocardial infarction of posterior left ventricular wall with involvement of right ventricle. Ukrainskyi Kardiolohichnyi Zhurnal. 2012; 6: 68-75.

Tseluyko V.I., Lozovaia T.A Levels of gelectin-3, brain natriuretic peptide and status of diastolic function of the left and right ventricles in patients with Q wave myocardial infarction of posterior left ventricular wall with involvement of right ventricle. Sertse i sudyny. 2013; 3: 65-71.

Tyts S.N., Gukov A.G., Shapovalov N.A. Experience of optimization for assisting of immediate medical aid for patients with acute coronary syndrome in Luhansk region. Ukrainskyi Kardiolohichnyi Zhurnal. 2013; 1: 46-49.

Ushakov A.V., Gagarina A.A. Regulation of altered noncontract elements of cardiac muscle in myocardial infarction development. Sertse i sudyny. 2013; 3: 118-124.

Valuieva S.V. Ukrainian registry STIMUL: effectiveness of different methods of treatment of acute coronary syndromes with ST-segment elevation and adherence of patients to treatment in postinfarction period (results of two observations). Ukrainskyi Kardiolohichnyi Zhurnal. 2013; 3: 40-45.

Velazguez E.J., Francis G.S., Amstrong P.W. An international perspective on heart failure and left ventricular systolic dysfunction complicating myocardial infarction: the valiant registry. European Heart Journal. 2004; 25:1911-1919.

Wollert K.C., Kempf T. GDF-15 in heart failure: providing insight into end-organ dysfunction and its recovery? European Heart Journal. 2012; 14:1191-1193.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Downloads

Download data is not yet available.