[Characteristics and prevalence of various types of left ventricular myocardial dysfunction in patients with chronic

Insights

This study investigated left ventricular dysfunction in chronic cardiac failure patients with hypertension and coronary heart disease. Diastolic dysfunction was common in early stages and specific patient groups.

Area of Science:

  • Cardiology
  • Cardiovascular Medicine
  • Clinical Diagnostics

Context:

  • Assesses chronic cardiac failure (CCF) in patients with arterial hypertension (AH) and coronary heart disease (CHD).
  • Includes patients without distinct clinical symptoms of CHD.
  • Utilizes data from an outpatient diagnostic center.

Purpose:

  • To determine the prevalence of systolic and diastolic left ventricular dysfunction (SDLV, DDLV) in CCF patients.
  • To analyze the relationship between CCF etiology, functional class (FC), and myocardial dysfunction.
  • To establish echocardiographic criteria for SDLV and DDLV in CCF.

Summary:

  • Prevalence of SDLV and DDLV was evaluated in 223 CCF patients with AH, CHD, or both.
  • DDLV was prevalent in FC I CCF, AH patients with SDLV FC III, and CHD patients.
  • Echocardiographic and Dopplerographic criteria for SDLV and DDLV were assessed, considering FC and CCF etiology.

Impact:

  • Provides insights into CCF development in patients with various cardiovascular diseases.
  • Clarifies the impact of AH and CHD on myocardial dysfunction.
  • Defines echocardiographic features distinguishing systolic and diastolic CCF types.

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