PECULIARITIES OF THE SISTOLIC FUNCTION OF THE LEFT VENTRICLE IN MYOCARDIAL INFARCTION WITH RELATED ARTERIAL HYPERTENSION IN MEN UNDER 60 YEARS

Myocardial infarction (MI) in young and middle-aged people is a socially significant problem, and arterial hypertension (AH) is one of the most important risk factors for cardiovascular complications. Despite the availability of studies on MI in the presence of AH, data on structural and functional changes in the heart and prognosis in men of young and middle age are few and contradictory. The purpose of the study was to study the structural and functional characteristics of the heart that affect the prognosis of young and middle-aged men in the acute and subacute periods of MI in the presence of AH to improve treatment and prevention. It is included 497 men from 19 to 60 years old with type I IM who, in the first 48 hours (1) and at the end of the third week of the disease (2), are performed the standard diagnostic algorithm. Patients were divided into four groups depending on the presence / absence of AH and age: up to 49 years (with AH (112 patients, without AH 75 patients) and 50-60 years (with AH 230 patients, without AH 80 patients). It was established that in the presence of AH there is a more pronounced systolic dysfunction. Such patients are more likely to have sudden cardiac death and cardiovascular complications, therefore this category of patients requires more careful monitoring for the timely detection and treatment of chronic heart failure and the prevention of cardiovascular catastrophes in the future.

myocardial infarction, prognosis, arterial hypertension, heart failure, systolic dysfunction, echocardiography