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发表评论 Features of the structural and functional condition of the myocardium in patients with chronic kidney disease and chronic heart failure
- 作者: Frolov D.1, Salukhov V.1, Shustov S.1, Lokshina T.1, Izilyaeva E.1, Ekimov V.1
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隶属关系:
- S.M. Kirov Military Medical Academy
- 期: 卷 11, 编号 3 (2019)
- 页面: 79-84
- 栏目: Original research
- URL: https://journals.rcsi.science/vszgmu/article/view/15398
- DOI: https://doi.org/10.17816/mechnikov201911379-84
- ID: 15398
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Relevance. The results of the structural and functional condition of the heart in patients with chronic heart failure with mid-range ejection fraction and heart failure with preserved ejection fraction and chronic kidney disease stage 3 were analyzed.
Purpose. To study clinical and laboratory parameters, as well as the structural and functional condition of the myocardium in patients with chronic kidney disease stage 3 and chronic heart failure with mid-range ejection fraction and heart failure with preserved ejection fraction.
Materials and methods. A total of 41 patients with chronic stage 3 kidney disease and chronic heart failure with mid-range ejection fraction and heart failure with preserved ejection fraction were examined. Structural and functional changes in the myocardium were estimated by means of echocardiography and tissue Doppler imaging.
Results and conclusion. In patients with chronic heart failure with mid-range ejection fraction and heart failure with preserved ejection fraction, the presence of chronic kidney disease stage 3b in comparison with stage 3a is characterized by a more significant interatrial conduction abnormality, AV-node and bundle of the His, and also more significant violation of systolic function, not only the left, but also right ventricles. In the patients with chronic heart failure with mid-range ejection fraction and heart failure with preserved ejection fraction and the presence of chronic kidney disease stage 3a, diastolic dysfunction of the left ventricle of the I type prevails significantly more often. In the patients with chronic kidney disease of 3b stage diastolic dysfunction of the left ventricle type II is more common.
作者简介
Dmitrij Frolov
S.M. Kirov Military Medical Academy
编辑信件的主要联系方式.
Email: froloff_82@mail.ru
SPIN 代码: 4089-0078
the teacher of 1st Chair (Therapy for Postgraduate Education) S.M. Kirov Military Medical Academy, Candidate of Medical Sciences
俄罗斯联邦, 6G, Akademika Lebedeva street, Saint-Petersburg, 194044Vladimir Salukhov
S.M. Kirov Military Medical Academy
Email: vlasaluk@yandex.ru
the head of 1st Chair (Therapy for Postgraduate Education) S.M. Kirov Military Medical Academy, Doctor of Medical Sciences, assistant professor
俄罗斯联邦, 6G, Akademika Lebedeva street, Saint-Petersburg, 194044Sergej Shustov
S.M. Kirov Military Medical Academy
Email: sbs5555@mail.ru
the professor of 1st Chair (Therapy for Postgraduate Education) Doctor of Medical Sciences, professor, Honored Doctor of the Russian Federation
俄罗斯联邦, 6G, Akademika Lebedeva street, Saint-Petersburg, 194044Tat'yana Lokshina
S.M. Kirov Military Medical Academy
Email: lokshina8@mail.ru
the assistant of 1st Chair (Therapy for Postgraduate Education) S.M. Kirov Military Medical Academy
俄罗斯联邦, 6G, Akademika Lebedeva street, Saint-Petersburg, 194044Elizaveta Izilyaeva
S.M. Kirov Military Medical Academy
Email: izi_li55@bk.ru
the cadet of S.M. Kirov Military Medical Academy
俄罗斯联邦, 6G, Akademika Lebedeva street, Saint-Petersburg, 194044Vitalij Ekimov
S.M. Kirov Military Medical Academy
Email: v.ekimov2012@yandex.ru
the resident of 1st Chair (Therapy for Postgraduate Education) S.M. Kirov Military Medical Academy
俄罗斯联邦, 6G, Akademika Lebedeva street, Saint-Petersburg, 194044参考
- Резник Е.В. Особенности поражения органов-мишеней у больных с хронической сердечной недостаточностью: Автореф. дис. ... д-ра мед. наук. – М., 2016. – 46 с. [Reznik EV. Osobennosti porazheniya organov-misheney u bol’nykh s khronicheskoy serdechnoy nedostatochnost’yu. [dissertation] Moscow; 2016. 46 р. (In Russ.)]. Доступно по: http://www.rsmu.ru/fileadmin/rsmu/img/about_rsmu/disser/2016/reznik_ev/a_reznik_ev.pdf. Ссылка активна на 01.07.2019.
- Крючкова О.Н., Ицкова Е.А., Турна Э.Ю., Лутай Ю.А. Основные акценты национальных рекомендаций «Сердечно-сосудистый риск и хроническая болезнь почек: стратегии кардионефропротекции» // Крымский терапевтический журнал. – 2015. – № 4. – С. 35–36. [Kryuchkova ON, Itskova EA, Turna EYu, Lutay YuA. The main emphasis of national recommendations “Cardiovascular risk and renal disease: strategy of cardio and renal protection”. Krymskij terapevticheskij zhurnal. 2015;(4):35-36. (In Russ.)]
- Sulemane S, Panoulas VF, Bratsas A, et al. Subclinical markers of cardiovascular disease predict adverse outcomes in chronic kidney disease patients with normal left ventricular ejection fraction. Int J Cardiovasc Imaging. 2017;33(5):687-698. https://doi.org/10.1007/s10554- 016-1059-x.
- Мареев В.Ю., Фомин И.В., Агеев Ф.Т., и др. Клинические рекомендации. Хроническая сердечная недостаточность // Сердечная недостаточность. – 2017. – Т. 18. – № 1. – С. 3–40. [Mareyev VYu, Fomin IV, Ageyev FT, et al. Clinical guidelines. Chronic heart failure (CHF). Serdechnaja nedostatochnost’. 2017;18(1):3-40. (In Russ.)]. https://doi.org/10.18087/rhfj.2017.1.2346.
- Фролов Д.С., Шустов С.Б., Барсуков А.В., и др. Вторичная нефропатия при артериальной гипертензии // Лечение и профилактика. – 2015. – Т. 15. – № 3. – С. 29–32. [Frolov DS, Shustov SB, Barsukov AV, et al. The secondary nephropathy under arterial hypertension. Lechenie i profilaktika. 2015;15(3):29-32. (In Russ.)]
- Löfman I, Szummer K, Dahlström U, et al. Associations with and prognostic impact of chronic kidney disease in heart failure with preserved, mid-range, and reduced ejection fraction. Eur J Heart Fail. 2017;19(12):1606-1614. https://doi.org/10.1002/ejhf.821.
- Насыбуллина А.А., Булашова О.В., Ослопов В.Н., и др. Клиническая характеристика пациентов с сердечной недостаточностью в сочетании с хронической болезнью почек // Вестник современной клинической медицины. – 2015. – № 8. – С. 85–90. [Nasybullina AA, Bulashova OV, Oslopov VN, et al. The clinical characteristics of patients with heart failure in combination with chronic kidney disease. Vestnik sovremennoi klinicheskoi mediciny. 2015;(8):85-90. (In Russ.)]
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