研究急性左心衰的预测因素和心脏病理慢性心衰进展的标准(文献综述:自己的研究结果)

V. Denesyuk
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摘要

介绍。关于急性和慢性心力衰竭预测因子的预测文献很少发表。研究的目的。Аnalyze心脏病学在研究急性左心室衰竭的预测因素和CHF合并各种CVD的进展标准方面的成就。材料和方法。Vikoristani 51发表了一篇文章,并介绍了在心脏病急性呼吸衰竭和CHF进展预测领域的公共研究结果。结果。在大多数患者中,心肌梗死转移后的时间与舒张末期和收缩末期容量的增加有关,这是预后不利的迹象。在这些病例中,左室重构的发展是非常重要的,并接受与心肌梗死、脑卒中和心衰相同的名称。不利心血管疾病动态的预测因素:EDV、ESV和左心室射血分数的变化。值得注意的是,GLS和舒张功能障碍是心血管并发症和SCD的重要预测因素。明显的二尖瓣返流增加了出生后5年的死亡风险。在我们研究的基础上,我们于1991年首次证明了4种病理相关机制在SCD中HF初期的发展中起主导作用:随着小动脉低氧血症、静脉高氧、O2对ABB的减少和组织对氧的利用、H. A. Krebs循环中发生的有氧过程的减少以及糖酵解和戊糖磷酸分流(琥珀酸脱氢酶和细胞色素氧化酶的活性)增加而引起的能量不足的补充,中心、区域肺血流动力学、微循环和组织交换。结论。根据已有资料和本研究的结果,预测急性CHF及其进展的预测因子为:AMI、UA严重形式、稳定型心绞痛3-4次FC、心动脉瘤、收缩压大于180 mm Hg且小于100 mm Hg、年龄70岁及以上、AF、TP、3-5级VE、“旋转”型VT、EDV、ESV显著升高、LVEF显著降低。研究急性进展的预测因素和预测CHF的标准是至关重要的。关键词:急性左心室功能不全预测因子;慢性心力衰竭
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Studying Predictors of Acute Left Ventricular Failure and Criteria for the Progression of Chronic Heart Failure in Cardiac Pathologies (Literature Review: Results of Own Research)
Introduction. Few works have been published in the literature on the prediction of predictors of acute and chronic heart failure. The aim of the study. Аnalyze the achievements of cardiology in the field of studying the predictors of predicting acute left ventricular failure and the criteria for the progression of CHF with various CVD. Materials and methods. Vikoristani 51 published an article and presented the results of public research in the field of predicting acute respiratory failure and progression of CHF in heart disease. Results. In most patients, the term after the transferred MI is associated with an increase in end-diastolic volume and end-systolic volume, which are prognostically unfavorable signs. In these cases, the development of LV remodeling is of great importance, as well as accepting the same name as MI, stroke, and HF. Predictors of unfavorable cardiovascular diseases dynamics: changes in EDV, ESV and left ventricular ejection fraction. It should be noted that GLS and diastolic dysfunction are important predictors of cardiovascular complications and SCD. The apparent mitral regurgitation increased the risk of death for 5 years of birth. On the basis of our research, we proved for the first time in 1991 that 4 pathogenetically related mechanisms play a leading role in the development of the initial stage of HF in SCD: central, regional pulmonary hemodynamics, microcirculation, and tissue exchange with the development of arteriolar hypoxemia, venous hyperoxia, reduction of ABB by O2 and utilization of oxygen by tissues, reduction of aerobic processes occurring in the H. A. Krebs cycle and replenishment of energy deficit due to increased glycolysis and pentose phosphate shunt (activities of succinate dehydrogenase and cytochrome oxidase). Conclusions. Based on the given data and own results of the study, predictors of predicting acute CHF and progression are: AMI, UA severe form, stable angina pectoris 3-4 FC, cardiac aneurysm, SBP more than 180 mm Hg. and is less than 100 mm Hg, age 70 years and older, AF, TP, VE of 3-5 gradations, “pirouette”-type VT, significant increase in EDV, ESV and decrease in LVEF. The study of predictors of acute progression and criteria for predicting CHF is of primary importance. Key words: predictor of acute left ventricular insufficiency, chronic heart failure
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