Kardiorespirator tadqiqotlar jurnali №1 2022.pdf


Subject of the article

STRUCTURAL - GEOMETRICAL CHANGES OF THE MYOCARDIUM AND THE PARTICULARITIES OF THE LEFT VENTRICLE OF THE HEART IN A PREGNANT WOMEN WITH A DIFFERENT TYPES OF ARTERIAL HYPERTENSION (40-43)

Authors

Кamolova D.J.

Institution

Samarkand Medical Univercity

Abstract

The purpose of the research: to develop and implement a set of measures for the prediction, early diagnosis, and treatment of preeclampsia on the base of hypertension, which will improve the outcomes of pregnancy and childbirth, the condition of newborns and infants in this group of women. Materials and methods of research: Study group: 15 pregnant women with arterial hypertension, 13 with preeclampsia, developed on the bace of arterial hypertension (AH), 17 women with physiologically occurring pregnancy. Research methods: clinical and statistical analysis, echocardiography. The study of diastolic function was carried out using traditional EchoCG (Doppler echocardiography) and tissue EchoCG. The study was carried out based on the SamMI functional diagnostics and AH in the I clinic SamMI. Conclusions. It is necessary to emphasize the independent importance of assessing the nature of LV diastolic function, the violation of which will be an early marker of inadequate restructuring of the cardiovascular system in pregnant women with certain anamnestic risk factors for gestosis and AH. Registration of initial changes in diastolic function is possible even before morpho functional restructuring of the LV myocardium. In pregnant women with PE against the background of AH, the formation of concentric geometry and LV DD is preceded by a disproportionately high MMLV.

Key words

preeclampsia, the myocardial mass of the left ventricle, tissue doppler echocardiography

Literature

Алехин М.Н. Возможности практического применения тканевого допплера. Лекция № 2. Тканевой допплер фиброзных колец атриовентрикулярных клапанов // Ультразвуковая и функциональная диагностика. – 2002. – № 4. – С. 112–118. 2. Бокерия Л.А., Бузиашвили Ю.И., Ключников И.В. Ишемическое ремоделирование левого желудочка. – М., 2002. 3. Конради А.О., Рудоманов О.Г., Захаров Д.В. и соавт. Ремоделирование миокарда и крупных сосудов при гипертонической болезни // Сборник научных трудов «100 лет кафедре факультетской терапии им. акад. Г.Ф. Ланга». – СПб, 2000. – С. 56–60. 4. Bienias P., Ciurzyński M., Krzemień-Wiczyńiska S. et al. Peripartum cardiomyopathy and preeclampsia complicated with HELLP syndrome – a case report // Pol. Arch. Med. Wewn. – 2006. – V. 116(4). – P. 965–970. 5. Eghbali M., Deva R., Alioua A. et al. Molecular and functional signature of heart hypertrophy during pregnancy // Circ. Res. – 2005. – V. 96 (11). 6. Eghbali M., Wang Y., Toro L. et al. Heart hypertrophy during pregnancy: a better functioning heart? // Trends Cardiovasc. Med. – 2006. – V. 16 (8). 7. Fok W.Y., Chan L.Y., Wong J.T. et al. Left ventricular diastolic function during normal pregnancy: assessment by spectral tissue Doppler imaging // Ultrasound Obstet. Gynecol. – 2006. – V. 28. – P. 789–793. 8. Simmons L.A., Adrian G.G., Richmond W.J. Structural and functional changes in left ventricle during normotensive and preeclamptic pregnancy // J. Physiol. Heart Circ. Physiol. – 2002. – V. 283. – P. 1627–1633. 9. Vasapollo B., Novelli G.P., Valensise H. Total vascular resistance and left ventricular morphology as screening tools for complications in pregnancy // Hypertension. – 2008. – V. 51 (4). – P. 1020–1026. 10. 10.Ярмухамедова С. Х., Камолова Д. Ж. Изучение геометрии миокарда у больных