MECHANISMS OF CHRONIC HEART INSUFFICIENCY DEVELOPMENT IN PATIENTS WITH ISCHEMIC HEART DISEASE AT POSTINFARCTION PERIOD

It has been studied the condition of systolic and diastolic function of left ventricular in 115 patients with postinfarction cardiosclerosis at recovery stage. After 2 months of myocardial infarction it has been found the thickening of muscular concentric remodeling in 14,8%, concentric hypertrophy ? 53% and excentric hypertrophy in 32,2% of patients. Dyastolic kind of chronic heart insufficiency has been determined in 47% panients, systolic ? in 23,8%, dyastolic with systolic ? in 28,6% patients. In all form of remodeling there was decrease of dyastolic depression and atrial filling as well. Maximum decrease of dyastolic depression was observed at patients with excentric heart hypertrophy.