CASE RESTRICTIVE CARDIOMYOPATHY IN REAL CLINICAL PRACTICE

Presents difficulty of diagnosis and treatment of problems in patients with restrictive cardiomyopathy. Review real disease diagnostics and treatment methods used in a cardiology department. The forms of restrictive cardiomyopathy, variants of heart disease and methods of diagnosis are discussed. The principles of treatment of the disease are also considered. In the clinical case, a patient who was observed for many years with a diagnosis of hypertension and angina pectoris was shown. Against the backdrop of the increasing decompensation of chronic heart failure, an echocardiography study was performed, revealing only the dilatation of the heart cavities. Against the background of neurological symptoms (headaches, weakness in the limbs), the patient was hospitalized in a neurological department. At repeated echocardiography of the heart, a volumetric education was suspected and the patient was transferred to the cardiology department. Restrictive cardiomyopathy was suspected only during the third echocardiography. Categorically refused the direction for surgical treatment. Against the background of ongoing drug therapy, the patient developed ventricular bigeminy and pain behind the sternum. The antiarrhythmic therapy with amiodarone without effect, the patient suddenly lost consciousness, carried out resuscitation without effect. When performing autopsy, the diagnosis of restrictive cardiomyopathy with defeat of both ventricles and a sharp narrowing of the volume of their cavities was confirmed. Thus, in real clinical practice, the diagnosis depends on a specialist performing ultrasound of the heart, and in case of an error the therapist or cardiologist doctor will treat heart failure without understanding its cause.