SPECIFICS OF THE LEFT HEART CHAMBERS EARLY POST INFARCTION REMODELING IN COMORBID COPD OF MILD AND MODERATE SEVERITY

• Main Authors: O. M. Polikutina, Yu. S. Slepynina, E. D. Bazdyrev, E. G. Vasyutinskaya, V. N. Karetnikova, O. L. Barbarash
• Format: Article
• Language: Russian
• Published: «FIRMA «SILICEA» LLC 2015-12-01
• Series: Российский кардиологический журнал
• Subjects: st elevation myocardial infarction; chronic obstructive pulmonary disease; early post infarction remodeling; comorbid pathology
• Online Access: https://russjcardiol.elpub.ru/jour/article/view/481
• ISSN: 1560-4071; 2618-7620

Aim. To study early post infarction remodeling of the left heart chambers in STEMI patients with COPD comorbidity of mild and moderate severity.Material and methods. Totally, 82 STEMI patients included, with COPD of mild and moderate severity, 107 STEMI without COPD. Spirometry was performed with bronchodilation test, and EchoCG.Results. In subacute period of STEMI, in patients with comorbid COPD the changes of the heart show more dilation, worse relation of systolic function and geometry of the LV, higher prevalence of desadaptation variants of myocardial remodeling. In this group more common diastolic dysfunction of the left ventricle with predominance of its higher grades.Conclusion. Specifics of post infarction remodeling of myocardium in COPD can be important for adverse outcomes.