SOME ASPECTS OF LEFT VENTRICULAR REMODELING IN PATIENTS WITH CHRONIC RENOCARDIAC SYNDROME

European Journal of Innovative Business Management, Vol. 2, 2015, 10-14

Demikhova N., Vynnychenko L., Sakalyte G., Smiianov V., Prykhodko O.

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ABSTRACT

Features of left ventricle (LV) remodeling of patients with renal arterial hypertension with chronic renocardiac syndrome were studied. The study involved 107 patients with chronic kidney disease (CKD). Highest frequency of ventricular myocardium remodeling in patients with chronic renal failure are concentric hypertrophy and eccentric hypertrophy of LV observed in 76.6% of patients and there by the beginning of the development of renal failure. Concentric hypertrophy with the most common in patients with CKD III-IV, and eccentric hypertrophy frequency increases with the progression of CKD. At a certain stage in the development of chronic renal failure hypertrophy of LV has adaptive value by increasing the wall thickness of LV. Increased of LV myocardial mass in renal hypertensive patients with renocardiac syndrome most achieved in the initial stage of CKD, and then progressively decreases with the growth of the severity of CKD. Similar changes occur with Interventricular septum thickness, although the thickness of the back wall continues to grow. This demonstrates the progression of left ventricular myocardial muscle changes as strengthening LV dilation and increased frequency of eccentric hypertrophy of myocardium.

Key words: left ventricle remodeling, left ventricle hypertrophy, renocardiac syndrome.