Диастолическая дисфункция левого желудочка и сердечная недостаточность с сохранной фракцией выброса у пожилых

Авторы

  • КАЛЕНЧИ Олег Hospital Centre, Department of Normandy
  • КАРАУШ Александр IMSP Institutul de Cardiologie, Clinica ,,Hipertensiuni arteriale”
  • Моисеева Анна IMSP Institutul de Cardiologie, Clinica ,,Hipertensiuni arteriale”
  • КОЧИУ Мария IMSP Institutul de Cardiologie, Clinica ,,Hipertensiuni arteriale”
  • УНТУРЭ Людмила IMSP Centrul Republican de Diagnosticare Medicală
  • КАРАУШ Михаела IMSP Centrul Republican de Diagnosticare Medicală

DOI:

https://doi.org/10.52692/1857-0011.2022.1-72.20

Ключевые слова:

Застойная сердечная недостаточность, систолическая функция левого желудочка, диастолическая функция

Аннотация

Сердечная недостаточность с сохранной фракцией выброса, так называемая «диастолическая сердечная недостаточность», наиболее распространена среди людей пожилого возраста, чаще среди женщин. Прогноз пациентов с застойной сердечной недостаточностью вызванной диастолической дисфункцией является более благоприятным, чем у пациентов с систолической дисфункцией, однако заболеваемость остаётся высокой, с неудачами в лечении и частыми повторными госпитализациями. Таким образом, диагностика сердечной недостаточности с сохранной фракцией выброса у пожилых (≥ 85 лет) является сложной и представляет собой проблему у эуволемичных пациентов с одышкой из-за отсутствия критериев основанных на доказательной базе. Диастолическая дисфункция ЛЖ является частым (58%), но неспецифичным параметром для сердечной недостаточности с сохранной фракцией выброса, подход к ней должен быть ориентирован на этиологию основного заболевания, а также на нарушение диастолической функции ЛЖ.

Биографии авторов

КАЛЕНЧИ Олег, Hospital Centre, Department of Normandy

MD, PhD

КАРАУШ Александр, IMSP Institutul de Cardiologie, Clinica ,,Hipertensiuni arteriale”

 dr. hab. șt. med., profesor cercetător

Моисеева Анна, IMSP Institutul de Cardiologie, Clinica ,,Hipertensiuni arteriale”

dr. șt. med, cercetător științific

КОЧИУ Мария, IMSP Institutul de Cardiologie, Clinica ,,Hipertensiuni arteriale”

cercetător științific

УНТУРЭ Людмила, IMSP Centrul Republican de Diagnosticare Medicală

medic cardiolog

КАРАУШ Михаела, IMSP Centrul Republican de Diagnosticare Medicală

cercetător științific

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Опубликован

2022-04-08

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Научная статья