ОСОБЛИВОСТІ ПІСЛЯІНФАРКТНОГО РЕМОДЕЛЮВАННЯ СЕРЦЯ У ХВОРИХ НА Q-ІНФАРКТ МІОКАРДА ТА ЦУКРОВИЙ ДІАБЕТ 2 ТИПУ
Peculiarities of postinfarction heart remodelling in 83 patients with Q-myocardial infarction (48 patients with diabetes mellitus type 2 and 35 without diabetes mellitus) were investigated. It is proven that in patients with diabetes mellitus in acute period of Q-myocardial infarction myocardial stress and myocardial stiffness significantly increase, spheric indices, heart cavity dilatation and deterioration of systolic, contractile function are observed; pseudonormal and restrictive diastolic dysfunction types frequency increases. It was shown that diabetes mellitus exerted considerable influence on structural-functional heart change after myocardial infarction, that was confirmed by correlation connections of carbohydrate metabolism and cardio haemodinamic parameters.