REMODELING OF LEFT AND RIGHT PARTS OF THE HEART IN PATIENTS WITH COPD COMORBIDITY WITH CORONARY HEART DISEASE
Research objective was to study of features of remodeling of the left and right departments of heart at patientswith COPD and COPD comorbid with coronary heart disease. The research included 110 people (40 with COPD III, IV, 40 with COPD III, IV in combination with coronary heart disease, 30-control group). The bodypletizmographiya, the spirography, a doplerechocardiographic research are carried out. Change of pulmonary volumes – the hyperinflation at the patients of both studied groups which was more expressed in the group of the isolated COPD is established. At patients of the 1, 2 groups change of geometry of left ventricle with prevalence of eccentric type of a hypertrophy of the left ventricle and violation of diastolic function of the left ventricle, irrespective of the observation period with prevalence of diastolic dysfunction of 1 type (violation of a relaxation) is registered. Structural changes of the right ventricle in the groups are characterized by a hypertrophy and dilatation, pulmonary hypertensia of moderate degree, more expressed in the COPD group in combination with coronary heart disease. Violation of diastolic function of the right ventricle of mainly hypertrophic type in both studied groups tends to deterioration in dynamics of a disease. The interrelation of pathological changes of pulmonary volumes with remodeling of the right and left heart is established.