CLINICAL AND MORPHOLOGICAL MARKERS OF AN UNFAVORABLE COURSE OF CHRONIC HEART FAILURE
The study included patients with Q myocardial infarction of the left ventricle with different localization in clinical congestive heart failure functional class III NYHA. Morphometry showed myocardial desynchronization, systolic and diastolic function of the left and right ventricles. All patients with chronic heart failure of the III functional class it is formed disadaptive remodeling developed. Morphological markers: wrong location and hypertrophy of cardiomyocytes peri-infarction area, EDD <sub>LV</sub>>3,4 sm/m <sup>2</sup>, IEDD <sub>RV</sub>>1,85 ml/m <sup>2</sup>, IEDV <sub>LV</sub>>108 ml/m <sup>2</sup>, IESV <sub>rv</sub>>20,4 ml/m <sup>2</sup>. Functional markers: EF <sub>LV</sub><37 %, EF <sub>RV</sub><40 %, the value of the ratio E <sub>m</sub>/E <sub>m</sub>'>15, E <sub>tr</sub>/E <sub>tr</sub>'>6, S <sub>m</sub><4,8 ms, S <sub>tr</sub><11,5 ms. Desynchronize markers: Intra-VMD <sub>EchoCG</sub>≥0,134 ms, IntraVMD <sub>TMD</sub>≥75 ms, InterVMD <sub>TMD</sub>≥48,5 ms.