PREDICTORS OF CARDIOVASCULAR COMPLICATIONS IN MEN WITH STABLE CORONARY HEART DISEASE AND ARTERIAL HYPERTENSION
To study the predictors of cardiovascular complications in men with stable coronary heart disease and concomitant arterial hypertension according to transthoracic echocardiography. A total of 101 men were examined (average age 62.7±5.6 years). The primary endpoint (PKT) is defined. 2 groups were formed: 1st (control) - 39 patients without PCT; 2nd (main) - 62 patients with PCT. Performed: examination of complaints and anamnesis, anthropometry, electrocardiography in 12 leads, bicycle ergometry, echocardiography, coronary angiography. It was found that in patients of the 2nd group, the values of end-diastolic and systolic sizes and volumes, the thickness of the posterior wall, the mass of the myocardium and the mass index of the left ventricular myocardium, the thickness of the interventricular septum were higher than in the 1st group (all p = 0.001-0.015). The highest positive prognostic value and odds ratio were obtained for the relative wall thickness, ejection fraction, end-systolic size, end-diastolic volume, and thickness of the interventricular septum. Predictors of cardiovascular complications in men with coronary heart disease and arterial hypertension may be a decrease in the relative wall thickness and ejection fraction and, conversely, an increase in the size, volume and mass of the left ventricle. The unfavorable prognosis in these patients is associated with the processes of myocardial remodeling.