Postinfarction cardiosclerosis in patient with visceral obesity
Myocardial infarction is a major cause of morbidity and mortality in the Republic of Belarus and abroad. The purpose of the article was to estimate influence of visceral obesity on some characteristics of the postinfarction period, laboratory and structurally functional indicators of the condition of cardiovascular system in patients after Q-myocardial infarction. Serum adiponectin and leptin characteristics were examed, the functional state of the endothelium was studied. It was revealed that adverse changes of coronary artery state and the high likelihood of developing postinfarction left ventricular remodeling by maladaptive type in patient with visceral obesity are taking place on the background of more significant concentration of hsCRP, atherogenic changes in lipid spectrum, disorders of homeostasis, imbalance of indicators of endothelial function, hypersecretion of leptin and increase the level of brain natriuretic peptide precursor in the serum.