The phenomenon of cardiac insufficiency syndrome in relation to the functional systems theory
The aim of the work is the critical evaluation of modern pathophysiological ideas about the origins of heart failure (HF) syndrome. The basic modern method of medical research, the method of clinical anatomical correlation (CAC), has conclusively failed to gain an insight of HF and explain its development in many cases of different diseases. In spite of the fact that conditions which may lead to this disease are quite various, the author believes that the reason that causes HF is universal. It causes the same standard basic original pathogenic fragment. Then this basic fragment falls apart into a great number of further fragments and mixes with adaptive compensation manifestations. All these secondary processes have some individual peculiarities in each specific case. The result of such combination of multidirectional reactions is a great variety of clinic anatomic variations of HF in population. Lack of information about the real cause and mechanism of HF development and a great scatter of secondary biochemical, clinic anatomical and functional manifestations of it creates significant difficulties for practical medicine and causes low efficiency of its preventive care and treatment. To solve this problem the author recommends to apply for help to the functional system theory by the academician Anokhin P.K.