THE ANALYSIS OF THE LEFT VENTRICLE SYSTOLIC AND DIASTOLIC FUNCTIONS IN PREGNANT WOMEN WITH ARTERIAL HYPERTENSION AND OBESITY
This article presents echocardiographic hemodynamic data in pregnant women with somatic pathology: arterial hypertension and body mass index elevation. The purpose of the investigation was to study: the infl uence of the anthropometric parameters of the pregnant women on a change of the structural- geometric indices of heart in the dependence on the nature of somatical pathology. The complex clinical inspection of 378 dispensary and stationary patients of feminine sex in the age from 18 to 47 years with the somatical pathology in pregnancy period was carried out. On the basis of the conducted investigations it is revealed, that in patients with arterial hypertension the tendency toward the hyper-kinetic type of hemodynamics, without an increase in the fi nal systolic speed, but with the decrease of the index of impact volume is observed. In pregnant females with obesity fi nal diastolic volume revealed reduction in the fraction of ejection and not increase of the impact volume index, that indicate passage adaptive left ventricle remediation to the disadaptive one.