SOME FEATURES OF STRUCTURAL AND FUNCTIONAL CHANGES OF THE MYOCARDIAL IN PATIENTS WITH DIABETES MELLITUS WITH DIASTOLIC HEART FAILURE

Abstract

Currently, chronic heart failure (CHF) remains one of the most important problems in medical practice. Of particular interest is diastolic heart failure, since in recent years the number of patients who develop symptoms of decompensation against the background of preserved contractile function of the left ventricle has been increasing [2,16]. According to the Euro Heart Survay HF Study (2001), the number of patients with diastolic CHF is about 30% [3]. Due to the prevalence of diastolic heart failure, there is a need for early diagnosis and timely initiation of effective therapy. Identification of diastolic CHF in patients with combined pathology presents certain difficulties. The reason for this is that the minimal manifestations of diastolic CHF in concomitant pathology can be "masked" behind the symptoms of the underlying disease (hypertension and type 2 diabetes) and its complications. It should be noted that the success of the treatment of diastolic CHF is determined by early and timely detection of structural and functional changes in the heart.