FEATURES OF THE CONSTITUTION IN WOMEN WITH VARIOUS TYPES OF LEFT VENTRICULAR REMODELING WHO HAVE CORONARY HEART DISEASE

Abstract

Purpose. To study the constitutional features of the types of left ventricular (LV) remodeling in women with coronary heart disease (CHD) living in Central Siberia. Materials and methods. The study included 220 women with isolated arterial hypertension (AH) and 160 women with AH in combination with CHD. We used the standard method of anthropometric research with the subsequent determination of constitutional types, as well as the determination of the types of geometric remodeling of the LV according to the ultrasound examination of the heart. Results. The constitutional features of the frequency of unfavorable types of remodeling in women of the examined groups revealed. The largest group among the examined women with both isolated hypertension and hypertension in combination with CHD made up of representatives of the megalosomal type of constitution. LV remodeling detected in 91.6% of the patients with isolated hypertension and in 89.4% of women with hypertension in combination with CHD. At the same time, both among women with isolated hypertension and among women hypertension in combination with CHD, the most common type of geometry was concentric hypertrophy of the left ventricle. It found that for all constitutional types, patients with concentric hypertrophy of the left ventricle were more common. Conclusion. Concentric hypertrophy of the left ventricle was more common in all constitutional types in women of both groups. Normal LV geometry more often observed in women isolated hypertension of indeterminate constitutional type and among women with hypertension in combination with CHD – megalosomal type.

Keywords

• ischemic heart disease
• left ventricular myocardial remodeling
• constitutional type