Архивъ внутренней медицины (Feb 2014)
ВЛИЯНИЕ ТЕСТА 6-МИНУТНОЙ ХОДЬБЫ НА ФУНКЦИОНАЛЬНОЕ СОСТОЯНИЕ МИОКАРДА У ПАЦИЕНТОВ С ХРОНИЧЕСКОЙ ПОЧЕЧНОЙ НЕДОСТАТОЧНОСТЬЮ
Abstract
Research objective. To determine a functional condition of a myocardium by a method of an echocardioscopy (EHO-KS) at patients with the chronic kidney insufficiency (CKI) before and after the test of 6-minute walking. 58 patients with HPN 1, 2, 3 (on a program hemodialysis) stages are surveyed. To all patients are carried out — the 6-minute walking test, EHO-KS before and after the 6-minute walking tеst, laboratory research of creatinine, KShchS, sodium, potassium, calcium of serum of blood. Results. When progressing HPN the functional condition of a myocardium of the left ventricle (LV) worsens, pulmonary hypertensia, diastolic dysfunction accrues, at the kept LZh systolic function. At patients with HPN of 3 stages on a program hemodialysis hypertensive reaction to physical activity is observed.
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