MODERN METHODS OF INTRACARDIAC HEMODYNAMICS AND CARDIAC DEFORMABILITY ASSESSMENT IN PREGNANT WOMEN WITH DILATION CARDIOMYOPATHY SYNDROME

Abstract

Aim. The search for plausible additional criteria of diagnosis in patients with the syndrome of dilation cardiomyopathy (SDCMP) on the basement of deformity of myocardium (MD) assessment results in lifemode.Material and methods. Totally, 28 pregnant with SDCMP studied, of those 10 at the age 29±5,8 y. with postmyocarditis cardiosclerosis and SDCMP, and 18 — without anamnestic data of myocarditis or SDCMP. Controls consisted of 30 pregnant women with normal systolic and pumping heart function, and non-changed geometry of the left ventricle (LV). All patients underwent 24-hour ECG and blood pressure monitoring. USE of the heart was done by the common protocol in B-regimen, impulse and continuous Doppler, color Doppler with chambers size measurement, intracardiac hemodynamics, pressure in pulmonary artery stem, and longitudinal, radial and circular global systolic MD and velocity of the shift of respective LV myocardial fibers.Results. In the pregnant of 1st and 2nd groups there were significant disorders of the force and velocity of myocardium, together with negative remodeling of LV chamber, comparing to the controls. While comparing the parameters of 1 and 2 groups, there was significant decrease of longitudinal and circular global systolic MD in patients of the 1 group.Conclusion. Except the assessment of anatomy, intracardiac hemodynamics, systolic and pumping function of the heart of the pregnant with SDCMP, it is expedient to apply additional diagnostic criteria as the values of longitudinal, radial, circular global systolic MD.

Keywords

• dilation cardiomyopathy
• pregnancy
• myocardium deformation
• echocardiography
• cardiac ejection
• postmyocarditis cardiosclerosis