Gender characteristics of heart remodeling of patients with chronic cardiac insufficiency of ischemic etiology
The research of gender features of heart remodeling was transacted of the patients with ischemic etiology. 39 patients was investigated (16 women and 23 men) with chronic cardic insufficiency I - IV after old myocardial infarction. All investigated women were in menopause. General clinical investigation was transacted with using electrocardiogram with estimating type of simulating of left ventricle of heart. Geometrical adaptation of heart was registered. One of them, concentric type of remodeling, was detected in preference among women, and eccentric type of remodeling with more evident systolic dysfunction was visualize among men. The certain influence in processes of adaptive remodeling of left ventricle of heart on concentric type among women may cause overweight body, more cases and more duration of arterial hypertension in comparison with men. Among men on severity of cardic insufficiency and character of myocardium damage influence more frequency of repeated myocardial infarction, prevalence of smoking in studied groops, prevalence of men with normal weight, and previously eccentric type of left ventricle of heart with lowerd EF.