[Volumetric load in the diagnosis of early right-ventricular heart failure in patients with alcoholic heart damage].
Coronaroventriculographic data are presented for 32 patients with alcoholic heart damage (AHD). Volumetric load (400-450 ml polyglucin administration) was used to detect preclinical heart failure. Coronarography demonstrated atherosclerotic coronary arterial lesions in 7 of 32 patients. A comparative assessment of central hemodynamic and right-ventricular myocardial contractility parameters in the patients and control subjects showed that the ejection fraction was reduced in AHD patients because of a significant increment of end diastolic and end systolic volumes as well as significantly reduced right-ventricular stroke index. Repeated ventriculography after volumetric stress showed significantly increased volumes and reduced ejection fraction that were indicative of latent right-ventricular heart failure.
Batyraliev
T A
TA
Samko
A N
AN
Grudtsyn
G V
GV
Gorgaslidze
A G
AG
Zinkin
A V
AV
D000328:Adult; D002310:Cardiomyopathy, Alcoholic / Q000150:complications / Q000503:physiopathology*; D003911:Dextrans; D006333:Heart Failure / Q000175:diagnosis* / Q000209:etiology; D006352:Heart Ventricles / Q000503:physiopathology; D006439:Hemodynamics / Q000187:drug effects*; D006801:Humans; D008875:Middle Aged
D003911:Dextrans
Ob''emnaia nagruzka v diagnostike ranneĭ pravozheludochkovoĭ serdechnoĭ nedostatochnosti u bol'nykh s alkogol'nym porazheniem serdtsa.