[Left ventricle dilatational lesion. Problems of nosology, diagnostics, and treatment].
The article deals with the problem concerning the use of the term "specific cardiomyopathy", adopted by WHO in 1995, in cases of advanced left ventricle lesion in patients with valvular heart defects. The group of patients with dilated left ventricle cavity, related to acquired heart diseases, is rather heterogeneous and large in number, and includes about 50% of the patients who underwent an operation. In the authors' opinion, it is reasonable to divide them into the following main subgroups: patients with quickly regressing symptomatic left ventricle dilatation, resulting from volume overload; patients with valvular cardiomyopathy (the terminal stage of heart defect); patients with left ventricle dilatational lesion, typical of the intermediate stage with characteristic pathological remodeling and the disturbance of its segmental contractility. The authors consider such a division to be useful for further study of patients with left ventricle dilatation due to valvular heart defects.
Bokeriia
L A
LA
Skopin
I I
II
Golukhova
E Z
EZ
Mironenko
V A
VA
Mashina
T V
TV
Kuts
E V
EV
D002304:Cardiac Pacing, Artificial; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D004108:Dilatation, Pathologic; D004452:Echocardiography; D006349:Heart Valve Diseases / Q000150:complications / Q000151:congenital; D019918:Heart Valve Prosthesis Implantation; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D009200:Myocardial Contraction / Q000502:physiology; D009626:Terminology as Topic; D020257:Ventricular Remodeling / Q000502:physiology