[Effect of hemodialysis on parameters of heart failure in patients with chronic heart disease].
Clinical presentations of chronic heart failure (CHF) and structural-functional changes of the myocardium were studied in 65 patients (29 men, 36 women, mean age 43,1 +/- 11,1 years) with stage IV - V of chronic renal disease in the predialysis period and during first year of programmed hemodialysis. According to clinical-functional data in predialysis period 56 patients (86.2%) had CHF stages I, IIA and IIB (33.9, 50, and 16.1%, respectively). During first year of programmed dialysis diagnosis of CHF was withdrawn in 14 (25%) and confirmed in 42 (75%) patients. Proportion of patients with CHF stages I, IIA and IIB in this year was 52.4, 40.5 and 7.1%. In all cases CHF presented as diastolic dysfunction of the myocardium, in a row of cases - in combination with systolic dysfunction (in 16.1 and 7.1% of patients in predialysis period and first year of hemodialysis, respectively). In the first year of hemodialysis there occurred 21.6% lowering of frequency of development of CHF which in this period equaled to 64.6%. In the structure of CHF stage I became to prevail, while portions of stages IIA and IIB decreased 1.2 and 2.3 times, respectively.
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D000328:Adult; D002908:Chronic Disease; D005260:Female; D006333:Heart Failure / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology; D006435:Renal Dialysis