Assessment of the state of intracardiac hemodynamics and myocardial remodeling in women with gonarthritis, hypertension and overweight
DOI:
https://doi.org/10.12775/JEHS.2021.11.07.017Keywords
arthritis, arterial hypertension, overweight, comorbidity, intracardiac hemodynamicsAbstract
Abstract. The problem of comorbidity is one of the most pressing problems of modern medicine. The presence of arterial hypertension and overweight in patients with gonarthritis is associated with an earlier development of target organ damage and subsequent cardiovascular accidents. In order to assess intracardiac hemodynamics and types of myocardial remodeling in women with gonarthritis, hypertension and overweight, depending on their combinations, from 2018 to2021, a prospective study of 198 patients of the rheumatology department of the «City Hospital № 10» (Zaporizhzhia) was carried out. According to the results of the study, it was found that the presence of comorbid pathology in the form of arterial hypertension and overweight in female patients with gonarthritis negatively affects the contractile function of the heart, which is confirmed by a decrease in the main indicators of systolic function of the left ventricle; the specified combination of diseases leads to the formation of prognostically unfavorable types of left ventricular remodeling.
References
References
Bereznyakov, I. G., Korzh, I. V. (2012). Osteoartroz, arterialnaya gipertenziyai ozhireniye: problema komorbidnosti [Osteoarthritis, arterial hypertension and obesity: the problem of comorbidity]. International medical journal, 4, 78–81.
Portyannikova O. O., Tsvinger S. M., Govorin A. V., Romanova E. N. (2019). Analiz rasprostranennosti i faktorov riska razvitiya osteoartrita v populyatsii [Analysis of the prevalence and risk factors for the development of osteoarthritis in the population]. Modern rheumatology, 13(2), 105–111.
Moutsopoulos H. M., Zampeli E., Vlachoyiannopoulos P. G. (2018). Rheumatology in Questions. Springer International Publishing AG, 187.
Kashevarova N. G., Alekseyeva L. I. (2014). Faktory riska progressirovaniya osteoartroza kolennykh sustavov [Risk factors for progression of osteoarthritis of the knee joints]. Rheumatology Science and Practice,52(5), 553–561.
Shvets N. V. (2015). Vzaiemozviazok dobovoho rytmu arterialnoho tysku z nadlyshkovoi umasoiutila u patsiientiv z arterialnoiu hipertenziieiu ta osteoartrozom [Relationship between circadian blood pressure rhythm and overweight on patients with hypertension and osteoarthritis]. Achievements of clinical and experimental medicine,2-3, 153–156.
Stone N. J., Robinson J. G., Lichtenstein A. H., Bairey Merz C. N., Blum C. B., Eckel R. H., Goldberg A. C., Gordon D., Levy D., Lloyd - Jones D. M., McBride, P., Schwartz J. S., Shero S. T., Smith S. C., Jr Watson, K., Wilson P. W., & American College of Cardiology/American Heart Association Task Force on Practice Guidelines (2014). 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology, 63(25 Pt B), 2889–2934. https://doi.org/10.1016/j.jacc.2013.11.002
Clunie G., Wilkinson N., Nikiphorou E., Jadon D. (2018) Oxford Handbook of Rheumatolog: 4th ed. Oxford University Press, 832.
Shuba N. M., Voronova T. D., Krylova A. S., Khambir T. S., Pylypenko A. V. (2017).Dyferentsiiovanyi pidkhid do likuvannia osteoartrozu z komorbidnoiu patolohiieiu [Differentiated approach to the treatment on osteoarthritis with comorbid pathology]. Ukrainian Journal of Rheumatology, 2, 6–16.
Downloads
Published
How to Cite
Issue
Section
License
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 542
Number of citations: 0
