Method for prognosticating the left ventricle remodeling evolution in the diastolic dysfunction of hypertensive genesis

摘要

The invention refers to medicine, particularly cardiology.The method for prognosticating the left ventricle remodeling evolution in the diastolic dysfunction of hypertensive genesis includes the clinical and paraclinical examination, where the following parameters are established: the criterion of termination of physical activity (TPA), the degree of arterial hypertension (AHT), the physical activity tolerance (PAT), the left ventricle remodeling evaluation (LVR), the diurnal proteinuria (DP), the middle-daily variability of the diastolic arterial pressure (VAP), the diameter of the left ventricle in the diastole (DLV), then it is calculated the discriminant function (F) according to formula:F= -3,25·TPA+2,79·AHT+0,77·PAT+1,17·LVR+2,84·DP-0,01·VAP+0,08·DLV-12,58,where the mentioned parameters gain the following values:TPA 1 - dyspnea2 - submaximum frequency of heartbeatsAHT1 - I-st degree2 - II-nd degree3 - III-rd degreePAT1 - low2 - medium3 - highLVR1 - concentric remodeling2 - concentric hypertrophy3 - eccentric remodeling4 - ventricle with physiologic norm aspectDP0 - absent1 - presentVAP middle-daily variability of the diastolic arterial pressure, mm Hg,DLV diameter of the left ventricle in the diastole, mm.When F0 it is prognosticated a favorable left ventricle remodeling evolution, and when F0 - an unfavorable evolution.