STRUCTURAL - GEOMETRICAL CHANGES OF THE MYOCARDIUM AND THE PARTICULARITIES OF THE LEFT VENTRICLE OF THE HEART IN A PREGNANT WOMEN WITH A DIFFERENT TYPES OF ARTERIAL HYPERTENSION

Аннотация

The purpose of the research: to develop and implement a set of measures for the prediction, early diagnosis, and treatment of preeclampsia on the base of hypertension, which will improve the outcomes of pregnancy and childbirth, the condition of newborns and infants in this group of women. Materials and methods of research: Study group: 15 pregnant women with arterial hypertension, 13 with preeclampsia, developed on the bace of arterial hypertension (AH), 17 women with physiologically occurring pregnancy. Research methods: clinical and statistical analysis, echocardiography. The study of diastolic function was carried out using traditional EchoCG (Doppler echocardiography) and tissue EchoCG. The study was carried out based on the SamMI functional diagnostics and AH in the I clinic SamMI. Conclusions. It is necessary to emphasize the independent importance of assessing the nature of LV diastolic function, the violation of which will be an early marker of inadequate restructuring of the cardiovascular system in pregnant women with certain anamnestic risk factors for gestosis and AH. Registration of initial changes in diastolic function is possible even before morpho functional restructuring of the LV myocardium. In pregnant women with PE against the background of AH, the formation of concentric geometry and LV DD is preceded by a disproportionately high MMLV.