CLINICAL PICTURE OF THE LEFT VENTRICLE DIASTOLIC DYSFUNCTION IN PATIENTS WITH HYPERTENSION

Keywords: left ventricular diastolic dysfunction, hypertension, chronic heart failure
Abstarct: Objective: to evaluate the clinical features of the course of left ventricular diastolic dysfunction (LVDD) in patients with hypertension. Material and methods. Sixty patients (28 women and 32 men) with hypertension of stage 1–2 were examined. They were divided into two groups: 30 patients with normal diastolic function of the LV and 30 patients with LV DD. To assess the dynamics of clinical symptoms, the study was conducted twice, with an interval of five years (in 2018 and 2023). Results and discussion. Differences in the clinical course of hypertension in the groups were revealed. When included in the study, dyspnea was observed more often in patients of the 2nd group than in the 1st group, which in more than half of the patients of this group appeared already during moderate physical exertion (climbing to the third floor, walking at a moderate pace). Only in patients of the 2nd group were suffocation and edemas recorded. After five years, the severity of symptoms in the first group remained practically at the same level, while in the second group, the severity of shortness of breath increased in 41 % of patients. Conclusion. Patients with hypertension in the presence of LV DD develop more pronounced clinical symptoms of heart failure compared to those in individuals without LV DD.

BULLETIN
of the Ivanovo Medical Academy^{ISSN 1606-8157}