Dysfunction of the left ventricle of the heart what it is. What is the diastolic dysfunction of the left ventricle? Diastolic disorders of 1 type

28.10.2020 Information

That is why some violations arise in the heart.

The most significant in the heart is the left ventricle. A large circle of blood circulation, with oxygen, all organs and fabrics, besides the lungs, begins precisely in the left ventricle.

Diastolic and systolic function of the left ventricle

The violation of the systolic function of the left ventricle is a decrease in its ability to pump the blood in the aorta and then according to its trunk in a large circle of blood circulation. This pathology is the main cause of the development of cardiovascular failure.

The diastolic dysfunction of the left ventricle is a decrease in the ability to take blood into its cavity from a small circle of blood circulation through a system of pulmonary arteries, that is, low diastolic filling.

The disease has several types

The 1st type is a relaxation violation, which is why the amount of blood is reduced, which is necessary for admission to the ventricle. A relaxation deficit leads to atrial hypertrophy due to their strengthened work;
The 2nd type is pseudonormal, relaxation occurs even worse than the 1st type. Atrial contribution is important, which, with the help of high pressure in their cavities, compensate for the lack of "their fellow";
The 3rd type - restrictive, heavier stage of the disease, indicates a strong violation of the diastolic function, and has an extremely unfavorable forecast with the subsequent development of chronic heart failure.

This disorder leads to the development of symptomatic arterial hypertension, that is, secondary, and manifests itself with the following symptoms:

at the first stages of violation of the diastolic function, the shortness of breath when performing heavy and medium-sized physical exertion, which was not previously observed, and afterwards the difficulty of breathing, even with small work, and sometimes alone;
violation of the ventricular function can manifest itself a dry supervadic cough, which is intensified at night or day during rest in the lying position;
feeling of interruptions in the heart, pain in the chest;
fast fatigue and reduced performance compared to the previous, "healthy" life.

It is worth remembering that diastolic dysfunction at the expense of the left head of the heart at 45% does not exhibit itself.

Causes of diastolic left-income disorders

IHD (Heart Ischemia), which arises due to insufficient oxygen intake to myocardium and causes dieting cardiomyocytes. As is known, the role of blood in the body is very large, it is the carrier of the desired elements: hormones, oxygen, microelements.
Sclerosis of the heart, which appeared as a consequence of a heart attack (post-infarction cardiosclerosis). Sclerosis is not a violation of memory, as it is customary to think of the people. This is tissue hardening. If scars appear on the organ, it interferes not only by conventional metabolism, but also disrupts the stretching function. Even myocardium is not fenced from such a disease. Depending on the localization of the disease, leading to cardiosclerosis, allocate different disorders. And one of them is a disorder of the diastolic function of the left ventricle.
Hypertrophic cardiomyopathy - thickening of the left heap departments also leads to the pathology of the diastolic function.
Primary arterial hypertension.
Stenosis or lack of aortic valve.
Inflammation of the pericardia (outer shell from the heart) with the imposition of fibrin filaments - fibrinous pericarditis. Fibrin tightens the heart muscle and does not allow it to fully.

Treatment

Therapy depends on the stage and gravity of the disease, to itself appoint one or another drug categorically contraindicated, because the heart is a vital body, so it is better not to harm your health incorrect actions.

If there is no symptoms of insufficiency, the doctor may advise the inhibitors of an angiotensin gluttering enzyme (ACE). It is a blood pressure regulator and protects the target organs with a given disease.

The target organs are those that suffer primarily in dysfunction of the cardiovascular system, that is, they are the first "targets" on the path of blood failure. These include kidneys, head and spinal cord, heart, vessels and retina eye.

By accepting ACE inhibitors daily at a dose appointed by a doctor, you can reduce the risk of developing complications in target bodies and prevent the development of chronic heart failure. These drugs include Enalapril, quadropryl, lysinopril. It is difficult to say what better, everything is negotiated at the reception at the therapist or cardiologist and is assigned, based on the symptoms and past experience of taking medication.

If you have the intolerance of ACE inhibitors or for some objective reasons, the doctor decided that they would not help you, Ara II (receptor antagonists for angiotensin) are appointed. Possess exactly the same properties. These include losartan, valsartan and others.

With pronounced signs of the disease, even more drugs needed to remove symptoms are appointed:

diuretics (diuretic) - reduce the volume of circulating blood due to the output of unnecessary fluid;
beta-adrenoblastors - make the frequency of heart abbreviations less often, reducing the load on the organ;
heart glycosides - increase the power of heart cuts;
Aspirin is prescribed to reduce the risk of thromboms and, therefore, ischemia;
statins - carry out lipid blood control by the normalization of cholesterol fractions harmful to vessels.

Forecast

Given the seriousness of the disease, it is impossible to run it. Remember that laying out a goal for a doctor, you only wander your health. In the world, such a number medicinal preparationsThat for you there is something that will reduce unpleasant symptoms. Observing a healthy lifestyle, correctly feeding and following the recommendations of your attending physician, you significantly reduce the risk of complications and exacerbation of the state.

Diastolic dysfunction of left ventricle 1 type

The diastolic dysfunction of the left ventricle 1 type is a heart disease, characterized by the insufficient ability of the LV to relax in the diastole period - general relaxation. As a rule, this period takes about 0.4 seconds, and it is enough to fully restore the tone and energy fullness of the heart muscle.

Etiology and pathogenesis

The factors predisposing to the development of DDLZ are:

Hypertension, especially malignant, with sharp and high rises of blood pressure.
Hypertrophic cardiomyopathy due to a pathological increase in load on LV.

The pathogenesis of the disease is directly related to a decrease in the blood flow of blood, a decrease in cardiac output, pulmonary hypertension. Insufficient bandwidth of LV, providing blood large circle circulation, leads to tissue ischemia. In addition, heightened diastolic pressure develops in the heart and, as a result, increase the pressure in the system of pulmonary veins. The latter in severe cases leads to the development of edema of the lung. In addition, peripheral vascular resistance increases, which leads to the development of swelling and the excessive removal of potassium salts from the body.

Why bruises appear on the body
Empty legs during pregnancy
Non's fingers on the leg
Putting a subfebrile temperature
Causes of excessive sweating
The temperature is kept 37 without symptoms
Calf drives convulsion

Symptoms

The disease can continue to flow asymptomatic. Subsequently, patients begin to celebrate such signs like swelling lower extremities, pain in the heart, wearing an inventive character in the type of ischemic disease, shortness of breath, often even at rest, a sense of air shortness, spastic phenomena.

Treatment

Treatment of dysfunction consists in prescribing to the patient of drugs of the group of ACE blockers. In this case, the drug is often lysoned. Assign it in the tableted form of PBM / day, divided into two receptions.

Good results in the treatment of such a disease, as the diastolic dysfunction of the left ventricle 1 type, can be achieved and by applying calcium blockers. Both medicinal groups Contribute to reduce blood pressure, reduce the need of heart tissues in oxygen, stop or decreasing hypertrophy of LV. In addition, due to their reception, the function of the diastole of the heart is improved, which leads to the normalization of hemodynamics. The best results of treatment were noted with a combination of cardiac drugs with potassium-saving diuretics. If necessary, other hypotensive preparations can be used.

Review of the diastolic dysfunction of the left ventricle: symptoms and treatment

From this article you will learn: everything is important about the diastolic dysfunction of the left ventricle. The reasons for which people have such a violation of the heart of the heart, which symptoms give this ailment. Necessary treatmentHow long it is necessary to carry out whether it is possible to completely cure.

The diastolic dysfunction of the left ventricle (abbreviated DDLZH) is an insufficient filling of the blood of the ventricle during the diastole, that is, the period of relaxation of the heart muscle.

This pathology is more often diagnosed in women of retirement age suffering arterial hypertension, chronic heart failure (abbreviated CHF) or other heart disease. In men, dysfunction of the left ventricle is detected significantly less often.

With such a violation of the functions, the heart muscle is unable to fully relax. From this, the blood flow is reduced by the blood of the ventricle. Such a violation of the function of the left ventricle affects the entire period period of the heart rate cycle: if the ventricular diastole was not filled with blood, then with systole (reducing myocardium) in the aorta, it also will be pushed alone. This affects the functioning of the right ventricle, leads to the formation of blood stagnation, in the future to develop systolic violations, overloading atrial, XSN.

This pathology treats a cardiologist. It is possible to attract to therapeutic process of other narrow specialists: a rheumatologist, a neurologist, rehabilitol.

It will not be possible to completely get rid of such a violation, since it is often provoked by the main disease of the heart or vessels or their age wear. The forecast depends on the type of dysfunction, the presence of concomitant diseases, correctness and timeliness of treatment.

Types of left-selling diastolic dysfunction

Causes of development

More often as a reason, a set of several factors:

elderly age;
arterial hypertension;
overweight;
chronic heart pathology: arrhythmias or other violations of rhythm, myocardial fibrosis (substitution of muscle tissue on fibrous, which is unable to reduce and carry out electrical impulses), aortic stenosis;
acute heartfill violations, such as heart attack.

Violation of blood flow (hemodynamics) can cause:

pathology of the circulatory system and coronary vessels: thrombophlebitis, ischemia of heart vessels;
conductor pericarditis with the thickening of the outer shell of the heart and the compression of cardiac cameras;
amyloidosis primary, in which the elasticity of myocardium is reduced due to the deposition of special substances causing atrophy of muscle fibers;
post-infarction cardiosclerosis.

Symptoms

DDLZh about 45% of cases occurs asymptomatic long time, especially with hypertrophic and pseudonormal type of pathology. Over time and in the most severe, restrictive, type are characterized by the following manifestations:

Dyspnea. It appears first only with intensive physical activity, later alone.
Weakness, fast fatigue, reducing the tolerance of physical exertion.
Violation of cardiac rhythm, more often his participation or flickering arrhythmia.
Lack of air, chest compression.
Cardiac cough, amplifying in a lying position.
Embossing ankle.

In the initial stages of diastolic dysfunction, the patient does not suspect the launched violation of the heart, and the weakness and dyspnea writes off on banal fatigue. The duration of this asymptomatic period of each person is different. Appeal to the doctor only happens when tangible clinical signs, for example, shortness of breath alone, swelling of feet affecting the quality of human life.

Basic diagnostic methods

Among the additional measures, the study of the thyroid function is not excluded (determining the level of hormones), the chest x-ray, coronary art, etc.

Treatment

It is possible to cope with the ventilation of the left vehicle diastolic function, only if it is caused by the cardiac surgery pathology, which can be completely eliminated by surgical path. In other cases, medical diastole problems are adjusted by drugs.

Therapy is primarily aimed at the correction of circulatory disorders. From timeliness, the correctness of the treatment and clear implementation of the patients of medical recommendations depends on the quality of his future life.

Objectives of therapeutic activities:

elimination of heart rhythm disorders (pulse normalization);
stabilization of blood pressure;
the correction of water and salt metabolism;
elimination of left ventricular hypertrophy.

Forecast

The violation of the diastolic function of the left ventricle fails to completely stop, but with adequate drug correction of circulatory disorders, the treatment of the main disease, proper nutrition, the mode of labor and rest patients with such a violation live a full-fledged life for many years.

Despite this, it is worth knowing that such a heart cycle violation is a dangerous pathology that cannot be ignored. With a bad course, it can lead to a heart attack, bloodstand in the heart and lungs, the latter. Complications are possible, especially with severe dysfunction: it is thrombosis, thromboembolism pulmonary artery, fibrillation of ventricles.

In the absence of proper treatment, expressed dysfunction with severe CHN, the forecast for recovery is unfavorable. In most such cases, everything ends with the death of the patient.

With regular proper treatment, Correctioning nutrition with the restriction of salt, control over the condition and level of blood pressure and cholesterol patient can count on a favorable outcome, extension of life, and active.

Diastolic dysfunction of the left ventricle. Diagnosis and approaches to treatment

Heart disease is increasingly found in medical practice. They must be carefully studied and examined to be able to prevent negative consequences. The diastolic dysfunction of the left ventricle is a common disease that can cause heart failure accompanied by edema of the lungs or cardiac asthma.

The scheme of development of pathology

The dysfunction of the ventricular work is more often an age impairment and is found mainly in the elderly. Especially subject to this pathology of a woman. The diastolic dysfunction of the left ventricle causes hemodynamic disorders and atrophic changes in the structure of myocardium. The diastole period is characterized by muscle relaxation and ventricle filling arterial blood. The process of filling the cardiac chamber consists of several stages:

relaxation of the heart muscle;
under the influence of the difference in pressure from the atrium, the blood passively flows into the ventricle;
when reducing the atria, the remaining blood is sharply pushed into the ventricle.

In case of violation of one of the stages, there is an insufficient blood release, which contributes to the development of the deficiency of the left ventricle.

Causes of disease development

Diastolic type ventricle dysfunction can be caused by certain diseases capable of violating heart hemodynamics:

The diastolic dysfunction of the left ventricle is the consequence of the thickening of the heart muscle tissue (myocardial hypertrophy). As a rule, hypertrophy develops in people with hypertensive disease, aortic stenosis and hypertrophic cardiomyopathy.
It can develop under the influence of pericarditis, as a result of which the thickened walls of the pericardium squeeze the chambers of the heart.
In pathological changes in coronary vessels, which cause ischemic heart disease due to the root of the heart fabric and the appearance of scars.
Amyloidosis causes a decrease in muscle elasticity and atrophic changes in the heart fibers.

Especially often the disease develops in people with diabetes or obesity. In this case, the pressure on the heart chambers increases, the organ cannot fully function and develop ventricular dysfunction.

Signs of the disease

The diastolic dysfunction of the left ventricle for a long time can practically do not disturb the patient. However, this pathology is accompanied by certain symptoms:

heart palpitations;
cough manifested more often in a horizontal position;
increased fatigue with familiar physical exertion;
shortness of breath at first accompanies only during exercise, then it still occurs even at rest;
heart rate disorders manifested by flickering arrhythmia;
at night, difficulty breathing may be disturbed (dysnae).

If you find such symptoms, you need to seek medical help And to pass the survey to identify the reason for the appearance of uncomfortable sensations and eliminate the disease at the initial stage.

Varieties of diastolic dysfunction

Since the disease gradually worsens hemodynamics of the heart of the heart, distinguish between its stages:

The 1st stage is characterized by minor impaired hemodynamics. The diastolic dysfunction of the left ventricle 1 type causes a slowdown process of transition from systole to diastole, the bulk of blood flows into the ventricle during the relaxation of its cameras.
The 2nd stage - the filling of the ventricle is carried out due to the pressure difference, since at this stage in the left atrium, the pressure rises reflexively.
The 3rd stage - the pressure in the left atrium remains high, while the left ventricle becomes tough, losing the elasticity of the fibers.

The diastolic dysfunction of the left ventricle 1 type is treatable, while the subsequent stages of the disease cause irrevocable changes in the work and physiological state of the body. That is why it is necessary to see a doctor at the first manifestation of the symptoms of the disease.

Diagnostic examinations

To identify physiological changes and violations of hemodynamics of the heart, it is necessary to carry out a full-fledged examination, which includes several diagnostics:

Echocardiography with additional dopplerography is the most accessible and informative method of examining the cardiovascular system. With the help of it you can quickly identify whether a person has heart failure. Treatment should be carried out on the basis of a full picture of surveys conducted.
Electrocardiography explores the state of myocardial, in particular the presence of hypertrophic changes, determines the presence of heart ischemia. It is auxiliary research method.
Ventriculography shows violations in the heart rhythm, it is prescribed with unsatisfactory indicators of echocardiography.
If necessary, a radiographic examination is assigned, which allows to identify the hypertension of the lungs.

Using the above methods, the types of diastolic dysfunction of the left ventricle are also determined.

Treatment of the disease

To eliminate the violations of the hemodynamic process and preventing the development of irreversible changes, it is necessary to prescribe drugs that allow maintenance of optimal performance of the heart ( arterial pressure, heart rate). Normalization of water-salt metabolism will reduce the load on the heart. Elimination of left ventricular hypertrophy is also required.

After the examination, the attending physician will select the appropriate complex of drugs capable of maintaining all the indicators. Cardiac insufficiency, the treatment of which requires compliance with a large number of medical recommendations is also played.

Prevention of heart disease

To avoid the development of most heart pathologies, you need to adhere to healthy image Life. This concept includes regular healthy nutrition, sufficient physical activity, lack of harmful habits and regular conducting body surveys.

The diastolic dysfunction of the left ventricle, the treatment of which requires the high professionalism of the doctor and a clear observance of all its appointments, is rarely found among young active people. That is why it is important to maintain activity and periodically take vitamin complexes, helping to saturate the organism with the necessary trace elements.

The diastolic dysfunction of myocardial left ventricle, which is detected on time, will not bring much harm to human health and will not cause serious atrophic changes in heart fabric.

Types of disorders of the diastolic function of the left ventricle

The diastolic dysfunction of the left ventricle is a failure in the process of filling it with blood during the diastole period (relaxation of the heart muscle), i.e. The ability of blood pumping from the pulmonary artery system into the cavity of this heart chamber is reduced, and, therefore, its fill in relaxation decreases. The diastolic violation of the left ventricle is manifested by an increase in the ratio of such indicators as its final pressure and the final volume during the diastole period.

Interesting! This disease is usually diagnosed in people over 60 years old, most often in women.

The diastolic function of the left ventricle (its filler) includes three stages:

relaxation of the heart muscle, which is based on the active elimination of calcium ions from the threads of muscle fibers, relaxing abbreviated muscular cells of myocardium and increasing their length;
passive filling. This process directly depends on the adequacy of the walls of the latter;
filling, which is carried out due to the reduction of atrial.

Various factors entail a decrease in the diastolic function of the left ventricle, which is manifested in violating one of its three stages. As a result of this pathology, myocardium lacks enough blood to ensure a normal cardiac output. This leads to the development of left ventricular failure and pulmonary hypertension.

Interesting! It has been proven that this pathological process precedes changes in systolic function, and is also able to lead to the development of chronic heart failure in cases where the shock volume and minute blood volume, the cardiac index and the emission fraction has not yet been changed.

What caused this violation?

The violation of the diastolic function of the left ventricle, accompanied by a deterioration in the processes of relaxation and a decrease in the elasticity of its walls, is most often due to myocardial hypertrophy, i.e. Thickening its walls.

The main causes of hypertrophy of the heart muscle are:

cardiomyopathy of various origin;
hypertension;
narrowing the mouth of aorta.

The factors contributing to the development of hemodynamics in diastolic dysfunction in this myocardial department are:

dipping pericardia, which leads to compression of heart cameras;
infiltrative lesion of myocardium, as a result of amyloidosis, sarcoidosis and other diseases leading to muscle atrophy and reduce their elasticity;
the pathological processes of coronary vessels, especially ischemic disease, which leads to an increase in myocardial rigidity, due to the formation of scars.

Important! The risk group of pathology includes people suffering from obesity, and diabetes.

How does the disease manifest?

Functional disorder of the left ventricle diastole can be asymptomatic to the appearance of the first clinical symptoms. The following clinical signs of diastolic dysfunction of the left ventricle are distinguished:

cardiac rhythm failure (flickering arrhythmia);
heavy dance, which manifests itself in a couple of hours after falling asleep;
cough, which is enhanced in the "lying" position;
shortness of breath, which is first manifested only during physical exertion, and with the progression of the disease - and at rest;
fast fatiguability.

Types of pathology and their severity

Today, the following types of diastolic dysfunction of the left ventricle are distinguished:

I-th, which is accompanied by a violation of the process of relaxation (its deceleration) of this heart chamber in diastole. The required amount of blood at this stage comes in atrial abbreviations;
The II, which is characterized by an increase in pressure in the left atrium, which is why the reality of the neighboring bottom chamber of the heart is possible only due to the action of the pressure gradient. This is so-called. pseudonormal type.
III-th, associated with an increase in the pressure in atrium, a decrease in elasticity and increasing the rigidity of the ventricle walls (restrictive type).

A functional impaired diastole in this heart chamber is generated gradually, and is divided into 4 degrees of gravity: light (I type of disease), moderate (II type of disease), severely reversible and irreversible (III type of disease).

How can I reveal the disease?

If the diastolic function of the left ventricle is broken and the violation was revealed in the early stages, then in this case, the development of irreversible changes can be prevented. Diagnosis of this pathology is carried out by such methods:

two-dimensional echocardiography in combination with dopplerography, allowing to obtain an image of myocardial in real time and evaluate its hemodynamic functions.
ventriculography using radioactive albumin to determine the contractile function of the heart as a whole and the required chamber in particular;
ECG, as an auxiliary study;
chest X-ray to determine the first symptoms of lung hypertension.

How to treat a functional violation?

As already noted, the diastolic dysfunction of the left ventricle, the treatment of which depends on the type of disease, is primarily reflected in the processes of hemodynamics. Therefore, the therapy plan is based on the correction of violations of this process. In particular, regular observation of arterial pressure, heart rate and water-salt exchange is carried out, followed by their correction, as well as remodeling the myocardial geometry (reduction of thickening and returning the walls of its cameras to normal).

Among the drugs that are used to treat functional violation Diastoles of this Heart Department, allocate the following groups:

adrenoblocators;
preparations for improving the elasticity of the heart muscle, pressure reduction, reducing preload and contributing to the remodeling of myocardium (sartans and inhibitors and ACE);
diuretic drugs (diuretics);
preparations that reduce calcium levels in heart cells.

Describe your problem and get a doctor's answer from Israel with treatment options and necessary diagnostics

general information

Payment of medical services at the Cassum Clinic. The Ministry of Health of Israel.

Departments of Assuti

Oncology

The exclusive copyright holder of the Assuta trademark is Assuta Medical Centers Ltd.

The information on the site is provided solely in popular-familiarization purposes, does not claim for reference and medical accuracy, is not a guide to action. Do not self-medicate. Consult your attending physician.

Dysfunction of the myocardium of the ventricles of the heart: causes, symptoms, treatment

In order for each cell of the human body cell to get blood with vital oxygen, the heart should work correctly. The pumping function of the heart is carried out using alternate relaxation and reduction of the heart muscle - myocardium. If any of these processes are broken, the heart ventricle dysfunction develops, and the possibility of pushing the blood in the aorta is gradually reduced, from which the blood supply to vital organs suffers from. Development of the function, or myocardial dysfunction.

The dysfunction of the ventricles of the heart is a violation of the ability of the heart muscle to decrease with systolic type to be expelled blood into the vessels, and relax with diastolic to take blood from the atria. In any case, these processes cause a violation of normal intracardiac hemodynamics (blood flow through cardiac cameras) and blood stagnation in the lungs and other organs.

Both types of dysfunction have a relationship with chronic heart failure - the more violated the function of the ventricles, the higher the severity of the insufficiency of the heart. If xsn can be without heart dysfunction, then dysfunction, on the contrary, does not occur without CXT, that is, each patient with ventricular dysfunction holds chronic heart failure of the initial or pronounced stage, depending on the symptoms. It is important to take into account the patient if he believes that it is not necessary to take medication. It is also necessary to understand that if the patient is diagnosed with myocardial dysfunction, this is the first signal that the processes that need to be revealed in the heart are diagnosed.

Dysfunction of left ventricle

Diastolic dysfunction

The diastolic dysfunction of the left ventricle of the heart is characterized by a violation of the ability of the myocardium of the left ventricle to relax for the full filling of blood. The emission fraction is normal or slightly higher (50% or more). In its pure form, diastolic dysfunction occurs in less than 20% of all cases. The following types of diastolic dysfunction are distinguished - relaxation violation, pseudonormal and restrictive type. The first two may not be accompanied by symptoms, while the last type corresponds to the severe degree of HSN with pronounced symptoms.

The reasons

Coronary artery disease,
Post-infarction cardiosclerosis with myocardial remodeling,
Hypertrophic cardiomyopathy - an increase in the mass of the ventricles due to the thickening of their walls,
Arterial hypertension
Aortic valve stenosis,
Fibrinous pericarditis - inflammation of the outer shell of the heart, heart "bag",
Restrictive lesions of myocardium (endomiocardial disease of the leeffler and endomiocardial fibrosis of Davis) - sealing the normal structure of the muscular and inner heaving of the heart, capable of limiting the process of relaxation, or diastole.

Signs

Asymptomatic flow is observed in 45% of cases of diastolic dysfunction.

Clinical manifestations are due to the increase in pressure in the left atrium due to the fact that the blood can not flow into the left ventricle in a sufficient amount due to its permanent stay in the stress state. Blood is stirred in pulmonary arteries, which is manifested by such symptoms:

Shortness of breath, first insignificant when walking or climbing the stairs, then expressed alone,
Dry adsatory cough, amplifying in the lying position and at night,
Feeling of interruptions in the work of the heart, chest pain, accompanying heart rate disorders, most often, flickering arrhythmia,
Fatigue and inability to perform previously portable physical exertion.

Systolic dysfunction

The systolic dysfunction of the left ventricle is characterized by a decrease in the reduction of the heart muscle and the reduced volume of blood emitted into the aorta. Approximately 45% of persons with CXN notes such a type of dysfunction (in other cases, the function of the myocardial reduction is not violated). The main criterion is a decrease in the left ventricle emission fraction according to the results of the heart ultrasound of less than 45%.

The reasons

Acute myocardial infarction (78% of patients with infarction dysfunction left ventricle develops in the first day),
Dilatation cardiomyopathy - expansion of the cavities of the heart due to inflammatory, dormricons or exchange violations in organism,
Myocarditis of viral or bacterial nature,
Failure mitral valve (acquired heart rate),
Hypertensive disease in the later stages.

Symptoms

The patient may notice both the presence of characteristic symptoms and their complete absence. In the latter case, they speak of asymptomatic dysfunction.

The symptoms of systolic dysfunction are due to a decrease in blood emissions in the aorta, and, consequently, the deployment of blood flow in the internal organs and skeletal muscles. The most characteristic signs:

Pallor, bluish staining and cooling of skin, swelling of the lower extremities,
Fast fatigue, unfortunate muscular weakness,
Changes in the psycho-emotional sphere due to depletion of the brain blood flow - insomnia, irritability, memory violation, etc.
Disorders of the kidney function, and developing in connection with this change in blood and urine analyzes, increase blood pressure due to activation of hypertension renal mechanisms, swelling on the face.

Dysfunction of right ventricle

The reasons

As the causes of the dysfunction of the right ventricle, the above-mentioned diseases are relevant. In addition to them, the isolated right-minded failure can cause diseases of the bronchopulmonary system (severe bronchial asthma, emphysema, etc.), congenital heart defects and vices of a tricuspid valve and pulmonary artery valve.

Symptoms

To violate the function of the right ventricle, symptoms, accompanying blood stagnation in organs big Circle blood circulation (liver, leather and muscles, kidneys, brain):

Pronounced cyanosis (blue color) nose skin, lips, nail phalanx fingers, ears tips, and in severe cases of the whole face, hands and feet,
Swelling of the lower extremities appearing in the evening and disappearing in the morning, in severe cases - swelling of the whole body (anasarka),
Violations of the liver function, up to a cardiac cirrhosis of the liver in the later stages, and caused by the increase in liver, pain in the right hypochondrium, an increase in the abdomen, the jaggility of the skin and the scool, changes in blood tests.

The diastolic dysfunction of both ventricles of the heart plays a decisive role in the development of chronic heart failure, and the systole and diastole disorders are links of the same process.

What survey is necessary?

If the patient found symptoms, similar to the signs of violation of the function of the myocardial of ventricles, he should consult a doctor cardiologist or therapist. The doctor will inspect and appoint any of additional methods Surveys:

Routine methods - blood and urine tests, blood biochemical examination to assess the level of hemoglobin, work indicators internal organs (liver, kidneys),
Definition in the blood of potassium, sodium, sodium - uretical peptide,
The study of blood on the content of hormones (determining the level of thyroid hormones, adrenal glands) with suspected excess hormones in the body that have toxic influence on the heart,
ECG - mandatory research method, allowing to determine whether there are myocardial hypertrophy, signs arterial hypertension and ischemia myocardium,
Modifications of the ECG - Tredamil Test, cycle ergometry - this is the registration of the ECG after exercise, which allows to assess changes in the blood supply to myocardium due to the load, and also estimate the load tolerance in the event of shortness of shortness of short
Echocardiography - the second mandatory instrumental study, the Golden Standard in the diagnosis of dysfunction of the ventricles of the heart, makes it possible to estimate the ejection fraction (normally more than 50%), estimate the size of the ventricles, visualize heart defects, hypertrophic or dilatation cardiomyopathy. To diagnose the violation of the function of the right ventricle, its final diastolic volume is measured (normally 15 - 20 mm, with the dysfunction of the right ventricle increases significantly),
Radiography of the chest cavity - auxiliary method with myocardial hypertrophy, allowing to determine the degree of heart expansion in the diameter, if hypertrophy is available, see the depletion (with systolic dysfunction) or amplification (with diastolic) pulmonary pattern due to its vascular component,
Coronaryography - the introduction of an X-ray-repeat substance in coronary artery To evaluate their passability, the violation of which is accompanied by ischemic heart disease and myocardial infarction,
MRI heart is not a routine examination method, but due to greater informativeness than ultrasound of the heart, is sometimes appointed in diagnostically controversial cases.

When to start treatment?

Both the patient and the doctor must clearly realize that even the asymptomatic dysfunction of the myocardial of ventricles requires the appointment of drugs. Uncomplicated Rules for receiving at least one tablet per day allow for a long time to prevent the appearance of symptoms and extend the life in the event of the development of severe chronic blood circulation failure. Of course, at the stage of expressed symptoms with one tablet, the patient does not improve the patient, but the most appropriately selected combination of drugs can significantly slow down the progression of the process and improve the quality of life.

So, in the early, asymptomatic stage of the flow of dysfunction, inhibitors of ACE or, in their intolerance, receptor antagonists for angiotensin II (ARI II) must be appointed. These drugs have organoprotective properties, that is, protect the organs most vulnerable to the adverse action of constantly high blood pressure, for example. Such organs include kidneys, brain, heart, vessels and retina. The daily reception of the drug in the dose appointed by the doctor reliably reduces the risk of complications in these structures. In addition, the IAPF prevents further myocardial remodeling, slowing down the development of HSN. Analyapryl, Perindopril, Leesinopril, Quadripril, from Ara II Lozartan, Valsartan and many others are prescribed from the drugs. In addition to them, treatment is prescribed the main disease that caused a violation of the function of the ventricles.

At the stage of pronounced symptoms, for example, with frequent shortness of breath, night attacks of choking, extregnity edema, all major groups of drugs are appointed. These include:

Diuretics (diuretic drugs) - Veroshpiron, Diouver, HydoreochlorTiazide, Indapamide, Laziks, Furosmid, ToramSempide eliminate blood stagnation in organs and in the lungs,
Beta-blockers (metoprolol, bisoprolol, etc.) replete the frequency of heart cuts, relax peripheral vessels, contributing to the reduction of the load on the heart,
Inhibitors of calcium channels (amlodipine, verapamil) - act similarly to Betubologists,
Cardiac glycosides (Digoxin, Corgalicon) - increase the power of heartbreaks,
Combinations of drugs (noliprel - perindopril and indapamide, AMOZARTAN - Amlodipine and Lozartan, Lorista - Lozartan and hydrochlorostiazide, etc.),
Nitroglycerin under the tongue and in tablets (monocynekwe, pecterol) during angina,
Aspirin (thromboass, aspirin cardio) to prevent the troombo formation in vessels,
Statins - to normalize cholesterol in the blood in atherosclerosis and ischemic heart disease.

What way of life should be observed to patient with ventricular dysfunction?

First of all, you need to comply with a diet. It should be limited to the receipt of the cooking salt with food (not more than 1 gram per day) and control the amount of drinking liquid (no more than 1.5 liters per day) to reduce the load on the circulatory system. Power must be rational, according to the food acceptance mode with a frequency of 4 - 6 times a day. Fat, fried, sharp and salted products are excluded. It is necessary to expand the use of vegetables, fruits, fermented, cereal and grain products.

The second point of non-drug treatment is a lifestyle correction. It is necessary to abandon all the bad habits, to observe the regime of work and recreation and give enough sleep at night.

The third paragraph is sufficient physical activity. Physical exertion must comply with the overall capabilities of the body. It is enough to make hiking in the evening or sometimes getting out of mushrooms or fishing. In addition to positive emotions, such a type of recreation contributes to the good work of neurohumoral structures governing the activity of the heart. Of course, during the period of decompensation, or the deterioration of the course of the disease, all loads should be excluded on the time-defined time.

What is the danger of pathology?

If the patient with an established diagnosis neglects the recommendations of the doctor and does not consider it necessary to take appointed drugs, it contributes to the progression of myocardial dysfunction and the emergence of symptoms of chronic heart failure. Each such progression flows in different ways - someone slowly, for decades. And someone quickly, throughout the first year from the diagnosis. This is the danger of dysfunction - in the development of pronounced HSN.

In addition, the development of complications is possible, especially in the case of severe dysfunction with a fraction of emissions less than 30%. These include acute heart failure, including left vehicles (pulmonary edema), pulmonary artery thromboembolism, fatual rhythm disorders (ventricular fibrillation), etc.

Forecast

In the absence of treatment, as well as in the case of significant dysfunction, accompanied by severe HSN, the prognosis is unfavorable, since the progression of the process without treatment is invariably ends with a fatal outcome.

Obtaining a consultation of a specialist in the described survey issues I am 55 years old, extrasystoles were intensively felt, previously also were, but they did not interfere. After the visit to the cardiologist were assigned an. Blood on biochemistry, commonly en. Blood, hormones, ECG. ECG -Ferry. By en. The blood is almost all the indicators in the norm, for the elimination of the total cholesterol-8.03 and LDP-5.07, but I immediately clarify, on the eve of the evening, I apologize, I founded Sala, I didn't think about the tests. Statins prescribed, do not drink, still not that age, sat on the diet, see the result. Also, did Ehoche, to establish: Aorta is sealed. Moderate dictation of the left atrium. Zones of violated contraction were not detected. Diastolic dysfunction of left ventricle 1 type. Increased blood pressure has never been, almost always average - 100-107 / 73-78 / 65-75. Made of vascular ultrasound, the result is good. Holter monitoring was held. Case: During Navel. A sinus rhythm with episodes of sinus arrhythmia was recorded. MAKS CSS 151 UD / MIN (at 15: 46, time waking period, taking into account the supraventic extrasistoly), mines of the heart rate 45 UD / min (at 1: 57, sleep period). Media Heat Day 81 Ud / min, at night 59 dd / min. Circal index - 1.4. Proper circadian rhythm profile. Pause more than 2 sec. No revealed, Max interval R-R 1460 ms. Violations of AB conduction was not detected. PQ 135-182 ms. Rhythm violations: - Supported extrasystoles: 4773 per day, including 4.4770 single, 1 group (unstable paroxysm for religorakkova tachycardia from 3 complexes with Max Heat CSS 160 Ud / min), 178 episodes of alurerium by type of triheminia and 70 episodes by type quadrgeminia. Supported extrasystolia predominantly day circadian type, density - 4.1% (moderately frequent). -Hellic extrasystoles are not detected. Judging by the patient's diary, the identified violations of the rhythm of the heart clinical symptoms were not accompanied. The diagnostically significant element / depression of the ST segment was not detected. Transient Inversion of Tissue T 3 Channel. Qt interval with Max CCS-296 ms. Qt interval at mines of CSS-431 ms. Thank you.

Dizziness, pain in the heart area (blades). Halter (SA-blockage 2 Speps 2Type) Halter monitoring (SA-Blocade 2 types 2) Hello! I am 20 years old. There was pain in the heart of the heart, it continues for 3 weeks, dizziness frequent, before bedtime, it seems to freeze the heart, the feeling of fear of death (without ending the pressure and pulse), is very scary there is a lot of tests: the ECG has not shown anything (did 6 times ), heart ultrasound is normal, gastroscopy (superficial focal reflux gastritis, moderately pronounced bulbs, pylorit, moderate reflux-esophagitis); blood tests from veins and fingers in tolerances, urine analysis too, hormones are normal, thyroid Normally, chest cells (ultrasound), ultrasound of internal organs in perfect order, fluorography (light and heartlessness without change) said to make a Halter this is what is written in conclusion: during the entire observation period, the predominantly sinus rhythm was recorded (92.8%) which was interrupted by sinus arrhythmia. CCS average 86ood / min, minimum 49 (sleep), maximum 156 (lifting the stairs) is predominantly minus bradycardia over the entire period of observation of 4C46M: in the active period, it is 13 minutes, in a passive - 4 h33m circadian index is 1.60, which indicates a significant decrease heart rate at night. Conducting disorder: Pauses lasting over 2000ms have not been detected. The pauses 2 R-R are detected due to the SA-blockade of 2 degrees (only-9). Maximum R-R The interval is 1620ms (Ca-blocking 2 of the type 2). A single complex of a sinus complex with aberration (transient blockade of PVLNPG). The PQ intrusted is 176ms within the normal range. Rhythm rhythm digestive disorders were found: 3 ventricular extrasystoles were found, so on inserts, of which isolated 3. The elevation of the ST segment duration 1172 (85%) was revealed in the channel A, V. The maximum element is 349MKV (early syndrome Repolarization of ventricles) Analysis of the intrusted Qt: on the maximum heart rate is 286ms, at minimum-408ms. Medium for the entire observation period-347ms.

Many have heard of such syndrome as heart failure, and everyone understands the seriousness of this disease. But what is preceding it, know a few.

Diastolic dysfunction of left ventricle It manifests itself in the form of violations of the heart rate, namely, problems with filling blood during muscle relaxation. Data of violations often lead to the development of heart failure. It must be said that this problem is not final in its development, carelessness in treatment can lead to edema, or to cardiac asthma. Today, the study of this specificity is the main task of specialists.

DD manifestations are nonspecific and often asymptomatic

The violation of the diastolic function of the left ventricle, as a rule, arises due to the loss of elasticity and adequacy of the walls of the heart body. It is also necessary to say that this ailment can occur without any symptoms. This feature entails a kind of problem, which lies in progressive development, due to the impossibility of diagnosis.

Attention! This disease is often developing in people of old age. It is during this period that the system can give slack. In addition, the main category that this disease comprehends women.

Causes of development

The diastolic function of the left ventricle lies in the possibility of filling the ventricle with blood. This does not occur if the walls of the heart body lose their elasticity. As a rule, such a development occurs due to the emerging hypertrophy of the heart muscle (myocardium), it is usually thickened so much that it is not able to perform the necessary functions. Hypertrophy itself is a consequence of reasons:

hypertension;
cardiomyopathy;
aortic stenosis;
pressure on the heart chambers, which occurs due to the presence of such a disease, as a constructive pericarditis;
pathologies associated with coronary vessels;
amyloid deposits.

Due to the fact that the entire load falls on the right ventricle, there is a high probability of developing diastolic dysfunction of two ventricles. It is worth saying that a particularly important role is played by the feature of nutrition, if a person consumes an exceedable dose of cook salt, that is, all the chances of developing this disease. In addition, people with excess weights are much more likely to suffer from this ailment.

The decrease in the diastolic function of the left ventricle can also occur due to the suffered diseases, such as:

myocardial ischemia;
infectious diseases;
hypertension;
tachycardia;
anemia;
arrhythmia;
diseases of the endocrinological direction, etc.

Features of the disease

No wonder they say that the heart is "Motor" human organismThe importance of his work does not know borders. It is necessary to know that our heart body works on the principle of the pump, which collects blood from the vessels and throws it into the main aorta. In this regard, there are three main stages of the heart of the heart body:

myocardia is in a state of relaxation;
conducting blood flow from the atrium into the ventricle department, this is due to the pressure difference in these departments;
the ventricle is filled with blood as a result of the corresponding cuts from the atria.

If pathology is in moderate phase, the symptoms manifest periodically and the heart gradually returns to normal

Due to the effects of some reasons, the full operation of this sequence is disturbed, which leads to the development of the disease. It should be said that this ailment has its growth rate, and as all other diseases, over time, their form is only aggravated, this leads to excess problems during the treatment period, as well as to some complications. When the diastolic function of the left ventricle is broken, then, as a rule, at the first stages of development, it proceeds asymptomatic. In this regard, it is possible to distinguish three major severity:

1st type	it is manifested in the form of a violation of the relaxation of heart muscles. This form is the initial and easiest. It is associated with slow motion of standard blood flow.
2nd type	it can impress the normal state of the heart body. Even when there is no obvious signs of the disease, the pressure of the atrias begins to rise, and the blood flow in the ventricles is due to the difference of this pressure
3rd type	the final stage in the formation of the most severe form of the disease. During this period, the pressure in the atrium is already quite high, and the hypertrophy of the ventricle reached its final end

As you can see, the diastolic dysfunction of the left ventricle has several stages of development on which the complexity of treatment directly depends. Even, despite the fact that there are no obvious signs of disease in the body, a planned inspection should be carried out by a specialist, this technique will help to avoid unnecessary complications.

Features of diagnostics and treatment

Unfortunately, the treatment of this disease does not have one scenario. Based on this, our specialists adhere to the opinions that it is necessary first of all to eliminate the signs of the diastolic dysfunction of the left ventricle, which have a pronounced character. As for the diagnosis, it depends on the degree of development of the disease, it means that for earlier stages, a certain number of procedures are applied, for example, such as:

It is worth saying that diagnosis on early stages Diseases prevents unwanted consequences.

ECG is used as an auxiliary diagnostic examination

Important! During therapeutic measures, not only drug therapy is applied, as well as auxiliary, which fully corrects lifestyle. Without this complex, the effectiveness of the result is decreasing.

Medical treatment methods:

adrenoblockers (the cardiac rhythm and blood pressure frequency adjustment occurs);
diuretics (positively affect the elimination of shortness of breath);
inhibitors (influence on the elasticity of myocardium);
calcium antagonists (given preparations are preferred if the intolerance of the adrenobloclars);
nitrates (additional drugs).

Auxiliary methods:

solving the issue of overweight;
the use of proper nutrition;
rejection of bad habits;
balanced physical exertion.

Refers to the number of the most dangerous, i.e. those that lead to particularly severe consequences (disability, fatal outcome). For the development of any pathology in myocardium - there is a reason, and one of them is systolic violations - a decrease in the ability of the heart to emulate blood in the aorta (this leads to the development of left ventricular failure and pulmonary hypertension). As a result, such problems in work reduce general level Emissions and delivery with blood oxygen and nutrients are vital organs.

Miocardial diastolic dysfunction - what does this mean?

Dysfunction is a failure in the work of the body, translated from the Latin "difficulty action", diastolic dysfunction of myocardium, respectively, is a violation of the process of work of the heart muscle and decrease in the blood of the left ventricle during the diastology period (its relaxation). With a given pathological process, the ability of the left chamber of myocardium is reduced to the blood from the pulmonary artery into its cavity, thus, its relication is reduced during relaxation.

The diastolic dysfunction of the myocardium of the left ventricle is manifested by an increase in the ratio of the finite pressure of the ventricle and the final volume during the diastole period. The development of this pathology is accompanied by a decrease in the adequacy of the walls of the left heart chamber.

Fact! In 40% of patients with heart failure - systolic dysfunctions The left chamber is not, and acute heart failure is the progressive diastolic dysfunction of the left ventricle.

As the left ventricle is filmed, there are three main stages of the process.

Relaxation. This is a period of relaxation of the heart muscle, in which the active elimination of calcium ions from the filamentous muscle fibers (actin, myozin) occurs. During this, abbreviated myocardial muscle cells relax, and their length increases.
Passive filling. This stage comes immediately behind the relaxation, the process directly depends on the adequacy of the staining walls.
Filling, which is carried out due to the reduction of atrial.

Interesting! Despite the fact that cardiovascular diseases are more often affected by male representatives, given dysfunction, on the contrary, a little more "prefers" women. The age category is from 60 years.

Varieties of this pathology

To date, this pathology is made to divide the following types:

diastolic dysfunction of type 1 myocardium. This stage is characterized by violations (deceleration) in the process of relaxing the left ventricle of the heart in diastole. The required amount of blood at this stage comes in atrial abbreviations;
the diastolic dysfunction of the type 2 of the type is characterized by an increase in pressure in the left atrium, which is why the bottom chamber is possible only due to the action of the pressure gradient (this type is called "pseudonormal");
miocardium diastolic dysfunction 3. This stage is associated with an increase in the pressure in atrium, a decrease in the elasticity of the stainlessness of the ventricle and the increase in rigidity.

Depending on the severity of pathology, an additional unit is adopted on:

light (I Type of Disease);
moderate (II type of disease);
severe reversible and irreversible (III type of disease).

The main symptoms of the external manifestation of dysfunction

The diastolic dysfunction of myocardium often proceeds asymptomaticly, without issuing its presence for years. If pathology is manifested, then pay attention to the appearance:

violations of cardiac rhythms;
shortness of breath, which was not before, then it began to appear during physical exertion, and over time - and at rest;
weakness, drowsiness, increased fatigue;
cough (which in the "lying" position becomes stronger);
heavy sleep apnea (manifest in a couple of hours after falling asleep).

Factors provoking the development of pathology

First of all, it should be noted that the development of diastolic dysfunction of myocardium, its hypertrophy is promoted, i.e. Thickening of the walls of the ventricles and the interventricular partition.

The main cause of hypertrophy of the heart muscle is hypertension. In addition, the danger of its development is associated with excessive exercise on the body (for example, enhanced sports, severe physical work).

Separately, factors contributing to the development of the main cause - hypertrophy and this is:

arterial hypertension;
heart disease;
diabetes;
obesity;
snoring (its effect is due to involuntary respiratory stop for a few seconds during sleep).

Methods of detection of pathology

Diagnostics of development in the myocardium of such pathology, as diastolic dysfunction, includes the following types of surveys:

echocardiography in the complex with dopplerography (the study makes it possible to obtain an accurate image of myocardium and evaluate the functionality in a given period of time);
electrocardiogram;
ventriculography (in this case, radioactive albumin is used to determine the contractile function of the heart);
x-ray survey of the lungs;
laboratory blood tests.

Modern therapy of pathological disorders

For the treatment of diastolic dysfunction myocardium apply conservative methods. The therapy plan begins to eliminate the causes of pathology. Considering that the main development factor is hypertrophy, which develops due to hypertension, antihypertensive drugs are imposed, and constant blood pressure monitoring is performed.

Among drugs used for dysfunction therapy, such groups are distinguished:

adrenoblocators;
preparations designed to improve the elasticity of the wall and reduce pressure contributing to the remodeling of myocardium (inhibitors of an angiotensin glider enzyme);
tiazide diuretics;
calcium antogonists.

The human heart is represented by four chambers whose work does not stop for a minute. For recreation, the organ uses intervals between abbreviations - diastoles. At these moments, cardiac departments are relaxed as much as possible, prepared for a new compression. In order for the body to fully supplied blood, clear, coordinated ventricular activities and atrium. If the relaxation phase is disturbed, respectively, the quality of cardiac output is deteriorating, and the heart without sufficient rest is rather wearing. One of the common pathologies associated with the disorder of the relaxation function is called "Diastolic dysfunction of the left ventricle" (DDLZH).

The diastolic function of the left ventricle is as follows: relaxing, this department is filled with blood to continue to convey it by purpose, according to a continuous cardiac cycle. From the atria, blood moves into the ventricles, and from there - to organs and tissues. The right half of the heart is responsible for a small circle of blood circulation, and the left is for the big one. The left ventricle throws the blood in the aorta, supplying the whole organism with oxygen. The spent blood returns to the heart from the right atrium. Then through the right ventricle it is sent to the lungs to replenish with oxygen. The enriched blood stream goes to the heart, heading already in the left atrium, which pushes it into the left ventricle.

Thus, a huge load is laid on the left ventricle. If the dysfunction of this chamber develops, then all the organs and systems will suffer from lack of oxygen and nutritional elements. The diastolic left-detection pathology is associated with the inability of this department to fully take blood: the heart cavity is either not completely filled, or this process is very slow.

Development mechanism

The diastolic dysfunction of the left ventricle develops when at least one of the consecutive stages of enrichment of the cardiac chamber with blood during diastole is disturbed.

Myocardial fabrics are included in the relaxation phase.
There is a passive blood flow from the atrium into the gastroincing cavity due to the pressure drop in the chambers.
Atrium commits a contractile movement, freeing from the rest of the blood, pushing it into the left ventricle.

As a result of anomalous relaxation of the left ventricle, blood circulation worsens, myocardium is experiencing negative structural changes. Hypertrophy of muscular walls is developing, as the heart tries to fill the lack of cardiac emissions with more intensive activities.

Classification of violations

In its development, the dysfunction of the left ventricular diastole passes several stages. Each of them has its own distinctive features And characterized various degrees Danger.

Easy stage (1st type).

This is the initial stage of pathology. The diastolic dysfunction of the left ventricular chamber of the 1st type is correlated with a slightly slow relaxation phase. Most of the blood enters the cavity in the process of relaxation while reducing the left atrium. The manifestation of violations does not feel, obvious signs can be revealed only to Ehocheg. This stage also got the name hypertrophic, as it occurs against the background of myocardial hypertrophy.

Average gravity pseudonormal stage (2nd type).

The ability of the left ventricle to relaxation is even more deteriorating. This is reflected on heart chime. To compensate for the insufficiency of blood flow, the left atrium works in reinforced mode. This phenomenon is accompanied increased pressure In this cavity and an increase in the size of the muscular wall. Now the saturation of the left ventricle is provided by the difference in pressure inside the chambers. A person feels symptoms that indicate the pulmonary stagnation and heart failure.

Stage restrictive, with a severe degree of violations (3rd type).

The pressure in atrium, located on the left, increases significantly, the walls of the left ventricle are compacted, lose flexibility. Violations are accompanied by pronounced symptoms of life-threatening condition (stagnant heart failure). Possible swelling of the lungs, the attack of cardiac asthma.

Dysfunction or deficiency?

The concepts of "diastolic dysfunction of the left ventricle" and "Left-deceiving deficiency" should be distinguished. In the first case, the obvious threat to the patient's life does not exist if pathology is in the first stage. The exemament of the state can be avoided with the adequate treatment of the diastolic dysfunction of the left ventricular cavity of the 1st type. The heart continues to work virtually no changes, the systolic function is not broken.

Heart failure follows as a complication of diastolic disorders.

This is a more serious illness, it is impossible to cure it, changes are irreversible, and the consequences are deadly. In other words, these two terms relate to each other as follows: dysfunction is primary, and deficiency is secondary.

Symptomatics

Signs of diastolic dysfunction of the left ventricle make themselves to know when serious changes have already begun in the body. List of characteristic symptoms:

Heartbeats become rapidly as in active condition and calm.
Man can not take a deep breath like rib cage Suggested.
The bouts of dry cough indicate the appearance of stagnation in the lungs.

Any minor effort is difficult.
Dyspnea occurs both when driving and alone.
The participation of the attacks of the night apnea is also an indicator of problems in the left ventricle.
Another sign - swelling of the legs.

The reasons

The main reasons for the deterioration of the relaxation of the left ventricle - hypertrophy of its walls and the loss of elasticity them. To this state, various factors lead to:

arterial hypertension;
aortic stenosis;
cardiomyopathy;
heart rate disorders;
myocardial ischemia;
age changes;
gender factor (women are more susceptible);
anomalous state of coronary arteries;
inflammation of the pericardium pericardial type;
overweight;
diabetes;
heartfall;
heart attack.

Treatment

The essence of the treatment of diastolic dysfunction of the left ventricular wall is reduced to the restoration of blood circulation. For this you need:

eliminate tachycardia;
keep blood pressure normally;
normalize myocardial metabolism;
minimize hypertrophic changes.

List of major preparations used for therapeutic purposes:

Among the most frequently used drugs can be called: "Carvedilol", "Digoxin", "Enalapril", "Diltiaze".

Diagnose diastolic dysfunction can be mainly possible using ECCG, echo cardiography, complemented by Doppler study, ECG, laboratory tests.

The diastolic dysfunction of the left ventricle is a pathology requiring an attentive relationship. A late appeal to the doctor may turn out for a person an impartial outlook: disability or fatal. Especially carefully should follow their health people with cardiolasses in history. Together with the main drug therapy, to treat violations of myocardial work is recommended by domestic products. Recipes folk Medicine In large quantities can be found on the Internet.