Observational study reveals heart remodeling impacts outcomes in acute coronary syndrome patients, suggesting varying prognostic significance between right and left atrial dilation.
The purpose of the present study is study of the clinical and prognostic value of the heart remodeling at patients suffering with the acute coronary syndrome (ACS). The echocardioscopy of 71 patients suffering with the ACS has been carried out. Additionally the prognosis of the disease was estimated by using the Grace scale. Opinion: the tendency to the dilation of the right atrium of patients suffering with the ACS without increase of the ST segment, as a compensatory component, contributes to the benign outcome to the instable angina. The tendency to the dilation of the left atrium of patients suffering with the ACS with the increase of the ST segment, as well as the reduction of the ejection fraction of the left ventricle, increase of pressure in the pulmonary artery are factors of decompensation that are indirect representatives of the damage of the myocardium of the left ventricle. The most negative factor of the lethality is the damage of the systolic function of the left ventricle. Conclusions: the heart remodeling in case of the ACS is represented with the damage of the function and architectonics of the organ, stages of compensation and decompensation of the disease process, it has the clinical ant prognostic meaning during the hospitalizing and within the next following semi-annual time period.
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Kayumova et al. (2017) studied this question.