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Klin Med (Mosk) ; 93(10): 24-30, 2015.
Article in Russian | MEDLINE | ID: mdl-26964462

ABSTRACT

This study aimed at the evaluation of the state of the respiratory system and its possible influence on the structural and functional characteristics of the right heart in patients with atopic bronchial asthma (BA) with a view to optimizing diagnostics and prevention of cardiovascular complications. The study included 189 subjects of whom 148 with BA were divided into 3 groups depending on the severity of the disease. Forty practically healthy volunteers comprised the control group. The external respiration function and right ventricle functional parameters were the main variables measured in all the participants of the study. It was shown that disorders of external respiration and pulmonary hyperinflation progressed with severity of BA and thereby promoted right ventricular myocardium remodeling and dysfunction that in turn led to chronic cardiac insufficiency. It is concluded that functional changes in the right heart in of patients with BA of different severity are associated with remodeling of the respiratory tract.


Subject(s)
Asthma/physiopathology , Electrocardiography , Heart Ventricles/physiopathology , Ventricular Function, Right/physiology , Ventricular Remodeling/physiology , Adolescent , Adult , Asthma/diagnosis , Chronic Disease , Female , Heart Ventricles/diagnostic imaging , Humans , Male , Middle Aged , Severity of Illness Index , Ultrasonography , Young Adult
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