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Georgian Med News ; (Issue): 57-61, 2016 Nov.
Article in Russian | MEDLINE | ID: mdl-28009317

ABSTRACT

Definition of the most important factors and their combination, causing the disturbances of heart rhythm in patients with the pulmonary tuberculosis and diabetes, now attracts more and more attention. For this purpose, extensively used the capabilities of multifactorial analysis, which allowed to evaluate the distribution of the pathological factors and their interaction with each other. The objects of the study were complex examination the data of 90 patients with pulmonary tuberculosis and diabetes (insulin-dependent diabetes-27, non-insulin- dependent diabetes-63). In the mathematical processing of the instrumental methods we analyzed the results of echocardiography, indicators of respiratory function and the results of the Holter ECG monitoring. The use multifactorial mathematical analysis has allowed to establish the most significant pathogenetic factors and their combinations, causing disrhythmogenesis. In patients with pulmonary tuberculosis and diabetes with a combinations of right ventricular hypertrophy with a tendency to pulmonary hypertension and respiratory function parameters most commonly observed ventricular arrhythmias. On the occurrence of supraventricular arrhythmia mainly influenced by pulmonary hypertension and left ventricular hypertrophy.


Subject(s)
Arrhythmias, Cardiac/complications , Diabetes Mellitus, Type 1/complications , Diabetes Mellitus, Type 2/complications , Tuberculosis, Pulmonary/complications , Arrhythmias, Cardiac/pathology , Arrhythmias, Cardiac/physiopathology , Cluster Analysis , Diabetes Mellitus, Type 1/pathology , Diabetes Mellitus, Type 1/physiopathology , Diabetes Mellitus, Type 2/pathology , Diabetes Mellitus, Type 2/physiopathology , Echocardiography , Electrocardiography , Humans , Respiratory Function Tests , Risk Factors , Tuberculosis, Pulmonary/pathology , Tuberculosis, Pulmonary/physiopathology
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