List of publications on a keyword: «silent myocardial ischemia»
Dmitriev Anatoliiy Nikolaevich , doctor of medical sciences , профессор
SBEI of HE "Ural State Medical University" of Healthcare Department of Russia , Свердловская обл
Fedorova Natalia Nikolaevna , врач-терапевт
“Sverdlovsk Regional Clinical Hospital №1” , Свердловская обл
«Silent myocardial ischemia in women with arterial hypertension with hypestrogenism in the late fertile period with "metabolically healthy" visceral obesity»
The article contains the results of holter ECG monitoring of 78 women with arterial hypertension of the II stage in the late fertile period with diagnosed left ventricular hypertrophy with hypoestrogenemy with "metabolically healthy" visceral obesity (MHVO) at the outpatient stage and the frequency of episodes of SMI in this category of patients. Patients with hypertension with concentric LVH have a greater potential for the development of relative coronary insufficiency, than women with its eccentric option. Limitation of coronary perfusion and reduced relaxation properties of hypertrophied myocardium in women with hypertension in late fertile period with diagnosed LVH may be a pathophysiological basis of the mechanism of myocardial ischemia, which is manifested in the form of episodes of SMI, which is significantly more often (p < 0,05) occurs in patients with metabolic "morbid"obesity.