Zmiany parametrów elektrokardiograficznych i echokardiograficznych

Strilchuk, L. M.; Беш, Д. И.; Rafalyuk, O. I.

doi:10.5603/fc.2018.0043

Folia Cardiologica

2018

DOI: 10.5603/fc.2018.0043

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Zmiany parametrów elektrokardiograficznych i echokardiograficznych

L. M. Strilchuk

Д. И. Беш

O. I. Rafalyuk³

Abstract: named after Danylo Halytsky in 2008; after an internship she finished a postgraduate course and has defended a PhD thesis in 2013. Her PhD paper was dedicated to peculiarities of hypertonic disease in patients with overweight/obesity and gallbladder diseases. Now Dr. Strilchuk works as an assistant professor at the Department of Therapy # 1 and Medical Diagnostics of Alma Mater university and as a therapeutist in Rivne Regional Clinical Therapeutic and Diagnostic Centre named after V. Polishchuk. Dr. Strilchuk… Show more

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Cited by 4 publications

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Influence of cholecystectomy on heart condition, lipid metabolism and inflammation activity

Strilchuk

2020

AML

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Aim. Gallbladder disorders and ischemic heart disease share common etiopathogenetic factors of development and influence each other. Literature describes dependence of clinical presentation of ischemic heart disease on gallbladder condition, and improvement of heart condition after cholecystectomy. The aim of this study was to compare features of the heart condition, lipid metabolism parameters, inflammation activity, and their correlations in patients with ischemic heart disease after cholecystectomy and with different gallbladder conditions. Materials and Methods. We analyzed data of 197 patients with ischemic heart disease (namely, stable and unstable angina pectoris), which were diagnosed and treated according to the existing guidelines. These patients were divided into 6 groups: with intact gallbladder; with sludge, bile thickening, polyps, and cholesterosis; with bent gallbladder body and its deformations; with gallbladder neck deformations and signs of past cholecystitis; with cholelithiasis; and after cholecystectomy. Results and Discussion. It was revealed that cholecystectomy in chronic subtypes of ischemic heart disease was associated with minimal frequency of arrhythmias, and in acute subtypes - with maximal frequency. Structural and functional parameters of the heart were the best in patients with a history of cholecystectomy. This was reflected in the smallest sizes of the right ventricle (2.31 cm), the left atrium (3.95 cm), and the left ventricle (4.92 cm), along with the smallest thickness of the interventicular septum (1.14 cm) and the posterior wall of the left ventricle (1.11 cm). The patients with removed gallbladder were characterized by the lowest values of total cholesterol (4.41 mmol/L), triglycerides (1.37 mmol/L), cholesterol of low density lipoproteins (2.61 mmol/L) and the atherogenic index of plasma (2.77) among all the groups with different gallbladder condition. All the parameters were lower than the parameters of intact gallbladder group. Both Castellі indexes after cholecystectomy were lower than in the group with intact gallbladder. Conclusions. The patients with a history of cholecystectomy were characterized by better parameters of lipid metabolism than patients of the other groups with different gallbladder conditions. The cholecystectomy group was characterized by the lowest inflammation activity according to the band neutrophils count (1.77%), the neutrophils to lymphocytes ratio (3.01), and the total fibrinogen level (4.03 g/L). Key words: ischemic heart disease, cholecystectomy, echocardiography, gallbladder, lipidogram

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Influence of cholecystectomy on heart condition, lipid metabolism and inflammation activity

Strilchuk

2020

AML

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Autonomic viscero-visceral cardioneuropathy (literature review and own data)

2021

Eksp.klin.fiziol.biohim.

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Disorders of the autonomic nervous system are involved in the pathogenesis of all diseases, but their investigation is of the utmost importance in cardiology. Modulation of the autonomic nervous system is now considered as a strategy of therapeutic influence on cardiovascular diseases. Purpose was to review the current views on the mechanisms, clinical manifestations, diagnosis and treatment of autonomic cardioneuropathy, in particular, of biliary origin, and to pool own data on this topic. Literature review in the Pubmed database and summary of the results of own research. The innervation axis of the heart is a multilevel system of integrative centers, which determines the complexity of the interaction mechanisms. Viscero-visceral reflexes are the main trigger of changes in the autonomic nervous system activity. Biliary-cardiac interactions cause the development of biliary autonomic viscero-visceral cardioneuropathy (BAVVCNP). In such cases, cholecystectomy improves the condition of the heart, but metabolic disorders and neuroendocrine imbalance persist, which leads to the clinical symptoms of postbiliary cardioneuropathy (PBCNP). According to our own research, BAVVKCP is accompanied by a significant increase in heart rate, left ventricular dilatation, systolic dysfunction. On the background of PBCNP structural and functional parameters of the heart improve, and arrhythmogenic activity of the myocardium reduces. Autonomic cardioneuropathy is a consequence of viscero-visceral reflexes and disorders of myocardial metabolism at the cellular level. Cardioneuropathy leads to various clinical manifestations with electrical instability, arrhythmias, ventricular dysfunction and remodulation, and coronary insufficiency. Manifestations of biliary autonomic viscero-visceral cardiopathy include the increased heart rate and arrhythmia, prolongation of ventricular systole and depression of the ST interval, and arterial hypertension. 4. In patients with postbiliary cardioneuropathy, the structural and functional parameters of the heart improve and the number of arrhythmias decreases, which indicates the interruption of pathological autonomic impulses.

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Gallbladder condition in patients with rheumatic fever and acquired valve defects of rheumatic origin

Strilchuk

Yatsev

2021

Modern Medical Technology

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Gallbladder (GB) and heart are linked by viscero-visceral reflexes, but little is known about the connections between GB and heart in patients with acute and chronic rheumatic heart disease. Purpose of the study. To assess the GB condition in patients with acute and chronic rheumatic disease and the difference in structural and functional sonographic parameters of heart in dependence of GB condition. Materials and methods. We examined 136 patients including 58 patients with active rheumatism (mean age 36,72 ± 3,00 years), 44 patients with chronic rheumatic heart disease (CRHD), who underwent surgical correction of the valvular defect (mean age 54,00 ± 3,69 years), and 34 patients with CHD, who were treated as inpatients withour surgery (mean age 61,48 ± 4,50 years). Results. Among 136 patients with acute and chronic forms of rheumatic heart disease, GB changes were significantly more common than intact GB (62,5 ± 4,1% vs. 37,5 ± 4,1%, p < 0,05). The incidence of GB disorders was the highest in patients with CRHD, who underwent drug treatment (76,5 ± 7,3% vs. 58,7 ± 6,5% and 50,0 ± 7,5%, both p < 0,05), which were characterized by older age. No significant differences in the incidence of various pathological conditions of GB were revealed between acute and chronic rheumatic heart disease groups. The most common pathological GB changes included signs of cholecystitis, biliary sludge and cholesterosis, cholelithiasis, the least common – GB removal due to cholelithiasis. Patients with biliary autonomic viscero-visceral cardioneuropathy differed from those with intact GB by the thickening of the interventricular septum and posterior wall of the left ventricle, which correlated with the increased duration of inpatient treatment, diastolic hypertension and lower alanine aminotransferase. Conclusions. In patients with acute and chronic forms of rheumatic heart disease, the GB condition is often changed. These changes affect heart condition, blood pressure and carbohydrate metabolism. Keywords: gallbladder, chronic rheumatic heart disease, valvular defects, rheumatic fever, echocardiography.

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Zmiany parametrów elektrokardiograficznych i echokardiograficznych

Cited by 4 publications

References 3 publications

Influence of cholecystectomy on heart condition, lipid metabolism and inflammation activity

Influence of cholecystectomy on heart condition, lipid metabolism and inflammation activity

Autonomic viscero-visceral cardioneuropathy (literature review and own data)

Gallbladder condition in patients with rheumatic fever and acquired valve defects of rheumatic origin

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