NON-COMPACT MYOCARDIUM AS A CAUSE OF THE DEVELOPMENT OF CHRONIC HEART FAILURE IN A YOUNG PATIENT
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Abstract
A 38-year-old patient was admitted to the hospital with symptoms of chronic heart failure. Dilated cardiomyopathy was diagnosed. An echocardiogram and magnetic resonance imaging revealed non-compact myocardium of the left ventricle in the apical sections up to 20 mm thick, an organized thrombus 11.9 × 14.4 mm, dilatation of the left chambers of the heart. Holter monitoring of the electrocardiogram diagnosed ventricular extrasystole grade V according to Ryan, prolongation of the corrected QT interval from 450 to 487 ms, short episodes of ventricular polymorphic tachycardia. Thus, non-compact left ventricular myocardium was the cause of chronic heart failure and a high risk of sudden cardiac death of a young patient.
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Author Biographies
Александр Матвеевич Корякин,
candidate of medical sciences, docent, docent of the therapy departmentТатьяна Васильевна Воронина,
functional diagnostics physicianМария Олеговна Горяева,
therapistИнна Валентиновна Дадыка,
candidate of medical sciences, head of the therapeutic departmentНаталья Владимировна Рыжкова,
cardiologist-consultantСергей Николаевич Филимонов,
Filimonov Sergey Nikolaevich
Head of the Department of Human Ecology, Public Health and Healthcare.
Doctor of Medical Sciences, Professor, Excellence in Public Health of the Russian Federation. Education: higher medical, medical business. Medical experience since 1983 Born November 22, 1959 in the village. Izhmorka, Kemerovo region.
S.N. Filimonov is a highly qualified specialist in the field of therapy, cardiology, pulmonology, nephrology, occupational pathology, emergency medical care.
Actively engaged in scientific research. Range of professional and scientific interests: prevention, diagnostics, treatment and rehabilitation of patients with therapeutic pathology, the study of genetic and phenotypic markers, new aspects of the treatment of diseases of internal organs.
He has more than 450 published scientific papers, including 66 textbooks, 9 monographs, reference books, manuals, 16 invention patents and 1 computer program registration certificate, on various issues of therapy, cardiology, pulmonology, nephrology, occupational pathology, on clinical problems, course, rehabilitation and prediction of the results of the course of pathological processes (IHD, AH, COPD, etc.).
Internship: Ambulance station in Novokuznetsk (1983-1984).
Residency: Department of Cardiology Novokuznetsk GIDUV (1987-1989).
From 2004 to 2016 - Vice-Rector for Academic Affairs of NGIUV, since 2007 - Professor of the Department of Therapy of NGIUV, since 2017 - Director of the Research Institute of Complex Problems of Hygiene and Occupational Diseases.
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References
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