Comparative characteristics of left ventricular remodeling in dilatation cardiomyopathy and ischemic disease
Sisakian, A.S.; Eganian, G.A.; Kamalov, G.G.
Klinicheskaia Meditsina 75(12): 23-26
1997
ISSN/ISBN: 0023-2149 PMID: 9503806 Document Number: 480037
Left ventricular remodelling plays an important pathogenetic role in progressive circulatory insufficiency both in dilated cardiomyopathy (DCMP) and in ischemic heart disease with postinfarction cardiosclerosis. In terminal cardiac failure structural changes (changed geometry of the left ventricle, in particular) become stereotypic. The dobutamin test in DCMP reveals low functional reserve of the total and segmentary contractility compared to ischemic cardiomyopathy. This may help in echocardiographic diagnostic difficulties.