ОСОБЕННОСТИ ПОРАЖЕНИЯ КОРОНАРНЫХ СОСУДОВ У БОЛЬНЫХ ИБС СО СНИЖЕННОЙ ФВ ЛЖ И САХАРНЫМ ДИАБЕТОМ 2 ТИПА

The aim. To study of clinical hemodynamic and laboratory features of patients with IHD with systolic dysfunction and the presence / absence of type 2 diabetes mellitus. Materials and methods. Data of 138 patients with IHD with a reduced LV ejection fraction (less than 45 %) undergoing PCI were studied. Patients were divided into 2 groups: 1 group consisted of patients with type 2 diabetes (n = 50), and 2 group – patients with IHD without diabetes mellitus (n = 88). We studied: a 6-minute walking test (TSH), ECG, EchoCG with calculation of myocardial contractility of the left ventricle by Teicholz method, lipids, urea and creatinine level, followed by evaluation of the glomerular filtration rate (GFR) by the EPI calculator. Results and conclusions. It was shown that IHD patients with reduced systolic function of LV and type 2 DM are characterized by a more severe course of IHD expressed in multivessel coronary lesion (SYNTAX 32 scale and more 1st group 13 (26.0 %), 2 group 7 (8.0 %) ; P = 0.027 χ2 = 4.890) and a low LVEF. Калит сузлар: тери оркали аралашув, чап коринча отиш фракцияси пасайиши, юрак ишемик касалли- ги, кандли диабет 2 тури. Ключевые слова: чрезкожные коронарные вмешательства, сниженная фракция выброса левого желу- дочка, ишемическая болезнь сердца, сахарный диабет 2 типа.