Abstract:
Introduction.
Dilated cardiomyopathy (DCM) is the most common
cardiomyopathy, which affects people of all ages and remains to
date the leading reason for heart transplantation and the third
cause of chronic heart failure.Purpose.
To evaluate clinical manifestations in patients with DCM.
Material and methods:
In the study were analyzed 30 clinical observation sheets of
patients (5 women and 25 men), hospitalized in cardiology and
therapy departments during 2016-2019, diagnosed with DCM.
The average age of the patients was 58.73 ± 9.73 years. The
obtained results were subjected to statistical analysis using the
t-Student criteria. Results.
The clinical picture in patients with DCM was dominated by mixed
dyspnea (100% - 70% on physical exertion and 30% at rest),
fatigability (66.6%), precordial constraining pain (63.3%), pedal
edema (67%), heart palpitations (56.6%), hepatalgia (40%),
acrocyanosis (36.6%), stasis rales in the lungs (30%). According to the
NYHA classification of heart failure, 10% of patients were attributed to
functional class (FC) II, 53.3% - FC III and 36.6% - FC IV. Conclusions.
The clinical picture of DCM is dominated by manifestations of
global heart failure. As a rule, symptoms progress from left
ventricular damage to right ventricular damage.
