INFLUENCE OF JUVENILE ACUTE RHEUMATIC FEVER ON THE STATE OF THE CHRONIC RHEUMATIC HEART TROUBLE IN ADULT PATIENTS

Chelpan L.L.¹, Prohorov E.V. ¹, Syniachenko O.V.²

• ¹Донецкий национальный медицинский университет им. Максима Горького
• ²Донецкий национальный медицинский университет, Лиман

Summary. Purpose of the study: to determine clinical-pathogenetic communication of a chronic rheumatic heart trouble (CRHT) in adults with the transferred acute rheumatic fever (ARF) at children’s age. Material and methods: 97 patients were examined, 19% from which have transferred ARF. A plasma link of rheological blood properties and a condition of endothelial vessels functions were studied. Results. CRHT which debuted at children’s age with ARF, it is characterised by later manifest beginning of heart diseases and smaller rates of their progressing, more rare development of mitral stenosis, smaller in weight of a myocardium of left ventricular and a functional class of heart insufficiency, and for juvenile rheumatism rather rare development of distress of myocardium excitability and diastolic dysfunctions of left ventricular is characteristic in the future, but formation of more numbers of defects is typical, thus age dimorphism of CRHT is characterized by frequency of ventricular extrasystolic arrythmia, parameters of a thickness of left ventricular and left auricle. Conclusions: dimorphism of the state of CRHT which debuted in childhood with ARF is existed.