PATHOGENETIC ASPECTS AND RISK FACTORS FOR THE DEVELOPMENT OF CARDIOVASCULAR FUNCTIONAL DISORDERS IN INFECTIOUS DISEASES

Abstract

The article presents data on the frequency of occurrence and some characteristic signs of lesions of the heart tissue among 200 patients aged 17 to 40 years and older with infectious pathology of viral and bacterial origin. To determine the characteristics of heart tissue damage all patients were divided into three groups according to the following principle: group 1 (98 people) - with ENT (Ear, nose and throat) diseases; Group 2 - 80 people with rheumatism; Group 3 - 22 patients with viral infection. At the same time, the nature of pathological cardiovascular changes was revealed and a high incidence of cardiovascular pathology was established against the background of diseases associated with viral and bacterial infections, in particular, with some bacterial ENT diseases, acute respiratory viral infections (ARVI) and rheumatism. In a comparative analysis of the data obtained, a more pronounced nature of the course of infectious cardiovascular disorders against the background of ENT diseases was noted. Some positive dynamics of slightly pronounced cardiac arrhythmias made it possible to distinguish among the examined patients the category of functional disorders - tachycardia, bradycardia and pacemaker migration, which have less clinical significance. The vast majority of patients with these disorders were included in the third group, which consisted of persons aggravated with ARVI (13.64%). Relatively more severe forms of heart disease, in particular infectious myocarditis, were more often diagnosed in the second and third groups of patients - 21.25% and 45.45%, respectively.