Статья
СОВРЕМЕННЫЕ ПРЕДСТАВЛЕНИЯ О ПЕРИПАРТАЛЬНОЙ КАРДИОМИОПАТИИ (ЧАСТЬ 2): КЛИНИКА, ДИАГНОСТИКА, ТЕЧЕНИЕ, ЛЕЧЕНИЕ
Представленная вторая часть обзора, посвященного перипартальной кардиомиопатии, содержит современные взгляды на особенности дебюта заболевания. Детально описаны особенности клинической картины кардиомиопатии, с учетом их специфичности и диагностической ценности. Подробно освящены диагностические подходы, начиная с данных физикального осмотра и включая результаты инструментальных методов исследования. Учитывая роль клеточных микрочастиц в развитии заболевания, затронута важность изучения их уровней при перипартальной кардиомиопатии наряду со значением уровней натрий-уретического пептида, тропонина-Т и С-реактивного белка. Раздел “лечение” включает подробное описание используемых препаратов при кардиомиопатии, в частности периферических вазодилататоров, диуретиков, ингибиторов ангиотензинпревращающего фермента, антиаритмических средств, антикоагулянтов, пентоксифиллина, бромокриптина, каберголина. Выделены методы вспомогательного кровообращения при тяжелом течении заболевания, а также приведены данные об использовании плазмафереза и имплантируемых кардиовертеров-дефибрилляторов. В общих чертах затронуты вопросы родоразрешения женщин, страдающих этой патологией.
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