6 -2 (34/1) 2021 — Pulatova Sh.X. — FEATURES OF TREATMENT OF ACUTE HEART FAILURE

FEATURES OF TREATMENT OF ACUTE HEART FAILURE

Pulatova Sh.X. Bukhara State Medical Institute

Resume

Objective: to study clinical and hemodynamic changes during vasopressor therapy in acute myocardial infarction complicated by cardiogenic shock. Materials and methods: In 2018-2020, 78 patients treated with “acute myocardial infarction complicated by cardiogenic shock” in Bukhara took part in our study. branch of the Republican Scientific Center for Emergency Medicine. To assess the effectiveness of norepinephrine and dopamine, patients were divided into 2 groups: 30 patients of group 1 were prescribed norepinephrine (norepinephrine 0.2% – 8 mg 4.0 ml) intravenously as an infusion of 3-5 μg / kg / min for 24 hours); In 48 patients of the 2nd group, dopamine (dopamine 40 mg / ml – 4% -5.0 ml) was injected intravenously at an initial dose of 2-10 μg / kg / min for 24 hours, starting with blood pressure (A / B) … , ventricular systole (YQS), pulse controlled infusion. Results: deviation of the QT interval was within the normal range (91 ± 15 ms) in 12 patients before infusion, while in the rest of the patients it was 60 cm (48 ± 10 ms). After infusion, they were 42 ± 10 ms in 18 patients and 82 ± 18 ms in 12 patients. QT length remained virtually unchanged after norepinephrine infusion, but QT interval variance decreased from 73.8 ± 8.5 ms to 65.7 ± 5.05 ms.

Conclusion. In acute myocardial infarction complicated by cardiogenic shock, vasopressor therapy should be started immediately in case of relief of shock. This, in turn, prevents an increase in mortality among patients.

Key words: Cardiogenic shock, Acute heart failure, acute myocardial infarction

First page

33

Last page

37

For citation: Pulatova Sh.X. Features of treatment of acute heart failure // New Day in Medicine 2(34/1)2021 33-37 https://cutt.ly/Gv607OX

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