Diagnostic criterions of cardio-pulmonary insufficiency and its reversibility during treatment

Abstract

The functional state of the heart and features of hemodynamic of pulmonary and systemic circulation were studied in 444 male and 92 female patients (536 total) aged 20 to 75 years with chronic nonspecific pulmonary diseases (CNPD). The control group contained 36 healthy persons. According to clinical, hemodynamical, and respiratory disorders, the patients were divided into 2 groups with 79 and 421 persons correspondently. The first group contained patients with pulmonary insufficiency primarily without any signs of cardiac insufficiency. The second group was characterized by expressed cardio-pulmonary insufficiency, and it was divided into subgroups according to heaviness levels of the disease.

Results of the study showed that during pulmonary insufficiency the hemodinamic indices were decreased. The attaching of cardiac insufficiency caused disorders of systemic hemodynamics and pulmonary hemodynamics. Patients in the second group with light stages of the disease occupied the intermediate state. The correlational dependence between hemodynamic parameters, the development of the disease, and instrumental signs of the development was found. The complex study allows to consider about the specific case of pulmonary or cardiac insufficiency prevalence.