A.H.A.W. Azaraksh - Post-graduate Student, Department of Hospital Therapy, Peoples' Friendship University of Russia, Moscow E-mail: hwakili@mail.ru G.G. Ivanov - Dr.Sc. (Med.), Professor, Department of Hospital Therapy, Peoples' Friendship University of Russia, Moscow E-mail:hwakili@mail.ru A.E. Severin - Dr.Sc. (Med.), Professor, Department of Physiology, Peoples' Friendship University of Russia, Moscow E-mail: aesever@mail.ru I.V. Kastyro - Ph.D. (Med.), Assistant, Department of Physiology, Peoples' Friendship University of Russia, Moscow E-mail: ikastyro@gmail.com

Тo estimate the bioimpedanstny analysis (BIA), its diagnostic and predictive value at patients with initial forms of the heart failure (HF). 335 patients (45-85 years) with HF are examined with FC HHF 0-I-II. 105 people with CHD, 105 - with arterial hypertension, 125 - with CHD and a paroksizmalny form of vibrating arrhythmia. Patients were divided into 3 groups: 1 group with FC 0, 2 group - with FKI, 3 group - with FKII. Estimated values of a bioimpedance (Z) of a torso and feet on low (LF) and the high frequencies (HF) and the phase corner (PC). Results of diagnostic value of a bioimpedansometriya compared to those on the level of brain sodium-uretichesky peptide. The predictive value of BIA was estimated on survival time. High diagnostic value FAUGH, Z feet on LF is revealed, high predictive value has FAUGH with threshold value ≤ 4,2°. Conclusions: BIA is highly sensitive and specific method for diagnostics of the hidden HF and definition of the forecast of its outcome.

 

1. Mattar J. A., Gomes P.N., Costa J.L.F. Total body impedance measurement in ARDS // Crit. Care Med. 1996. V. 24. № 1 (Suppl.). P. A46.
2. Kobalava ZH.D., Kotovskaja JU.V., Villevalde S.V., Amirbegishvili I.M., Moiseev V.S. Blo­ka­da RAAS i moduljacija sistemy natrijj­ureti­cheskikh peptidov v lechenii arterial­nojj gipertonii i serdechnojj nedostatochnosti: dostizhenija, problemy, perspektivy // Kli­ni­cheskaja farmakologija i terapija. 2013.  T. 22. № 5. S. 16-23
3. Puzin S.N., SHurgaja M.A., CHandirli S.A., Polja­nichko V.V. KHronicheskaja serdechnaja nedosta­toch­nost: algoritm uspeshnojj diagnostiki // Mediko-socialnaja ehkspertiza i reabili­tacija. 2014. № 4. S. 4-10
4. Piccolli A. Bioelectric impedance measurement for fluid status assessment // Contributions to nephrologhy. 2010. V. 164. P. 143-152.
5. Piccolli A., Plebani M., Codognotto M. Differen­tiation of cardiac and noncardiac dyspnea using bioelectrical impedance vector analysis (BIVA) // Journal of cardiac failure. 2012. V. 18. № 3.  P. 226-232.
6. Ivanov G.G., Nikulina L.D., Dvornikov V.E., Kuaku V.V. Ocenka ehffektivnosti diureti­ches­kojj terapii u bolnykh s nedostatochnostju krovoobrashhenija s ispolzovaniem bioimpe­dan­so­metrii // Funkcionalnaja diagnos­tika. 2004. № 1. S. 49-54.