Research objective: the aim is to study the features of the remodeling of the left atrium and pulmonary veins in CHF patients with paroxysmal AF, with permanent AF, and without arrhythmia (n=225). Materials and methods. The features of the remodeling of the left atrium and pulmonary veins were studied echocardiographically in patients having chronic heart failure with paroxysmal AF (n=38) and permanent AF (n=36) and without arrhythmia (n=225). Results. Structural changes of the left atrium and pulmonary veins in patients with chronic heart failure having permanent atrial fibrillation were significantly more distinct than those in patients with paroxysmal atrial fibrillation, in patients without arrhythmia, and in the control group. Thus, respectively, LA in the left lateral position was 46.35±1.93, 41.26±1.49, 38.60±0.90, and 29.57±0.68 mm; LAVI was 67.16±6.14, 58.81±5.92, 44.28±1.34, and 23.64±0.47; the maximum diameter of the left inferior pulmonary vein was 23.91±1.07, 22.21±0.69, 20.64±0.41, and 13.51±0.16 mm; the minimum diameter of the pulmonary vein was 15.10±1.06, 13.15±1.07, 10.51±0.41, and 5.70±0.09 mm, with higher E/e’ values of 14.78±1.45, 11.34±1.81, 10.03±0.47, and 6.26±0.28 mm. Conclusion. A more evident dilatation of the left atrium with the dilatation of pulmonary veins was diagnosed in patients with permanent AF as compared to that in patients with paroxysmal AF and patients having CHF without arrhythmia.

The aim of the study is to investigate the impairment of diastolic function of the left ventricle (LV) and the right ventricle (RV) in arterial hypertension outpatients. Materials and methods. Arterial hypertension patients (n=299) and practically healthy people (n=62) were examined on an outpatient basis. Echocardiographically, diastolic dysfunctions of both ventricles were evaluated. Results. All the arterial hypertension patients had a pattern of diastolic dysfunction (DD) of the RV of different grades (grade I RVDD and grade II RVDD), regardless of the presence or absence of pulmonary arterial hypertension. Patterns of grade I LVDD and grade I RVDD were detected in 84 patients. Patterns of grade I LVDD and grade II RVDD were detected in 77 patients. Patterns of grade II LVDD and grade II RVDD were detected in 41 patients. A pattern of grade II RVDD with normal left ventricular diastolic function was detected in 97 patients with a short duration of disease (3.92±0.48 years) versus the other groups with more than 15 years of hypertension. 175 arterial hypertension patients had grade I or II LVDD only in 18.3% of cases according to the recommendations of the American and European societies of echocardiographers (2016). Conclusion. The patients with a short period of hypertensive disease have only the pseudonormal pattern of RVDD, which can be an early diagnostic marker of heart failure. Echocardiographic diagnosis of diastolic function made according to various criteria can both increase the number of chronic heart failure patients and significantly decrease it.