M.V. Rishko, O.V. Ustych. Clinical course of the ischemic heart disease in persons from mountain and plain areas of the Transcarpathian region with intact coronary arteries and their minimal changes

The aim – to compare parameters of cardiovascular system state in patients with ischemic heart disease (IHD) living in mountain and plain districs of Transcarpathian Region, with intact or minimally changed coronary arteries.
Material and methods. The study included 246 patients with IHD, among them 112 from the mountain districs and 134 from non-mountain ones. The analysis included age, gender, place of living, clinical peculiarities of the disease, laboratory data, Holter ECG monitoring, echocardiography and coronary angiography.
Results. The groups of the patients were uniform, but there were some differences in subgroups of mountain and plain districts, depending on age, angina course, left ventricular ejection fraction, concomitant pathology, arterial hypertension, Q-wave myocardial infarction etc.
Conclusion. We found significant differences depending on altitude of habitation, status of the population aggregate, age, gender, presence of hypertension and some other comorbidities. We’ve also found relationship between type of blood supply in the heart in different groups of patients.

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