ОЦЕНКА ЦЕНТРАЛЬНОЙ ГЕМОДИНАМИКИ У ПАЦИЕНТОВ С САХАРНЫМ ДИАБЕТОМ 2 ТИПА C И БЕЗ ХРОНИЧЕСКОЙ СЕРДЕЧНОЙ НЕДОСТАТОЧНОСТИ ДО РЕВАСКУЛЯРИЗАЦИИ СОСУДОВ СЕРДЦА

The purpose of the study is to study the state of central hemodynamics in patients with CHF with and without DM2 in comparison with other indicators. Material and research methods. 65 patients with DM 2 and chronic heart failure (CHF) were examined (prospectively) in the period 2021-2022 in the Acad surgery center. V.V. Vakhidov on the  basis of a scientific agreement together with the RSSPMCE PHM RUZ named after Acad. Yo.Kh. Turakulov. All observed patients were divided into 2 groups: 1 gr. - 34 patients with heart failure and DM2 subjected to AKSh 2 gr. - 31 patients with heart failure without DM2 subjected to AKSh The control group will be 20 healthy persons. To characterize the examined patients will be used: general clinical, biochemical and instrumental examinations. Results. , In patients with heart failure without DM2, the level of blood glucose and the noma index were reliably lower in comparison with patients with DM2 +CHF. The average value of BMI in groups differed slightly, but between the CHF and DM2+ CHF group, the difference was statistically reliable. Conclusions. In patients of the DM2 + CHF group and CHF reliable differences in the average indicators of age, BMI, glycemia, the values of insulin, and the Homa index were not found depending on the values of the left ventricular emission faction. At the same time, the reliability of the differences was revealed only according to Galelectin 3: these values increased significantly as FV decreased in patients with diabetes + CHA. (p <0.05).