Diffusive myocardial changes

Diffusive changes in the myocardium - the conclusion of additional studies in the form of electrocardiography( ECG) and echocardiography( echo-KG).By itself, such a diagnosis only says that there are some changes inside the cardiac muscle( myocardium).Over time, they can spread to the entire myocardium as a whole.

Diffusive changes in the heart muscle usually occur with myocardial diseases that are inflammatory( myocarditis), metabolic( myocardial dystrophy).They also occur as a result of growth of connective tissue instead of myocardial fibers, which is often the outcome of a disease such as myocardiosclerosis. Diffuse changes can cause disturbances in water-salt metabolism, can be provoked by heavy loads and the use of a separate class of drugs.

With all these diseases, the heart muscle is evenly affected in all departments. Affected atrium, ventricles and interventricular septa. This is revealed during examination, as a diffuse lesion of the cardiac myocardium.

Diffuse changes on ECG and Echocardiogram

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With the help of such diagnostic methods as ECG Echo-KG all diffuse changes inside the myocardium are established. They do not have any characteristic features, due to which you can put the final diagnosis( eg, myocardial dystrophy or myocarditis).The conclusion "diffuse changes in the cardiac myocardium" can only be important in combination with accurate patient examination data and additional studies( more often laboratory tests).

These studies allow us to separate the usual diffuse changes from focal ones that result from myocardial infarction or rheumatism. Diffuse changes in the myocardium on the ECG will be recorded immediately in all leads, and focal changes can be recorded in only one or two leads. Also on the ECG are disturbances in rhythm and conduction, signs of hypertrophy of the heart.

Diffuse changes in Echo-CG are also characteristic, when changes in the reflection( echogenicity) of ultrasound in the entire tissue of the cardiac myocardium are clearly visible. Echocardiography reveals the expansion of the heart, pronounced hypertrophy of the myocardium, a pathological violation of its motor activity, signs of a decrease in the normal contractility of the heart muscle.

Changes in the myocardium in myocarditis

Myocarditis is an inflammatory disease of the myocardium, which has an infectious, infectious-toxic, allergic and toxic-allergic nature. Infectious and infectious-toxic myocarditis include myocarditis after a previous flu, scarlet fever and other infections. Allergic myocarditis usually occurs against a background of chronic diseases, as well as long-term use of drugs. Toxico-allergic myocarditis occurs when exposed to dangerous toxins on the body.

Myocarditis is diffuse and focal, which is easy to determine on the ECG and Echocardiography. On the ECG there is a marked decrease in denticles in the leads, as well as violations of the heart rhythm. Similar changes are noted in Echo-CG, which allow to identify the expansion of various parts of the heart, the violation of the motor activity of the myocardium.

Changes in the myocardium in myocardial dystrophy

Myocardial dystrophy is a condition that is a consequence of metabolic disturbances within the heart muscle. Most often, biochemical reactions are destroyed in the formation and subsequent transformation of energy. This is always accompanied by symptoms of insufficient contractility of the cardiac myocardium.

Changes in ECG and Echo-CG in myocardial dystrophy differ little from diffuse changes in myocarditis. It is possible to distinguish these two diseases only after carrying out laboratory tests. A general blood test for myocarditis will show the changes that are typical for the usual inflammatory process. According to the results of a biochemical blood test, one can also see changes that led to dystrophic changes in the heart muscle.

Thus, any diffuse changes in the myocardium - this is only the conclusion of additional studies. The final diagnosis can be made only by the doctor after studying all the data.