ПОЛОВОЙ ДИМОРФИЗМ КЛИНИЧЕСКИХ И ЭЛЕКТРОКАРДИОГРАФИЧЕСКИХ ИЗМЕНЕНИЙ У БОЛЬНЫХ БЕЗБОЛЕВОЙ ИШЕМИЕЙ МИОКАРДА 3 ТИПА

Painless myocardial ischemia in patients with type 2 diabetes mellitus is quite common, as its frequency ranges from 15 to 64.7%. The purpose of the study was to analyze sexual dimorphism of clinical and electrocardiographic manifestations in representatives of different sexes. To achieve the goal of the study, a complex of clinical and instrumental studies of the morphofunctional state of the heart was performed. As a result of the studies, it was found that sexual dimorphism of painless myocardial ischemia in men appeared at the beginning of the debut of pain angina attacks, in women, on the contrary, pain angina attacks in time followed painless ischemia. In men, it was accompanied by the classic irradiation of angina pain in the left arm, jaw and interscapular space, a sensation of interruptions in the activity of the heart. In women, painless myocardial ischemia was accompanied by palpitations, shortness of breath, or lack of cardiac complaints. Sexual dimorphism of ECG signs was manifested as the predominance of ventricular extrasystole in men and hypertrophy / overload of the left heart. In women with painless ischemia on the ECG, unlike men, sinus arrhythmia and supraventricular extrasystole prevailed.