The relationship of electrophysiological and structural-functional parameters of the heart with ventricular arrhythmias in patients with diastolic heart failure with type 2 diabetes mellitus (DM2) was studied. 128 patients with DM2 and coronary heart disease with signs of CHF of functional class I—III, with a left ventricular ejection fraction of more than 50% were observed. Three groups of patients were identified: group 1 (n=55) with abnormal relaxation of the left ventricle, group 2 (n=44) — with a pseudonormal type of diastolic dysfunction, the 3rd (n=29) — with its restrictive type. Marked high frequency of complex forms of ventricular arrhythmia in group 3: ventricular extrasystole of IV—V grades (in 48.3% of patients) and grade III (in 34.5%). In diastolic dysfunction of the left ventricle of the restrictive type , delayed fragmented activity at the end of the ventricular complex was diagnosed in 72.4% of patients. A close correlation was revealed between the diastolic function of the left ventricle and the parameters of electrical remodeling of the myocardium.

Diabetes mellitus, ventricular arrhythmias, diastolic heart failure.

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