Both venous and arterial beds undergo a number of morphofunctional changes in patients with cardiovascular pathology, but they rarely attract attention of researchers. The available data indicate that the cardiac venous system (CVS) plays an important role in the development of chronic cardiac insufficiency (CCI) and dictate the necessity of its in-depth studies. We examined CVS in 160 patients by Doppler echo-CG and in 41 ones by spiral CT. The patients were allocated to 3 groups depending on the stage of CCI (IIA, IIB and III stages, III-IV functional class). The state of their coronary sinus (CS) was compared with that of healthy subjects. The state of CS varied considerably depending on the stage of CCI. It is concluded that patients with CCI need their CVS to be studied by all available methods.

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