Peculiarities of deformity of the left ventricle (LV) walls were studied in 93 patients in various variants of hypertrophic cardiomyopathy (HCMP). In accordance to complex echocardiography data, including vector-echocardiography, in HCMP the deformity grade and quantity of the affected segments of the LV myocardium have had depended directly on the stenosis degree of the LV tractus deferens (TD). Initially, a capacity for deformity lowers in basal segments of interventricular septum and in the LV anterior wall. While progressing of the LV TD obstruction, other myocardium segments become involved in the process, what is accompanied by deepening of the cardiac insufficiency (CI) severity. In maximal affection of myocardium and mostly expressed signs of CI gradient of systolic pressure in LV TD have had eliminated, in spite of presence of the LV expressed hypertrophy.

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