INVESTIGATION OF THE CLINICAL PROGRESSION IN PATIENTS WITH CHRONIC HEART FAILURE AND RENAL DYSFUNCTION

The study included 127 patients with postinfarctioncardiosclerosis (PICS) complicated by heart failure at the age of 40 to 60 years. Patients were divided into 3 groups according to functional class (FC) CHF according to the New York Heart Classification (NYHA) according to the test 6-minute walk away. All patients to determine the level of creatinine(Cr) and calculated by the formula GFR MDRD (Modification of Diet in Renal Disease Study). To assess the clinical condition of the patients used the rating scale clinical status of patients (SHOKS). CHF progression accompanied by a marked reduction in distance TSHH , deterioration in clinical status of patients on SHOKS, which was more pronounced in patients with CHF with renal dysfunction.