The state of the cardiovascular system in patients with pulmonary tuberculosis

Over the past two decades, the interest of clinicians in the state of the cardiovascular system in patients with pulmonary tuberculosis has significantly increased, which is associated both with the use of advanced technology, which allows a more in-depth study of hemodynamics, and with the pathomorphosis of tuberculosis. If in the pre-antibacterial era cor pulmonale was detected in phthisiatric patients in 6.6% of cases [36], now it is diagnosed in chronic pulmonary tuberculosis in 40-50%, in cirrhotic form in 75-80% [26]. Pulmonary heart failure in such patients reduces performance and can cause disability [31]. The frequency of deaths in chronic pulmonary tuberculosis due to chronic pulmonary heart disease reaches 58.6% [17], and specific cardiac lesions in deaths from tuberculosis are only 2.5-4% [26]. The state of the cardiovascular system in pulmonary tuberculosis requires study in connection with the development of pulmonary surgery. Pathogenetic correction of hemodynamic changes in phthisiosurgical patients expands the limits of operability in common processes and in old age [2].