LEFT VENTRICLE REMODELATION AFTER ACUTE MYOCARDIAL INFARCTION
Left ventricular remodelling – it is a response to the myocardial injury, usually observed after acute myocardial infarction. It is a group of molecular, cellular and interstitial changes, that represents itself clinically by changes in heart size, shape and function. At first the process of remodelling is adaptive and helps heart to adapt to changed conditions – reduced myocardial vitality and impaired heart function, but in the continuing present of pathophysiological mechanisms this process becomes patological and increases the risk of heart failure and mortality after acute myocardial infarction. For this reason it is necessary to provide adequate treatment not only in the acute phase of infarction, but also in a long term perspective.