Особливості клінічного перебігу артеріальної гіпертензії у військовослужбовців в різні періоди після участі в ліквідації наслідків Чорнобильської катастрофи

Abstract

SummaryThe purpose of the study was to assess the peculiarities of the clinical course ofarterial hypertension (AH) in military personnel who participated in the liquidation ofthe consequences of the Chernobyl disaster (LCCD) in the medium and long term periodafter participating in the LCCD.Materials and methods. A retrospective examination of 59 servicemen with AHafter (15.9±0.5) years after LCCD and 337 servicemen with AH after (27.6±1.4) yearsfrom LCCD, who had received low doses of ionizing radiation, was made.Results and discussion. In the LCCD patients, the frequency of detection ofconcomitant coronary artery disease (CAD) is 32.2 and 82.8% respectively, dependingon the time after exposure, significantly exceeds the indicator in the population forpersons of the same age (27.3–26.6%) and in outpatients with AH (66%). Moreover, thefrequency of painful forms of CAD (stable exertional angina) increases from 8 to 46%depending on the observation period.The frequency of detecting heart failure (HF) among the examined LCCD patientsreached 32.2% already 15 years after irradiation, and with longer follow-up – 82.8%,significantly exceeded the frequency of detecting the syndrome in the population of thecorresponding age (up to 16%), as well as among persons with comorbidity (AH andCAD) at a significantly older age (29.6%).Conclusions. Small doses of ionizing radiation significantly affect the health ofpersons even after (15.9±0.5) and (27.6±1.4) years after exposure of a radiation. Thehigher prevalence of comorbid CAD and HF in LCCD patients with AH both in the midterm and in the separate follow-up period can be explained not only by an increase inthe duration of AH and the age of patients, but also by the influence of a compound offactors of the Chernobyl disaster that requires further study.