Abstract
Aim. To investigate the state of systemic hemodynamics (SHD) in young people to assess the potential impact of its disorders in the formation of arterial hypertension (AH) and to carry out preventive measures.Methods. A random sample of 91 young people from 17 to 25 years old was examined; 27 of them were men (average age 23.7±1.6 years) and 64 women (average age 20.4±1.1 years). The study involved clinical residents and students who, according to preliminary and periodic medical examinations, excluded the presence of cardiovascular diseases. The indicators of SHD were investigated by the method of volumetric compression oscillometry using a portable automated software and hardware complex for non-invasive research of central hemodynamics (Device “CAP TsG osm-“Globus”).Results. AH was detected in 4.4%; “white coat” AH in 8.79%; arterial hypotension – in 5.49%. In individuals with normal blood pressure (BP) (75 people), an increase in specific peripheral vascular resistance was most often revealed in 30.6%. An unchanged hemodynamic profile in the group with a normal BP level was recorded only in 28.0% of the examinees.Conclusion. The obtained results indicate that even among “healthy” young people aged 18- 25 years with a normal BP level, the proportion of people with impaired SHD values is 72%. People with hypertension and with altered SHD indicators should be included in the regular medical check-up observation group.
Highlights
Исследовать состояние системной гемодинамики (СГД) у лиц молодого возраста для оценки потенциального влияния ее расстройств на формирование артериальной гипертензии (АГ) и проведения профилактических мероприятий
The indicators of systemic hemodynamics (SHD) were investigated by the method of volumetric compression oscillometry using a portable automated software and hardware complex for non-invasive research of central hemodynamics (Device “CAP TsG osm-“Globus”)
arterial hypertension (AH) was detected in 4.4%; “white coat” AH in 8.79%; arterial hypotension – in 5.49%
Summary
A random sample of 91 young people from 17 to 25 years old was examined; 27 of them were men (average age 23.7±1.6 years) and 64 women (average age 20.4±1.1 years). The obtained results indicate that even among “healthy” young people aged 1825 years with a normal BP level, the proportion of people with impaired SHD values is 72%. People with hypertension and with altered SHD indicators should be included in the regular medical check-up observation group. Цель работы – исследовать состояние СГД у лиц молодого возраста для оценки потенциального влияния ее расстройств на формирование АГ и определения профилактических мероприятий. Показатели СГД оценивали методом объемной компрессионной осциллометрии с помощью портативного автоматизированного программно-аппаратного комплекса неинвазивного исследования центральной гемодинамики КАП ЦГосм-«Глобус» (ООО «Глобус», Белгород, Россия). В литературе представлено много работ, в которых осциллометрические методы оценки показателей СГД на аппарате КАП ЦГосм-«Глобус» положительно коррелировали с результатами других методов исследования [2, 3]. Результаты исследования СГД у молодых лиц методом объемной осциллометрии представлены в таблице. Неизмененный профиль гемодинамики зарегистрирован лишь у 28,0% обследуемых в группе с нормальным уровнем АД
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