Transitional types of response to the Martine-Kushelevsky test and their significance in the diagnosis of premorbid conditions of persons of different ages

Abstract

The scientific work is devoted to the generalization of the results of the Martine-Kushelevsky test and the elucidation of the signs and causes of transient types of reactions and their significance for the early diagnosis of premorbid conditions. The experience of conducting and analyzing the results of 300 Martin-Kushelevsky tests was used to solve the set tasks. Among them - 88 people aged 18-55 years. This formation of the group (in the absence of complaints about health and contraindications to the test) made it possible to obtain a variety of types of reactions. The results were recorded using an electronic tonometer BAT41-2. It is their analysis that has become the subject of research in this paper. Classical normotonic, hypertonic, asthenic types were registered in 26 (30%) persons, respectively 19%, 7%. 3% of cases. Dystonic - absent. In others, 62 (70%) people registered transitional types, which we formed into 12 species. The vast majority of them had a pulse excitability of 80% or less and a recovery time of up to 3 minutes. Against this background, a slowing down of recovery time (more than 3 min) of ATs (31%), ATd (16%) after exercise and an increase in ATd immediately after it (26%) was most often registered, which indicates a predisposition to arterial hypertension. In 8% of the subjects there was a significant decrease in BP (more than 10 mm Hg) after exercise and a decrease below baseline after 3 minutes of rest (7%), indicating vascular dystonia. The negative phase of the pulse (4%) and recovery of the pulse for 3 minutes to indicators lower than the initial ones (4%) were less frequent, which was due to the violation of the coordinated activity of the sympathetic and parasympathetic parts of the autonomic nervous system. In 6% of cases with the normotonic type of response to exercise did not pay attention to the high output pulse (15,15,15 at ten-second intervals), and 3 minutes after exercise, it recovered and stabilized at baseline. In such cases, the patient should be referred to an endocrinologist.