The role of concomitant diseases and their infectious and inflammatory factors in the formation of arterial hypertension in young and middle-aged men
Автор: Chumak B.A., Dydyshko V.T., Yakovlev V.V., Barsukov A.V., Serdyukov D.Yu., Yakovlev V.A.
Журнал: Вестник Национального медико-хирургического центра им. Н.И. Пирогова @vestnik-pirogov-center
Рубрика: Оригинальные статьи
Статья в выпуске: 2 т.17, 2022 года.
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Arterial hypertension (AH) and its complications occupy a leading position in the structure of mortality and disability. Infectious-inflammatory factors, as well as related diseases and conditions, are important additional risk factors for the formation of AH and atherosclerosis-associated pathology. Aim. To examine the role of infectious and inflammatory risk factors, concomitant diseases and states in the formation of AH in males of young and middle-aged age with low and medium cardiovascular risk, calculated on the Framingham scale. Material and methods. 436 servicemen aged 30-50 years without clinically significant pathology were examined. The study participants were divided into 2 cohorts based on the Framingham Risk scale: 203 people with a low risk of cardiovascular diseases (CVD) and 233 - with an middle risk. Each of the cohort, depending on the office level of blood pressure (BP), was divided into 2 subgroups: 1st subgroup with BP 120-139 and / or 80-89 mm Hg, 2nd subgroup - with aH 1st degree (BP 140-159 and / or 90-99 mm Hg). Results. In the subgroups of males with hypertension, obesity and burdened heredity in CVD were diagnosed. The connection of the deterioration of well-being in certain seasons of the year was significantly more often traced in persons with a middle (but not low) risk of CVD, especially with the presence of AH (p 0.05) was observed. Persons with Ah and the middle risk of CVD were significantly more often observed hypertrophy of the left ventricle (LV) and sinus tachycardia. In males without AH and with a low risk of CVD, an odontogenic infection prevailed and the nazo-faringeal infection compared with the surveyed persons with the middle risk (p0.05). Direct reliable bonds are established between the frequency of colds and age, a fraction of the emission of the LV, the final systolic volume of the LV, the heart rate and the level of systolic BP (p function show_eabstract() { $('#eabstract1').hide(); $('#eabstract2').show(); $('#eabstract_expand').hide(); }
Young and middle age, servicemen, prehypertension, arterial hypertension, low and middle cardiovascular risk according to the framingham risk scale, infectious and inflammatory risk factors, comorbidities and conditions
Короткий адрес: https://sciup.org/140295063
IDR: 140295063 | DOI: 10.25881/20728255_2022_17_2_69