ORGANIC AND FUNCTIONAL DIASTOLIC DYSFUNCTION OF THE LEFT VENTRICLE IN PATIENTS WITH ARTERIAL HYPERTENSION DURING DIFFERENT TYPES OF NEGATIVE STRESS MAINTENANCE AND TYPES OF CARDIAC REMODELING


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Abstract

Left ventricular diastolic dysfunction was studied in patients with arterial hypertension, by using a cold functional test. The study was conducted in terms of the autonomic nervous system, by applying variation intervalometry. Gender differences in left ventricular geometry were found in patients with arterial hypertension. Organic diastolic dysfunction of the left ventricle was also shown to be significantly more frequently observed in male hypertensive patients with a sympathetic autonomic response to the cold test as compared to those who had developed a parasympathetic response to cold stress. When the sympathetic nervous system was activated with a cold test, organic diastolic dysfunction of the left ventricle was more common in patients with arterial hypertension in men than in women.

About the authors

M. P. Rubanova

Institute of Medical Education, Yaroslavl-the-Wise Novgorod State University

V. R. Veber

Institute of Medical Education, Yaroslavl-the-Wise Novgorod State University

S. V. Zhmailova

Institute of Medical Education, Yaroslavl-the-Wise Novgorod State University

Email: svs60@yandex.ru
д-р мед. наук, доц., проф. каф. последипломной подготовки и поликлинической терапии.

P. M. Gubskaya

Institute of Medical Education, Yaroslavl-the-Wise Novgorod State University

V. S. Bondarenko

Institute of Medical Education, Yaroslavl-the-Wise Novgorod State University

A. I. Vinogradov

Institute of Medical Education, Yaroslavl-the-Wise Novgorod State University

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