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Post a Comment Remodeling of vessels of the upper extremities in case of vibration disease in combination with arterial hypertension in the postcovid period
- Authors: Shpagina L.A.1,2, Panachevа L.A.1,2, Zolotukhina E.V.1,2, Novikova I.I.3, Kuznetsova G.V.1,2
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Affiliations:
- Novosibirsk State Medical University
- City Clinical Hospital No 2
- Novosibirsk Research Institute of Hygiene of Rospotrebnadzor
- Issue: Vol 41, No 6 (2024)
- Pages: 83-91
- Section: Original studies
- URL: https://journals.rcsi.science/PMJ/article/view/284397
- DOI: https://doi.org/10.17816/pmj41683-91
- ID: 284397
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Abstract
Objective. To study the features of vascular remodeling of the upper extremities in patients with I-II degree of vibration disease (VD) from local vibration in combination with arterial hypertension (AH) in the post-COVID period.
Materials and methods. 80 patients with VD and hypertension who had suffered COVID-19 (the main group) were examined. In this group, the mild form of CVI prevailed — 70.0%. The comparison group consisted of 50 patients with similar diagnoses, comparable in age, work experience and duration of the diseases but who hadn`t had COVID—19. The study of the condition of peripheral blood flow of the upper extremities was carried out by rheovasography (RVG) on the rheographic complex "Rheo-Spectrum" before the CVI (during planned hospitalization in the department of occupational pathology), 3 and 12 months after it.
Results. In patients of the main group, the RVG readings of the vessels of the shoulders and hands before CVI practically did not differ from those of the comparison group. In 3 months after COVID-19, patients in the main group showed a moderate decrease in rheographic index, maximum rapid filling rate, average slow filling rate, dicrotic and diastolic indexes, and time of pulse wave propagation from the heart, in relation to the comparison group. 12 months after the CVI, a further decrease in all analyzed parameters was revealed in the same patients.
Conclusions. Remodeling of the vessels of the upper extremities and the common carotid artery occurs in the post-COVID period in I-II-degree VD from local vibration combined with hypertension. 3 months after COVID-19, in patients with VD and hypertension, a decrease in all analyzed indicators was observed in the vessels of the forearm and hands in relation to those who did not have CVI. 12 months after CVI, a further disturbance of peripheral blood flow is revealed according to RVG in the forearms and hands of patients with VD combined with hypertension.
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##article.viewOnOriginalSite##About the authors
L. A. Shpagina
Novosibirsk State Medical University; City Clinical Hospital No 2
Email: LAP232@yandex.ru
ORCID iD: 0000-0003-0871-7551
SPIN-code: 5773-6649
DSc (Medicine), Professor, Head of the Department of Hospital Therapy and Medical Rehabilitation
Russian Federation, Novosibirsk; NovosibirskL. A. Panachevа
Novosibirsk State Medical University; City Clinical Hospital No 2
Author for correspondence.
Email: LAP232@yandex.ru
ORCID iD: 0000-0002-8230-8142
DSc (Medicine), Professor of the Department of Hospital Therapy and Medical Rehabilitation
Russian Federation, Novosibirsk; NovosibirskE. V. Zolotukhina
Novosibirsk State Medical University; City Clinical Hospital No 2
Email: LAP232@yandex.ru
Postgraduate Student of the Department of Hospital Therapy and Medical Rehabilitation, doctor of the Department of Cardiology
Russian Federation, Novosibirsk; NovosibirskI. I. Novikova
Novosibirsk Research Institute of Hygiene of Rospotrebnadzor
Email: LAP232@yandex.ru
ORCID iD: 0000-0003-1105-471X
DSc (Medicine), Professor of the Department of Hygiene and Ecology, Director of Novosibirsk Research Institute of Hygiene of Rospotrebnadzor
Russian Federation, NovosibirskG. V. Kuznetsova
Novosibirsk State Medical University; City Clinical Hospital No 2
Email: LAP232@yandex.ru
ORCID iD: 0000-0001-7428-9159
PhD (Medicine), Associate Professor of the Department of Hospital Therapy and Medical Rehabilitation, Head of the Department of Occupational Pathology
Russian Federation, Novosibirsk; NovosibirskReferences
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