ROLE OF PATHOLOGICAL STRESS INCREASE IN ARTERIAL PRESSURE AS RISK FACTOR FOR LEFT VENTRICULAR HYPERTONIC REMODELING IN YOUNG PERSONS WITH DIFFERENT INITIAL ARTERIAL PRESSURE LEVELS

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Abstract

Aim. To estimate the role of pathological stress increase in arterial pressure as a risk factor for hypertonic remodeling of the left ventricle (LV) in young persons with different levels of initial arterial pressure (AP). Materials and methods. Examination of 981 persons aged 20-29 was conducted. Arterial pressure was measured in all persons one day before stress and during stress; transthoracal EchoCG was also performed. Results. Hypertonic LV remodeling was revealed in 199 (32.10 %) examined persons. Pathological stress reaction of AP was observed in 66 (10.64 %) examined persons. Pathological stress reaction was associated with growing probability of hypertonic LV remodeling (odds ratio 8.45, 95%CI 4.97-14.36). Conclusions. Pathological stress reaction of AP is a risk factor for the development of hypertonic remodeling of LV in non-hypertonic patients when carrying out a standard office measurement.

About the authors

E V Sklyannaya

Донецкий национальный медицинский университет им. М. Горького

Email: Elena_skl1979@mail.ru
кандидат медицинский наук, доцент кафедры госпитальной терапии 2983003, Украина, г. Донецк, пр. Ильича, 16

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