The influence of anxiety and depressive syndrome on the cognitive processes of patients with hypertension elderly and senile age

The article considers the influence of the presence of cognitive impairment on the severity of anxiety and depression in elderly and senile patients with stage 2 and 3 hypertension. According to the literature, it was known that cognitive impairment has a detrimental effect on the quality of life of patients, as well as the fact that patients with depression should carefully conduct a study of the cognitive sphere to choose the right treatment tactics.В статье рассмотрено влияние наличия когнитивных нарушений на выраженность тревоги и депрессии у пациентов пожилого и старческого возраста с гипертонической болезнью 2 и 3 стадии. Используя литературные данные, было выяснено, что когнитивные нарушения оказывают пагубное влияние на качество жизни пациентов, а также тот факт, что у пациентов с депрессией следует внимательно проводить исследование когнитивной сферы для выбора правильной лечебной тактик

The effectiveness of hypothyroidism therapy in pregnant women, depending on the period of manifestation of this pathology

Diseases of the thyroid gland in pregnant women cause a violation of the functioning of the thyroid gland and in the fetus. In addition, the course of the gestational process in women is complicated. The problem of controlling the thyrostatus of pregnant women is relevant not only among gynecologists, but also among endocrinologists. The article considers the question of the most optimal period of pregnancy, during which the use of levothyroxine is effective for the correction of hypothyroidismЗаболевания щитовидной железы у беременных обусловливают нарушение функционирования щитовидной железы и у плода. Помимо этого, осложняется течение гестационного процесса у женщин. Проблема контроля тиреостатуса беременных актуальна не только среди гинекологов, но и среди эндокринологов. В статье рассматривается вопрос о наиболее оптимальном сроке беременности, во время которого эффективно применение левотироксина с целью коррекции гипотиреоз

CARDIOVASCULAR RISK FACTORS AND SELECTED PARAMETERS OF ECG DISPERSION MAPPING IN MEDICAL STUDENTS

Aim. To investigate the association between the risk factors (RFs) of cardiovascular disease (CVD) and selected parameters of ECG dispersion mapping in medical students, in order to facilitate preclinical diagnostics and timely risk management.Material and methods. The study included 72 students of the Internal Disease and Paediatrics Faculties of the N. N. Burdenko Voronezh State Medical Academy, aged 21–26 years (mean age 21,9±0,1 years; 18 men and 54 women). The examination included a questionnaire survey on CVD RFs, a clinical assessment, and the measurement of hemodynamic parameters. ECG parameters, including such integral characteristics as “Myocardium”, “Rhythm”, and “Detail Code”, were assessed both at rest and during the physical stress test, using the Cardiovisor 6C device.Results. All participants were divided into two groups. In the group with multiple CVD RFs, the distribution of these factors was as follows: 40% smoked (n=6), 53% consumed 2–3 drinks of alcohol per occasion (n=8), 40% had high normal blood pressure (BP) or Stage 1 elevation of BP, based on the office measurement data (n=6). Three (20%) and 4 (27%) students were overweight (OW) and obese (O; Stage I), respectively. Low physical activity (PA) was reported by 14 students (93%), and moderate to high levels of stress by 67% (n=10) and 33% (n=5), respectively. Immediately after the physical stress test and 2 minutes later, the “Myocardium” parameter was ≥17%, being significantly different from the values observed in students without multiple RFs. Abnormal values of the integral parameters of ventricular depolarisation and left ventricular repolarisation suggest the myocardial electrical heterogeneity among students with multiple CVD RFs.Conclusion. Students with multiple CVD RFs, such as smoking, alcohol, elevated BP, OW, Stage I O, moderate to high stress levels, and low PA, also demonstrated the myocardial electrical heterogeneity during the physical stress test