201 research outputs found

    Cytokine profile features in women with reproductive disorders exposed to excessive environmental contamination with hydroxybenzene

    Get PDF
    Excessive activity of cytokines, as well as their deficiency, promote a regulatory imbalance of immune system, which may cause persistent inflammation and, as a consequence, loss of pregnancy. The purpose of our work was to study the role of cytokine expression in the development of endometriosis in women exposed to excessive environmental contamination with hydroxybenzene. The study involved 106 women of reproductive age, divided into 4 groups according to two criteria: the presence or absence of reproductive disorders (endometriosis), as well as levels of blood contamination with hydroxybenzene compared to the reference ranges. The groups of women were comparable in age, ethnicity, and social status. The level of phenol in blood was measured by gas chromatography, and the cytokine levels were determined by enzyme immunoassay. The use of parametric and nonparametric statistical criteria as well as adjustments for multiple Bonferoni comparisons, allowed us to establish significant differences between the groups, according to the levels of IL-1Ξ², IL-8, IL-10. The expression of interleukin 8 (IL-8) in women with endometriosis was found to be significantly higher than in healthy ones. At the same time, the observed features of IL-8, interleukin 1Ξ² (IL-1Ξ²) expression correlate with the overproduction of interleukin 10 (IL-10) associated with excessive contamination of bio-environments with hydroxybenzene. The results of using non-parametric correlation analysis of the Spearman data revealed a positive correlation between IL-10 production and hydroxybenzene levels in the blood, as well as inverse relationship between IL-10 and IL-8 expression. Thus, evidence has been obtained of the involvement of exogenous estrogen hydroxybenzene in development of reproductive disorders, probably, formed under active participation of increased anti-inflammatory IL-10 cytokine, which, by antagonism to proinflammatory mediators (e.g., IL-8), seems to promote apparent transition from acute phase of endometriosis to chronic disorder, thus reducing the reproductive potential of women. It is known that IL-8 expression significantly correlates with development of endometriosis, but excessive phenol exposure may increase the anti-inflammatory IL-10 expression, thereby suppressing the activity of IL-8. Suppressed activity of proinflammatory cytokines by phenol may lead to chronic inflammation and impaired reproductive functions

    Immunological and genetic features of pathogenetic association between psoriasis and colonic dysbiosis

    Get PDF
    Psoriasis is a multifactorial systemic immune-associated disease. It is assumed that colonic dysbiosis may contribute to its development. In this review we provide the data on colonic dysbiosis in induction and progression of psoriatic inflammation assessing a role for bacterial species: Akkermansia muciniphila, Faecalibacterium prausnitzii and Escherichia coli. On one hand, these bacterial species indicate at state of dysbiotic bacterial communities, whereas on the other hand, they are functionally associated with triggering a chain of events inducing impaired intestinal barrier transforming into chronic inflammation in the colonic mucosa and systemic inflammation. Such a scenario leads to the altered systemic reactivity of innate and adaptive immune cells, impaired function of regulatory immune cells resulting in expansion of the autoreactive skin T-cells and induction of psoriatic inflammation due to molecular mimicry between persistent Streptococcus pyogenes and cutaneous antigens. The psoriatic process is envisioned as a comorbidity with inflammatory bowel diseases. Since dysbiotic changes in psoriasis and inflammatory bowel diseases (e.g. Crohn's disease) display similar features, these diseases might potentially proceed via a similar pathogenetic chain resulting from dysbiotic changes in intestinal microbiota towards impaired intestinal barrier, chronic systemic inflammation and altered anti-inflammatory immune arm. Therefore, the data on pathogenetic pathways of the diseases comorbid with psoriasis are able to uncover yet-unknown pathogenetic components for the latter. Psoriasis as a genetically-determined disease is currently believed to be associated with single nucleotide polymorphisms (SNP) in more than four hundred genes. A role for diverse SNPs in candidate genes involved in psoriasis pathogenetic chain in antigen processing and presentation, migration of immune cells, pro-inflammatory cytokine ligation and production is discussed. Crohn's disease is associated with single nucleotide polymorphisms of the genes encoding intestinal barrier proteins potentially underlying its functional deficiency. In connection with comorbidity and similarity between microbiota-associated pathogenetic psoriasis chain and inflammatory bowel diseases, it is possible to assume that such SNPs accounting for genetic defects in the intestinal barrier are manifested as dysbiotic changes in colonic bacterial community and contribute to progression not only of inflammatory bowel diseases, but psoriasis as well

    Study of apolipoprotein C3 S1/S2 (C3238G, rs5128) polymorphism in Caucasian population of Eastern Siberia

    Get PDF
    The prevalence of genotypes and alleles of polymorphic marker S1 /S2 Apolipoprotein C3 in healthy adolescent Caucasians (Russians) living in Eastern Siberia was studied. Material for research was the DNA extracted from the venous blood; genotype was determined by PCR-RFLP for each sample. In the studied sample in 88.9 % of cases genotype S1/ S1 was detected, genotype S1/S2 was found in 8.6 %, S2/S2 - in 2.5 %. The share of S2 allele was 6.8 %, which is not significantly different from the previously studied Caucasoid populations

    Scientific and research activity of students-geographes under pedagogical practice

    Get PDF
    UA: Π£ ΠΏΠ΅Π΄Π°Π³ΠΎΠ³Ρ–Ρ‡Π½ΠΈΡ… Π²ΠΈΡ‰ΠΈΡ… Π½Π°Π²Ρ‡Π°Π»ΡŒΠ½ΠΈΡ… Π·Π°ΠΊΠ»Π°Π΄Π°Ρ… Π£ΠΊΡ€Π°Ρ—Π½ΠΈ склався ΠΏΠ΅Π²Π½ΠΈΠΉ досвід Π΄ΠΎΡΠ»Ρ–Π΄Π½ΠΈΡ†ΡŒΠΊΠΎΡ— ΠΎΡ€Π³Π°Π½Ρ–Π·Π°Ρ†Ρ–Ρ— Π½Π°ΡƒΠΊΠΎΠ²ΠΎ-ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈΡ‡Π½ΠΎΡ— Ρ€ΠΎΠ±ΠΎΡ‚ΠΈ студСнтів Ρƒ ΠΏΠ΅Ρ€Ρ–ΠΎΠ΄ ΠΏΠ΅Π΄Π°Π³ΠΎΠ³Ρ–Ρ‡Π½ΠΎΡ— ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠΈ. ΠšΡƒΡ€ΡΠΎΠΌ, який Π²ΠΈΡ…ΠΎΠ΄ΠΈΡ‚ΡŒ Π½Π° ΠΏΠ΅Π΄Π°Π³ΠΎΠ³Ρ–Ρ‡Π½Ρƒ ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΡƒ, ΠΏΡ€ΠΎΠΏΠΎΠ½ΡƒΡ”Ρ‚ΡŒΡΡ ΠΏΠ΅Π²Π½Π° Π½Π°ΡƒΠΊΠΎΠ²Π° ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ° для Ρ€ΠΎΠ·Ρ€ΠΎΠ±ΠΊΠΈ Ρ—Ρ— Π² ΠΏΠ΅Ρ€Ρ–ΠΎΠ΄ ΠΏΠ΅Π΄Π°Π³ΠΎΠ³Ρ–Ρ‡Π½ΠΎΡ— ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠΈ. ΠŸΡ€ΠΎΠ±Π»Π΅ΠΌΠΈ Ρ– Ρ‚Π΅ΠΌΠΈ (число Ρ‚Π΅ΠΌ Π²Ρ–Π΄ΠΏΠΎΠ²Ρ–Π΄Π°Ρ” ΠΊΡ–Π»ΡŒΠΊΠΎΡΡ‚Ρ– ΡˆΠΊΡ–Π», Ρƒ яких Π±ΡƒΠ΄Π΅ ΠΏΡ€ΠΎΡ…ΠΎΠ΄ΠΈΡ‚ΠΈ ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ°) Π²ΠΈΡΡƒΠ²Π°ΡŽΡ‚ΡŒΡΡ, як ΠΏΡ€Π°Π²ΠΈΠ»ΠΎ, ΠΏΡ€ΠΎΠ²Ρ–Π΄Π½ΠΈΠΌ мСтодистом Ρ„Π°ΠΊΡƒΠ»ΡŒΡ‚Π΅Ρ‚Ρƒ Π·Π°Π·Π΄Π°Π»Π΅Π³Ρ–Π΄ΡŒ Π·Π°Ρ‚Π²Π΅Ρ€Π΄ΠΆΡƒΡŽΡ‚ΡŒΡΡ ΠΊΠ°Ρ„Π΅Π΄Ρ€ΠΎΡŽ. ΠœΡ–ΠΆ школами Π½Π°ΡƒΠΊΠΎΠ²Ρ– Ρ‚Π΅ΠΌΠΈ Ρ€ΠΎΠ·ΠΏΠΎΠ΄Ρ–Π»ΡΡŽΡ‚ΡŒΡΡ Π½Π° установчій ΠΊΠΎΠ½Ρ„Π΅Ρ€Π΅Π½Ρ†Ρ–Ρ— Π· ΠΏΠ΅Π΄ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠΈ. Π’Ρ–Π΄ Π³Ρ€ΡƒΠΏΠΎΠ²ΠΈΡ… ΠΊΠ΅Ρ€Ρ–Π²Π½ΠΈΠΊΡ–Π² студСнти ΠΎΡ‚Ρ€ΠΈΠΌΡƒΡŽΡ‚ΡŒ Ρ–Π½Π΄ΠΈΠ²Ρ–Π΄ΡƒΠ°Π»ΡŒΠ½Ρ– завдання Ρ‚Π° інструкції Ρ‰ΠΎΠ΄ΠΎ виконання Π½Π°ΡƒΠΊΠΎΠ²ΠΎ -ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈΡ‡Π½ΠΎΡ— Ρ€ΠΎΠ±ΠΎΡ‚ΠΈ: Π·Π½Π°ΠΉΠΎΠΌΠ»ΡΡ‚ΡŒΡΡ Π·Ρ– змістом Ρ‚Π΅ΠΌΠΈ, Π· ΠΌΠ΅Ρ‚ΠΎΡŽ дослідТСння, Π· Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π°ΠΌΠΈ, які ΠΏΠΎΠ²ΠΈΠ½Π½Ρ– Π±ΡƒΡ‚ΠΈ ΠΎΡ‚Ρ€ΠΈΠΌΠ°Π½Ρ– Π² Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ– Ρ€ΠΎΠ±ΠΎΡ‚ΠΈ Π½Π°Π΄ Ρ‚Π΅ΠΌΠΎΡŽ, Π· основними ΠΌΠ΅Ρ‚ΠΎΠ΄Π°ΠΌΠΈ ΠΏΠ΅Π΄Π°Π³ΠΎΠ³Ρ–Ρ‡Π½ΠΎΠ³ΠΎ дослідТСння (вивчСння Π½Π°ΡƒΠΊΠΎΠ²ΠΎ-ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈΡ‡Π½ΠΎΡ— Π»Ρ–Ρ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€ΠΈ, спостСрСТСння, досліднС навчання, ΡƒΠ·Π°Π³Π°Π»ΡŒΠ½Π΅Π½Π½Ρ досвіду). EN: In the pedagogical higher educational establishments of Ukraine there has developed a certain experience of the research organization of scientific and methodical work of students in the period of pedagogical practice. The course, which goes to pedagogical practice, proposes a certain scientific problem for its development during the period of pedagogical practice. From group leaders, students receive individual tasks and instructions for the implementation of scientific and methodological work: get acquainted with the content of the topic, for the purpose of research, with the results that should be obtained as a result of work on the topic, with the basic methods of pedagogical research (study of scientific and methodological literature, observation, experimental learning, generalization of experience)

    ЭлСктрокардиографичСскиС Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ ΠΏΡ€ΠΈ ΡƒΡˆΠΈΠ±Π΅ сСрдца (ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠ΅ исслСдованиС)

    Get PDF
    Objective: to study the incidence and pattern of cardiac arrhythmias and other abnormalities in the early posttraumatic period of experimental cardiac contusion and to assess their contribution to death and the development of posttraumat-ic myocardial dysfunction.Materials and methods: experiments were carried out on non-inbred albino male rats anesthetized with sodium thiopental. An electrocardiogram, respiration rate, and left carotid blood pressure were recorded in the direct fashion. Cardiac contusion was reproduced by an original device that imitated a blow of the steering wheel to the anterior chest, as that observed when a moving car clashed against an obstacle. Some animals were traumatized after preadministration of atropine sulfate.Results: sinus bradycardia accompanied by bradypnoea or short-term apnoea and lowered blood pressure is a compulsory and persistent ECG abnormality. Preinjection of atropine significantly prevents the occurrence of these changes and points to the likely reflectory mechanism of their development. Other ECG abnormalities (heterotopic rhythms, premature beats, conduction blockade, terminal ventricular complex changes, etc.) are encountered in a variety of combinations, including those among which typical changes that are undetectable, are diverse, short-term, and labile. Among them, there are virtually no hemodynamic and potentially fatal arrhythmias.Conclusion: in experimental isolated cardiac contusion, the pattern of cardiac arrhythmias differs from that observed in the inpatient setting. Cardiac arrhythmias and other ECG abnormalities do not make a considerable contribution to a mortality rate under the conditions of this experiment since there are no hemodynamic ones. ЦСль исслСдования : ΠΈΠ·ΡƒΡ‡ΠΈΡ‚ΡŒ частоту развития ΠΈ структуру Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ сСрдСчного Ρ€ΠΈΡ‚ΠΌΠ° ΠΈ Π΄Ρ€ΡƒΠ³ΠΈΡ… Π­ΠšΠ“-ΠΎΡ‚ΠΊΠ»ΠΎΠ½Π΅Π½ΠΈΠΉ Π² Ρ€Π°Π½Π½Π΅ΠΌ посттравматичСском ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΡƒΡˆΠΈΠ±Π° сСрдца, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΈΡ… Π²ΠΊΠ»Π°Π΄ Π² Π»Π΅Ρ‚Π°Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ ΠΈ Ρ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ посттравматичСской ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ дисфункции.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹: экспСримСнты Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Ρ‹ Π½Π° Π±Π΅Π»Ρ‹Ρ… бСспородных крысах-самцах, Π½Π°Ρ€ΠΊΠΎΡ‚ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… Ρ‚ΠΈΠΎΠΏΠ΅Π½Ρ‚Π°Π»ΠΎΠΌ натрия. РСгистрировали элСктрокардиограмму, частоту дыхания ΠΈ АД Π² Π»Π΅Π²ΠΎΠΉ сонной Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΈ прямым ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ. Ушиб сСрдца воспроизводили с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ ΠΎΡ€ΠΈΠ³ΠΈΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ устройства, ΠΈΠΌΠΈΡ‚ΠΈΡ€ΡƒΡŽΡ‰Π΅Π³ΠΎ ΡƒΠ΄Π°Ρ€ ΠΏΠ΅Ρ€Π΅Π΄Π½Π΅ΠΉ Π³Ρ€ΡƒΠ΄Π½ΠΎΠΉ стСнки ΠΎ стойку руля ΠΏΡ€ΠΈ столкновСнии двиТущСгося автомобиля с прСпятствиСм. Π£ части ΠΆΠΈΠ²ΠΎΡ‚Π½Ρ‹Ρ… Ρ‚Ρ€Π°Π²ΠΌΠ° наносилась послС ΠΏΡ€Π΅Π΄Π²Π°Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ ввСдСния Π°Ρ‚Ρ€ΠΎΠΏΠΈΠ½Π° ΡΡƒΠ»ΡŒΡ„Π°Ρ‚Π°.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹: ΠΎΠ±ΡΠ·Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹ΠΌ ΠΈ стойким Π­ΠšΠ“-ΠΎΡ‚ΠΊΠ»ΠΎΠ½Π΅Π½ΠΈΠ΅ΠΌ Π² Ρ€Π°Π½Π½Π΅ΠΌ посттравматичСском ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ ΠΈΠ·ΠΎΠ»ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΡƒΡˆΠΈΠ±Π° сСрдца являСтся синусовая брадикардия, ΡΠΎΠΏΡ€ΠΎΠ²ΠΎΠΆΠ΄Π°ΡŽΡ‰Π°ΡΡΡ ΡƒΡ€Π΅ΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΠΈΠ»ΠΈ ΠΊΡ€Π°Ρ‚ΠΊΠΎΠ²Ρ€Π΅ΠΌΠ΅Π½Π½ΠΎΠΉ остановкой дыхания ΠΈ сниТСниСм Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ давлСния. ΠŸΡ€Π΅Π΄Π²Π°Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ Π°Ρ‚Ρ€ΠΎΠΏΠΈΠ½Π° Π² Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ стСпСни ΠΏΡ€Π΅Π΄ΠΎΡ‚Π²Ρ€Π°Ρ‰Π°Π΅Ρ‚ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΠ΅ Π΄Π°Π½Π½Ρ‹Ρ… ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ ΠΈ ΡƒΠΊΠ°Π·Ρ‹Π²Π°Π΅Ρ‚ Π½Π° вСроятный Ρ€Π΅Ρ„Π»Π΅ΠΊΡ‚ΠΎΡ€Π½Ρ‹ΠΉ ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌ ΠΈΡ… развития. Π”Ρ€ΡƒΠ³ΠΈΠ΅ Π­ΠšΠ“-отклонСния (Π³Π΅Ρ‚Π΅Ρ€ΠΎΡ‚ΠΎΠΏΠ½Ρ‹Π΅ Ρ€ΠΈΡ‚ΠΌΡ‹, экстрасистолия, Π±Π»ΠΎΠΊΠ°Π΄Ρ‹ провСдСния, измСнСния ΠΊΠΎΠ½Π΅Ρ‡Π½ΠΎΠΉ части ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠΎΠ²ΠΎΠ³ΠΎ комплСкса ΠΈ Π΄Ρ€.) Π²ΡΡ‚Ρ€Π΅Ρ‡Π°ΡŽΡ‚ΡΡ Π² самых Ρ€Π°Π·Π½ΠΎΠΎΠ±Ρ€Π°Π·Π½Ρ‹Ρ… сочСтаниях, Π² числС ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… Π½Π΅ ΡƒΠ΄Π°Π»ΠΎΡΡŒ Π²Ρ‹ΡΠ²ΠΈΡ‚ΡŒ Ρ‚ΠΈΠΏΠΈΡ‡Π½Ρ‹Ρ…, носят Ρ€Π°Π·Π½ΠΎΠΎΠ±Ρ€Π°Π·Π½Ρ‹ΠΉ, ΠΊΡ€Π°Ρ‚ΠΊΠΎΠ²Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹ΠΉ ΠΈ Π»Π°Π±ΠΈΠ»ΡŒΠ½Ρ‹ΠΉ Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€. Π‘Ρ€Π΅Π΄ΠΈ Π½ΠΈΡ… практичСски ΠΎΡ‚ΡΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‚ гСмодинамичСски Π·Π½Π°Ρ‡ΠΈΠΌΡ‹Π΅ ΠΈ ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎ Π»Π΅Ρ‚Π°Π»ΡŒΠ½Ρ‹Π΅ Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ Ρ€ΠΈΡ‚ΠΌΠ°.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅: структура Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ сСрдСчного Ρ€ΠΈΡ‚ΠΌΠ° ΠΏΡ€ΠΈ ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠΌ ΠΈΠ·ΠΎΠ»ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΌ ΡƒΡˆΠΈΠ±Π΅ сСрдца отличаСтся ΠΎΡ‚ Ρ‚Π°ΠΊΠΎΠ²ΠΎΠΉ Π² условиях ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΈ. ΠΠ°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ сСрдСчного Ρ€ΠΈΡ‚ΠΌΠ° ΠΈ Π΄Ρ€ΡƒΠ³ΠΈΠ΅ Π­ΠšΠ“-отклонСния Π½Π΅ вносят сущСствСнного Π²ΠΊΠ»Π°Π΄Π° Π² ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΡŒ Π»Π΅Ρ‚Π°Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ Π² условиях Π΄Π°Π½Π½ΠΎΠ³ΠΎ экспСримСнта, ΠΏΠΎΡΠΊΠΎΠ»ΡŒΠΊΡƒ срСди Π½ΠΈΡ… Π½Π΅Ρ‚ гСмодинамичСски Π·Π½Π°Ρ‡ΠΈΠΌΡ‹Ρ….

    NUTRITCIOGENETICS AND RISK FACTORS OF CARDIOVASCULAR DISEASE: ASSOCIATED RESEARCH IN EASTERN SIBERIA POPULATIONS

    Get PDF
    Purpose: to study nutritional habits as a risk factor of cardiovascular pathology as so as a role of apolipoprotein A1 gene in metabolism in native and alien population of Eastern Siberia. Methods: we used Kiselev questionnaire (1998) for estimation of "nutritional risk". Totally 863 adolescents were evaluated, including 445 (51,6 %) persons of the alien ethnogroup (Russian) and 418 (48,4 %) persons of the native ethnogroup (Buriat). We evaluated clinically, functionally and genetically healthy and hypertensive (having essential arterial hypertension) adolescents and compared the results. Out of 226 adolescents with essential arterial hypertension, 144 persons were from the alien ethnogroup (mean age is 16,22 Β± 1,14 years) and 82 adolescents from the native ethnogroup (mean age is 16,57 Β± 1,62 years). Out of 173 healthy adolescents (mean age is 15,12 Β± 2,71 years), 79 (45,7 %) persons were buriats and 94 (54,3 %) persons were Russian. Ethnic data were gotten by questionnaire, which included information about nationality back to the third generation of ancestors. We studied a total genomic DNA, which was extracted from blood serum by non-enzymatic method. An amplification of DNA loci was performed by polymerase-chain reaction using an automatic thermocycler Β«BiometraΒ» with Β«SNP-экспрСсс», Β«LitexΒ» reagents. The results of our research indicated an imbalance of nutritional habits with domination of protein-lipid dietary compounds in adolescents of native and alien population ofEastern Siberia. We found differentiated contributions ofinsertion-deletional polymorphism of apolipoprotein A1 gene. We did no found differences of frequency response of alleles and genotypes. We found a positive linkofapolipoprotein Al gene deletion with increased level ofcholesterine, very low density lipoproteins, triglycerides as so as with elevation ofnumbers ofblood pressure indexes in the adolescents ofthe alien ethnogroup. We did not found such kind of links in adolescents of the native ethnogroup that, as we suppose, may be a reflection of the evolutionary developed nutritional stereotype with some predominance oflipid-protein dietary component. Developed through the millennia such kind ofdiet in the indigenous population of the North and Siberia is a response to cold stress and underlies formation ofthe genotype, which aimed to developing a biochemical phenotype with ability to compensate this nutritional atherogenic imbalance

    ΠšΠ°Ρ€Π΄ΠΈΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΊΡ‚ΠΎΡ€Π½ΠΎΠ΅ дСйствиС Ρ‚Ρ€ΠΈΠΌΠ΅Ρ‚Π°Π·ΠΈΠ΄ΠΈΠ½Π° ΠΏΡ€ΠΈ ΡƒΡˆΠΈΠ±Π΅ сСрдца (ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠ΅ исслСдованиС)

    Get PDF
    Objective: to study the efficiency of pre-administration of trimetazidine in experimental cardiac contusion in order to lower the degree of posttraumatic myocardial dysfunction. Materials and methods: experiments were carried out on non-inbred albino male rats anesthetized with sodium thiopental. Cardiac contusion was reproduced by an original device that imitated a blow of the steering wheel to the anterior chest, as that observed when a moving car clashes against an obstacle. Some animals were traumatized after preadministration of trimetazidine (25 mg/kg intraperi-toneally). An electrocardiogram, left carotid blood pressure, an integral rheogram, and the first derivative of a differential rheogram were recorded in the direct fashion prior to cardiac contusion simulation and in different posttraumatic periods. Stroke volume, cardiac output, and total peripheral vascular resistance were calculated. Results. Preinjection of trimetazidine significantly prevented the development of arrhythmias in the early posttraumatic period and improved systemic hemodynamic parameters: stroke volume, cardiac output, blood pressure, and total peripheral vascular resistance. No death case within the first hour of a posttraumatic period was an integral criterion for the efficiency of preventive use of trimetazidine in cardiac contusion. Conclusion: trimetazidine produces a cardioprotective effect in experimental cardiac contusion, which shows it possible to clinically use the agent and provides indirect evidence that the ischemically hypoxic mechanism is involved in cardiac traumatic lesion. Key words: experimental cardiac contusion, central hemodynamics, arrhythmias, trimetazidine.ЦСль исслСдования . Π˜Π·ΡƒΡ‡ΠΈΡ‚ΡŒ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ ΠΏΡ€Π΅Π΄Π²Π°Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ ввСдСния Ρ‚Ρ€ΠΈΠΌΠ΅Ρ‚Π°Π·ΠΈΠ΄ΠΈΠ½Π° ΠΏΡ€ΠΈ ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠΌ ΡƒΡˆΠΈΠ±Π΅ сСрдца с Ρ†Π΅Π»ΡŒΡŽ ΡƒΠΌΠ΅Π½ΡŒΡˆΠ΅Π½ΠΈΡ выраТСнности посттравматичСской ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ дисфункции. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ЭкспСримСнты Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Ρ‹ Π½Π° Π±Π΅Π»Ρ‹Ρ… бСспородных крысах-самцах, Π½Π°Ρ€ΠΊΠΎΡ‚ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… Ρ‚ΠΈΠΎΠΏΠ΅Π½Ρ‚Π°Π»ΠΎΠΌ натрия. Ушиб сСрдца воспроизводили с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ ΠΎΡ€ΠΈΠ³ΠΈΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ устройства, ΠΈΠΌΠΈΡ‚ΠΈΡ€ΡƒΡŽΡ‰Π΅Π³ΠΎ ΡƒΠ΄Π°Ρ€ ΠΏΠ΅Ρ€Π΅Π΄Π½Π΅ΠΉ Π³Ρ€ΡƒΠ΄Π½ΠΎΠΉ стСнки ΠΎ стойку руля ΠΏΡ€ΠΈ столкновСнии двиТущСгося автомобиля с прСпятствиСм. Π£ части ΠΆΠΈΠ²ΠΎΡ‚Π½Ρ‹Ρ… Ρ‚Ρ€Π°Π²ΠΌΠ° наносилась послС ΠΏΡ€Π΅Π΄Π²Π°Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ ввСдСния Ρ‚Ρ€ΠΈΠΌΠ΅Ρ‚Π°Π·ΠΈΠ΄ΠΈΠ½Π° (25 ΠΌΠ³/ΠΊΠ³ массы Π²Π½ΡƒΡ‚Ρ€ΠΈΠ±Ρ€ΡŽΡˆΠΈΠ½Π½ΠΎ). Π”ΠΎ модСлирования ΡƒΡˆΠΈΠ±Π° сСрдца, Π° Ρ‚Π°ΠΊΠΆΠ΅ Π² Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Π΅ сроки посттравматичСского ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π° рСгистрировали элСктрокардиограмму, АД Π² Π»Π΅Π²ΠΎΠΉ сонной Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΈ прямым ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ, ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Π»ΡŒΠ½ΡƒΡŽ Ρ€Π΅ΠΎΠ³Ρ€Π°ΠΌΠΌΡƒ ΠΈ ΠΏΠ΅Ρ€Π²ΡƒΡŽ ΠΏΡ€ΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡƒΡŽ Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Ρ€Π΅ΠΎΠ³Ρ€Π°ΠΌΠΌΡ‹. Рассчитывали ΡƒΠ΄Π°Ρ€Π½Ρ‹ΠΉ объСм сСрдца, ΠΌΠΈΠ½ΡƒΡ‚Π½Ρ‹ΠΉ объСм сСрдца, ΠΎΠ±Ρ‰Π΅Π΅ пСрифСричСскоС сопротивлСниС сосудов. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΈ обсуТдСниС. ΠŸΡ€Π΅Π΄Π²Π°Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ Ρ‚Ρ€ΠΈΠΌΠ΅Ρ‚Π°Π·ΠΈΠ΄ΠΈΠ½Π° Π² Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ стСпСни ΠΏΡ€Π΅Π΄ΠΎΡ‚Π²Ρ€Π°Ρ‰Π°Π»ΠΎ Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ Π°Ρ€ΠΈΡ‚ΠΌΠΈΠΉ Π² Ρ€Π°Π½Π½Π΅ΠΌ посттравматичСском ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΡƒΠ»ΡƒΡ‡ΡˆΠ°Π»ΠΎ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ систСмной Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΠΊΠΈ: ΡƒΠ΄Π°Ρ€Π½Ρ‹ΠΉ объСм, ΠΌΠΈΠ½ΡƒΡ‚Π½Ρ‹ΠΉ объСм сСрдца, Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠ΅ Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅, ΠΎΠ±Ρ‰Π΅Π΅ пСрифСричСскоС сопротивлСниС сосудов. Π˜Π½Ρ‚Π΅Π³Ρ€Π°Π»ΡŒΠ½Ρ‹ΠΌ ΠΊΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠ΅ΠΌ эффСктивности профилактичСского использования Ρ‚Ρ€ΠΈΠΌΠ΅Ρ‚Π°Π·ΠΈΠ΄ΠΈΠ½Π° ΠΏΡ€ΠΈ ΡƒΡˆΠΈΠ±Π΅ сСрдца явилось отсутствиС Π»Π΅Ρ‚Π°Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ Π² Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ ΠΏΠ΅Ρ€Π²ΠΎΠ³ΠΎ часа посттравматичСского ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π°. Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅: Ρ‚Ρ€ΠΈΠΌΠ΅Ρ‚Π°Π·ΠΈΠ΄ΠΈΠ½ ΠΎΠΊΠ°Π·Ρ‹Π²Π°Π΅Ρ‚ ΠΊΠ°Ρ€Π΄ΠΈΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΊΡ‚ΠΎΡ€Π½ΠΎΠ΅ дСйствиС ΠΏΡ€ΠΈ ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠΌ ΡƒΡˆΠΈΠ±Π΅ сСрдца, Ρ‡Ρ‚ΠΎ обосновываСт Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΡŒ клиничСского примСнСния ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π°, Π° Ρ‚Π°ΠΊΠΆΠ΅ косвСнно ΡΠ²ΠΈΠ΄Π΅Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΡƒΠ΅Ρ‚ ΠΎΠ± участии ΠΈΡˆΠ΅ΠΌΠΈΡ‡Π΅ΡΠΊΠΈ-гипоксичСского ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΠ° Π² травматичСском ΠΏΠΎΠ²Ρ€Π΅ΠΆΠ΄Π΅Π½ΠΈΠΈ сСрдца. ΠšΠ»ΡŽΡ‡Π΅Π²Ρ‹Π΅ слова: ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½Ρ‹ΠΉ ΡƒΡˆΠΈΠ± сСрдца, Ρ†Π΅Π½Ρ‚Ρ€Π°Π»ΡŒΠ½Π°Ρ Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ°, Π°Ρ€ΠΈΡ‚ΠΌΠΈΠΈ, Ρ‚Ρ€ΠΈΠΌΠ΅Ρ‚Π°Π·ΠΈΠ΄ΠΈΠ½

    COMPARATIVE CHARACTERISTICS OF REGIONAL FEATURES OF AVERAGE VALUES OF SP AND DP IN AGE AND ETHNOSEXUAL ASPECT

    Get PDF
    4615 children have been screened: 2410 [52.2 %] are Russians, and 2205 [47.8 %] are Buryats; 2159 [46,8 %] of them are boys, and2454 [53,2 %] are girls. The widely spread risk factors of arterial hypertension development are heritable heart diseases, smoking (including passive smoking), overweight, as well as a sedentary way of life in different sex, age and ethnic groups. The results of the screening showed that the hypodynamia are more typical for city-dwellers, than for villagers. It is proved that high blood pressure prevalence is dependent on the phase of sexual development of girls belonging to both ethnic groups

    Π’Π΅Ρ‡Π΅Π½ΠΈΠ΅ посттравматичСского ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π° ΠΏΡ€ΠΈ ΡƒΡˆΠΈΠ±Π΅ сСрдца (ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠ΅ исслСдованиС)

    Get PDF
    Objective: to study the efficiency of pre-administration of hypoxen in experimental cardiac contusion in order to lower the degree of posttraumatic myocardial dysfunction. Materials and methods: experiments were carried out on non-inbred albino male rats anesthetized with sodium thiopental. Cardiac contusion was reproduced by an original device that imitated a blow of the steering wheel to the anterior chest, as that observed when a moving car clashes against an obstacle. Some animals were traumatized after pre-administration of hypoxen. An electrocardiogram, left carotid blood pressure (BP), an integral rheogram, and the first derivative of a differential rheogram were recorded prior to cardiac contusion simulation and in different posttraumatic periods. Stroke volume (SV), cardiac output (CO), and total peripheral vascular resistance were calculated. Results. Preinjection of hypoxen completely prevented the development of sinus arrhythmia, paroxysmal ventricular tachycardia, and intraatrial and intraventricular conduction disturbances, irrespective of the baseline BP. In a subgroup of animals with a baseline low BP, the agent reduced the incidence of bradycardia by 1.5 times, heterotopic rhythms by 5.3 times, ventricular premature contractions by 6 times, atrioventricular (AV) block by 5.3 times and diminished the changes in the terminal of a ventricular complex by 6.3 times. In a subgroup of animals with baseline normal BP, bradycardia and heterotopic rhythms were recorded 2 and 7 times more infrequently recorded; ventricular premature beats, AV block, and ST-segment displacement were present in none case. Preinjection of hypoxen improved myocardial contractility, as evidenced by 17β€”25% SV increases within an hour posttraumatically. However, significant arterial hypotension and lowered CO due to bradycardia in most experimental animals during the preinjection of hypoxen before injury and throughout the posttraumatic period caused a ten-fold increase in mortality rates as compared with the non-hypoxen group. Conclusion. The hemodynamic effects of hypoxen can substantially limit the possibility of using the agent to diminish the degree of posttraumatic cardiac dysfunction. Key words: experimental cardiac contusion, central hemodynamics, hypoxen.ЦСль исслСдования β€” ΠΈΠ·ΡƒΡ‡ΠΈΡ‚ΡŒ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ ΠΏΡ€Π΅Π΄Π²Π°Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ ввСдСния гипоксСна ΠΏΡ€ΠΈ ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠΌ ΡƒΡˆΠΈΠ±Π΅ сСрдца с Ρ†Π΅Π»ΡŒΡŽ ΡƒΠΌΠ΅Π½ΡŒΡˆΠ΅Π½ΠΈΡ выраТСнности посттравматичСской ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ дисфункции. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ЭкспСримСнты Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Ρ‹ Π½Π° Π±Π΅Π»Ρ‹Ρ… бСспородных крысах-самцах, Π½Π°Ρ€ΠΊΠΎΡ‚ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… Ρ‚ΠΈΠΎΠΏΠ΅Π½Ρ‚Π°Π»ΠΎΠΌ натрия. Ушиб сСрдца воспроизводили с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ ΠΎΡ€ΠΈΠ³ΠΈΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ устройства, ΠΈΠΌΠΈΡ‚ΠΈΡ€ΡƒΡŽΡ‰Π΅Π³ΠΎ ΡƒΠ΄Π°Ρ€ ΠΏΠ΅Ρ€Π΅Π΄Π½Π΅ΠΉ Π³Ρ€ΡƒΠ΄Π½ΠΎΠΉ стСнки ΠΎ стойку руля ΠΏΡ€ΠΈ столкновСнии двиТущСгося автомобиля с прСпятствиСм. Π£ части ΠΆΠΈΠ²ΠΎΡ‚Π½Ρ‹Ρ… Ρ‚Ρ€Π°Π²ΠΌΡƒ наносили послС ΠΏΡ€Π΅Π΄Π²Π°Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ ввСдСния гипоксСна. Π”ΠΎ модСлирования ΡƒΡˆΠΈΠ±Π° сСрдца, Π° Ρ‚Π°ΠΊΠΆΠ΅ Π² Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Π΅ сроки посттравматичСского ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π° рСгистрировали элСктрокардиограмму, АД Π² Π»Π΅Π²ΠΎΠΉ сонной Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΈ прямым ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ, ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Π»ΡŒΠ½ΡƒΡŽ Ρ€Π΅ΠΎΠ³Ρ€Π°ΠΌΠΌΡƒ ΠΈ ΠΏΠ΅Ρ€Π²ΡƒΡŽ ΠΏΡ€ΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡƒΡŽ Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Ρ€Π΅ΠΎΠ³Ρ€Π°ΠΌΠΌΡ‹. Рассчитывали ΡƒΠ΄Π°Ρ€Π½Ρ‹ΠΉ объСм (УО) ΠΈ ΠΌΠΈΠ½ΡƒΡ‚Π½Ρ‹ΠΉ объСм сСрдца (МОБ), ΠΎΠ±Ρ‰Π΅Π΅ пСрифСричСскоС сопротивлСниС сосудов (ОПББ). Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. ΠŸΡ€Π΅Π΄Π²Π°Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ гипоксСна ΠΏΠΎΠ»Π½ΠΎΡΡ‚ΡŒΡŽ ΠΏΡ€Π΅Π΄ΠΎΡ‚Π²Ρ€Π°Ρ‰Π°Π»ΠΎ Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ синусовой Π°Ρ€ΠΈΡ‚ΠΌΠΈΠΈ, ΠΏΠ°Ρ€ΠΎΠΊΡΠΈΠ·ΠΌΠ°Π»ΡŒΠ½ΠΎΠΉ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠΎΠ²ΠΎΠΉ Ρ‚Π°Ρ…ΠΈΠΊΠ°Ρ€Π΄ΠΈΠΈ, Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ внутрипрСдсСрдной ΠΈ Π²Π½ΡƒΡ‚Ρ€ΠΈΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠΎΠ²ΠΎΠΉ проводимости нСзависимо ΠΎΡ‚ исходного уровня АД. Π’ ΠΏΠΎΠ΄Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠΆΠΈΠ²ΠΎΡ‚Π½Ρ‹Ρ… с исходно Π½ΠΈΠ·ΠΊΠΈΠΌ ΡƒΡ€ΠΎΠ²Π½Π΅ΠΌ АД ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ ΡƒΠΌΠ΅Π½ΡŒΡˆΠ°Π» частоту возникновСния Π±Ρ€Π°Π΄ΠΈΠΊΠ°Ρ€Π΄ΠΈΠΈ Π² 1,5 Ρ€Π°Π·Π°, Π³Π΅Ρ‚Π΅Ρ€ΠΎΡ‚ΠΎΠΏΠ½Ρ‹Ρ… Ρ€ΠΈΡ‚ΠΌΠΎΠ² β€” Π² 5,3 Ρ€Π°Π·Π°, экстрасистолии β€” Π² 6 Ρ€Π°Π·, АВ-Π±Π»ΠΎΠΊΠ°Π΄ β€” Π² 5,3 Ρ€Π°Π·Π°, измСнСния ΠΊΠΎΠ½Π΅Ρ‡Π½ΠΎΠΉ части ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠΎΠ²ΠΎΠ³ΠΎ комплСкса β€” Π² 6,3 Ρ€Π°Π·Π°. Π’ ΠΏΠΎΠ΄Π³Ρ€ΡƒΠΏΠΏΠ΅ с исходно Π½ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½Ρ‹ΠΌ ΡƒΡ€ΠΎΠ²Π½Π΅ΠΌ АД брадикардия Ρ€Π΅Π³ΠΈΡΡ‚Ρ€ΠΈΡ€ΠΎΠ²Π°Π»Π°ΡΡŒ Π² 2 Ρ€Π°Π·Π° Ρ€Π΅ΠΆΠ΅, Π³Π΅Ρ‚Π΅Ρ€ΠΎΡ‚ΠΎΠΏΠ½Ρ‹Π΅ Ρ€ΠΈΡ‚ΠΌΡ‹ β€” Π² 7 Ρ€Π°Π· Ρ€Π΅ΠΆΠ΅, Π½ΠΈ Π² ΠΎΠ΄Π½ΠΎΠΌ случаС Π½Π΅ Ρ€Π΅Π³ΠΈΡΡ‚Ρ€ΠΈΡ€ΠΎΠ²Π°Π»ΠΈΡΡŒ экстрасисто-лия, АВ-Π±Π»ΠΎΠΊΠ°Π΄Ρ‹ ΠΈ смСщСниС сСгмСнта ST. ΠŸΡ€Π΅Π΄Π²Π°Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ гипоксСна ΡƒΠ»ΡƒΡ‡ΡˆΠ°Π»ΠΎ ΡΠΎΠΊΡ€Π°Ρ‚ΠΈΡ‚Π΅Π»ΡŒΠ½ΡƒΡŽ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΡŽ ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π°, ΠΎ Ρ‡Π΅ΠΌ ΡΠ²ΠΈΠ΄Π΅Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΠΎΠ²Π°Π»ΠΎ ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΠ΅ УО Π½Π° 17β€”25% Π² Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ 1 Ρ‡ посттравматичСского ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π°. Однако выраТСнная Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½Π°Ρ гипотСнзия ΠΈ сниТСниС МОБ Π·Π° счСт Π±Ρ€Π°Π΄ΠΈΠΊΠ°Ρ€Π΄ΠΈΠΈ Ρƒ большСй части ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½Ρ‹Ρ… ΠΆΠΈΠ²ΠΎΡ‚Π½Ρ‹Ρ… Π½Π° Ρ„ΠΎΠ½Π΅ ΠΏΡ€Π΅Π΄Π²Π°Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ ввСдСния гипоксСна ΠΊΠ°ΠΊ Π΄ΠΎ Ρ‚Ρ€Π°Π²ΠΌΡ‹, Ρ‚Π°ΠΊ ΠΈ Π² Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ всСго посттравматичСского ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π° ΠΏΡ€ΠΈΠ²Π΅Π»ΠΈ ΠΊ дСсятикратному ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΡŽ показатСля Π»Π΅Ρ‚Π°Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с Π³Ρ€ΡƒΠΏΠΏΠΎΠΉ Π±Π΅Π· использования гипоксСна. Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. ГСмодинамичСскиС эффСкты гипоксСна ΠΌΠΎΠ³ΡƒΡ‚ сущСствСнно ΠΎΠ³Ρ€Π°Π½ΠΈΡ‡ΠΈΠ²Π°Ρ‚ΡŒ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΡŒ использования ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π° с Ρ†Π΅Π»ΡŒΡŽ ΡƒΠΌΠ΅Π½ΡŒΡˆΠ΅Π½ΠΈΡ выраТСнности посттравматичСской дисфункции сСрдца. ΠšΠ»ΡŽΡ‡Π΅Π²Ρ‹Π΅ слова: ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½Ρ‹ΠΉ ΡƒΡˆΠΈΠ± сСрдца, Ρ†Π΅Π½Ρ‚Ρ€Π°Π»ΡŒΠ½Π°Ρ Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ°, гипоксСн
    • …
    corecore