Email this article 
Post a Comment Functional state of the cardiovascular system in adolescents and young men of military age with bradyarrhythmia
- Authors: Klubkova I.A.1, Avdeeva M.V.1, Shcheglova L.V.1, Kiryanova D.R.1, Erina M.Y.1
-
Affiliations:
- St. Petersburg State Pediatric Medical University
- Issue: Vol 9, No 3 (2018)
- Pages: 64-71
- Section: Articles
- URL: https://ogarev-online.ru/pediatr/article/view/9134
- DOI: https://doi.org/10.17816/PED9364-71
- ID: 9134
Cite item
Full Text
Abstract
The article presents the results of clinical and instrumental examination of adolescents and young men of conscript age with sinus bradycardia. The study involved 2067 people (mean age19,7 ± 2,7 years), subject to conscription (from 17 to 27 years) and potential conscripts (16-year-olds). According to the results of the screening express of ECG diagnostics, all participants of the study were divided into groups – with normocardia (n = 1266), with tachycardia (n = 171) and with bradycardia (n = 630). The article shows that in patients with sinus bradycardia, the size of the left atrium (р < 0,05), pulmonary artery trunk (р < 0,05), right atrial (р < 0,05) and right ventricle (р < 0,05) more than in individuals with normosystole and tachysystole types of heart rhythm. In patients with bradysystole type of heart rhythm, lower values of the ejection fraction (р < 0,05) were recorded in comparison with other types of rhythm at higher shock volume of blood (р < 0,05), the end diastolic volume of the left ventricle (р < 0,05) and the end diastolic size of the left ventricle (р < 0,05). Patients with bradysystole type of heart rhythm were characterized by higher rates of inotropic (р < 0,01), chronotropic reserve (р < 0,05), duration of the recovery period (р < 0,01) with lower coronary reserve indices (р < 0,01) and maximum oxygen consumption (р < 0,05) compared with normosystole and tachysystole types of rhythm. In 63,7% of patients with sinus bradycardia, the Holter monitoring determined a decrease in the mean level of heart rate below the reference values. Sinus bradycardia is associated with rhythm and conduction disorders, as well as chronobiorythmological desynchronizes.
Full Text
##article.viewOnOriginalSite##About the authors
Inna A. Klubkova
St. Petersburg State Pediatric Medical University
Author for correspondence.
Email: kia13670@mail.ru
Postgraduate Student, Department of Family Medicine AF and DPO
Russian Federation, Saint PetersburgMarina V. Avdeeva
St. Petersburg State Pediatric Medical University
Email: Lensk69@mail.ru
MD, PhD, Dr Med Sci, Professor, Department of Family Medicine AF and DPO
Russian Federation, Saint PetersburgLarisa V. Shcheglova
St. Petersburg State Pediatric Medical University
Email: shcheglovalar@mail.ru
MD, PhD, Dr Med Sci, Professor, Head, Department of Family Medicine AF and DPO
Russian Federation, Saint PetersburgDina R. Kiryanova
St. Petersburg State Pediatric Medical University
Email: alex@avs.net.ru
MD, PhD, Associate Professor, Department of Family Medicine AF and DPO
Russian Federation, Saint PetersburgMarina Yu. Erina
St. Petersburg State Pediatric Medical University
Email: erinamu@yandex.ru
MD, PhD, Associate Professor, Department of Family Medicine AF and DPO
Russian Federation, Saint PetersburgReferences
- Авдеева М.В., Ивлева О.В., Щеглова Л.В., Григорьева О.М. Медико-социальная характеристика лиц, прошедших обследование в Центре здоровья // Бюллетень НЦССХ им. А.Н. Бакулева РАМН. Сердечно-сосудистые заболевания. - 2011. - Т. 12. - № 5. - С. 77-84. [Avdeeva MV, Ivleva OV, Shcheglova LV, Grigor’eva OM. Medico-social characteristics of population groups with factors of cardiovascular risk, examined in the Health Center. Serdechno-sosudistye zabolevaniia: biulleten’ NTSSKh im. A.N. Bakuleva RAMN. 2011;12(5):77-84. (In Russ.)]
- Баранов А.А., Намазова-Баранова Л.С., Терлецкая Р.Н., и др. Итоги профилактических медицинских осмотров детского населения Российской Федерации в 2014 году // Педиатр. - 2017. - Т. 8. - № 1. - С. 33-39. [Baranov AA, Namazova-Baranova LS, Terletskaya RN, et al. Results of routine medical examinations of the children’s population of the Russian Federation in 2014. Pediatrician (St. Petersburg). 2017;8(1):33-39. (In Russ.)]
- Галактионова М.Ю. Индивидуально-типологическая характеристика нарушений ритма и проводимости сердца у детей // Вестник СурГУ. Медицина. - 2012. - № 4. - С. 16-20. [Galaktionova MY. Individual topological approach to the estimation of the rhythm and conductivity of heart at children. Vestnik SurGU. Meditsina. 2012;(4):16-20. (In Russ.)]
- Гудков А.Б., Попова О.Н., Иванов В.Д., Небученных А.А. Характеристика вариабельности сердечного ритма у новобранцев учебного центра Военно-Морского флота в условиях европейского севера России // Морская медицина. - 2015. - Т. 1. - № 1. - С. 27-33. [Gudkov AB, Popova ON, Ivanov VD, Nebuchennykh AA. Characterization of heartbeat variability in recruits of a navy training unit under the conditions of North-European Russia. Morskaya meditsina. 2015;1(1):27-33. (In Russ.)]
- Ермашова А.А., Коновалова Н.А., Бреднева А.И., и др. Состояние здоровья детей в подростковом возрасте // Альманах клинической медицины. - 2015. - № 36. - С. 90-92. [Ermashova AA, Konovalova NA, Bredneva AI, et al. The state of health of children in adolescence. Almanakh’ klinicheskoi meditsiny. 2015;(36):90-92. (In Russ.)]
- Казак С.С. Клинико-электрокардиографическая характеристика дизритмий у детей и подростков // Здоровье ребёнка. - 2007. - Т. 5. - № 2. - С. 67-76. [Kazak SS. Clinical and electrocardiographic characteristics of dysrhythmia in children and adolescents. Zdorov’e rebenka. 2007;5(2):67-76. (In Russ.)]
- Кучма В.Р., Рапопорт И.К. Стратегия «Здоровье и развитие подростков России» как инструмент охраны и укрепления здоровья подростков // Репродуктивное здоровье детей и подростков. - 2011. - № 2. - С. 11-21. [Kuchma VR, Rapoport IK. Health and development of adolescents in Russia. Strategy effective in adolescents’ health care. Pediatric and adolescent reproductive health. 2011;(2):11-21. (In Russ.)]
- Макарова Л.П., Корчагина Г.А. Особенности состояния здоровья современных школьников // Вестник Герценовского университета. - 2007. - № 6. - С. 47-48. [Makarova LP, Korchagina GA. Features of the state of health of modern schoolchildren. Vestnik Gertsenovskogo universiteta. 2007;(6):47-48. (In Russ.)]
- Национальные Российские рекомендации по применению методики холтеровского мониторирования в клинической практике // Российский кардиологический журнал. - 2014. - № 2. - С. 6-71. [National Russian recommendations on the use of Holter monitoring in clinical practice. Russian journal of cardiology. 2014;(2):6-71. (In Russ.)]
- Неделько В. Здоровье школьника. Половине школьников физкультура не по силам // Газета 7-я. 19 января, 2010:3(5). [Nedel’ko V. Health of the schoolboy. Half of schoolchildren cannot exercise. Gazeta 7-ya. 2010 Jan 19:3(5). (In Russ.)]
Supplementary files
