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  • 1
    Online Resource
    Online Resource
    National Medical Research Center for Childrens Health ; 2023
    In:  Russian Pediatric Journal Vol. 26, No. 1 ( 2023-02-28), p. 61-66
    In: Russian Pediatric Journal, National Medical Research Center for Childrens Health, Vol. 26, No. 1 ( 2023-02-28), p. 61-66
    Abstract: Introduction. One of the urgent problems of modern pediatrics is the risk of developing vascular complications in children, among which thrombosis is not uncommon. For early diagnosis and thromboprophylaxis of strokes and other vascular complications, the identification of thrombogenic risk factors is indicated. The purpose of the study. Based on the screening, to establish predictors of thrombogenic risk in children living in urban and rural areas of the Altai Territory for the timely prevention of vascular complications. Materials and methods. The results of a screening study of two hundred seventeen aged 12–17 years children living in the city of Barnaul, Zarinsk and Klyuchevsk districts of the Altai Territory, were analyzed. Screening examination of children without signs of thrombosis and bleeding was carried out at an outpatient appointment with a pediatrician in random sampling. The questionnaire included questions to clarify the family thrombotic history, personal thrombotic history, background somatic diseases. Clinical examination was performed for all interviewed patients. Results. According to the results of the study, it was revealed that in 65 (30%) of the 217 children surveyed, the closest relatives had thrombogenic risk factors, such as heart attacks, strokes, hypertension, coronary heart disease (CHD). After analyzing the personal thrombotic history, it was found that in the general group of patients, myocardial infarction was observed in 2 (0.9%) children. Strokes were noted in 5 (2.3%) respondents, and thrombosis and TIA in 2 (0.9%) subjects. When analyzing the results, it was found that a significant proportion of children had the following conditions, such as vegetative-vascular dystonia (VVD) of the hypertensive type, the presence of signs of undifferentiated connective tissue dysplasia (UCTD), smoking, obesity. Conclusion. According to screening data in children, the main predisposing factors in the development of thrombosis, strokes and heart attacks are a burdened family, thrombotic history, the presence of some somatic diseases. The combination of these factors justifies the need for additional examination for the prevention of vascular thrombosis.
    Type of Medium: Online Resource
    ISSN: 1560-9561
    URL: Issue
    Language: Unknown
    Publisher: National Medical Research Center for Childrens Health
    Publication Date: 2023
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  • 2
    In: Bulletin of Medical Science, Altay State Medical University, Vol. 33, No. 1 ( 2024), p. 52-61
    Abstract: Aim. This study aims to analyze objective examination results (blood pressure, heart rate, body weight, height), medical history, and hereditary data to identify risk factors for arterial hypo- and hypertension development among first-year medical students. Additionally, the study seeks to determine indications for health improvement and maintenance. Materials and Methods. A prospective study of 105 first-year students at the Institute of Pediatrics of Altai State Medical University, conducted in September-October 2023, was analyzed. The average age of the students was 17.4±0.5 years. Parameters studied included blood pressure measured by the Korotkoff method, heart rate, systolic and diastolic blood pressure, and the Kettle index. The results of a voluntary questionnaire survey were also analyzed, considering gender, body weight, height, hereditary cardiovascular diseases, habits, sleep duration, associated diseases, and specific complaints. Results. In the total group of surveyed students, female students predominated at 78%. Approximately 33.3% of students exhibited either increased or decreased blood pressure, with every fourth female student experiencing decreased blood pressure. Risk factors for arterial hypo- and hypertension included aggravated heredity for arterial hypertension in over 50% of the examined students, excessive body weight in 16.2% of students, sleep and rest disorders in one-third of the examined, and concomitant somatic diseases in some students. Conclusion. The study identified blood pressure changes in 33.3% of the 105 first-year students, with 14.3% exhibiting elevated blood pressure and every fourth female student experiencing low blood pressure. The findings highlight the relevance of arterial hypertension among students and support the need for preventive methods to address cardiovascular pathology. Additionally, a high percentage of aggravated heredity for arterial hypertension was observed, emphasizing the significance of this risk factor. Arterial hypertension was statistically more prevalent in students with aggravated heredity and/or excessive body weight, particularly obesity of degree I or II (16.2% and 8.6%, respectively).
    Type of Medium: Online Resource
    ISSN: 2541-8475
    Uniform Title: КЛИНИЧЕСКИЕ АСПЕКТЫ И ФАКТОРЫ РИСКА АРТЕРИАЛЬНЫХ ГИПО- И ГИПЕРТОНИЙ У ОБУЧАЮЩИХСЯ ПЕРВОГО КУРСА МЕДИЦИНСКОГО ВУЗА
    Language: Unknown
    Publisher: Altay State Medical University
    Publication Date: 2024
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