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Post a Comment Autonomic and endothelial dysfunction with neurocirculatory asthenia in young men of call-up age
- Authors: Ivanov V.S.1, Levina L.I.1, Ivanov S.N.1, Vasilenko V.S.1
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Affiliations:
- St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
- Issue: Vol 10, No 2 (2019)
- Pages: 27-31
- Section: Articles
- URL: https://journal-vniispk.ru/pediatr/article/view/13509
- DOI: https://doi.org/10.17816/PED10227-31
- ID: 13509
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Abstract
Young men of call-up age with neurocirculatory were asthenia were examined for autonomic regulation of cardiac activity and vasodilatory reserve of the arteries. The functional state of the autonomic nervous system (ANS) was studied with the aid of rythmography with analyse of heart rate variability. The following parameters were studied: vegetative regulation type, responsiveness of departments of ANS and autonomic provision of cardiac activity. The type of vegetative regulation was determined by the mean value of RR interval and indication of the heart rate variability (∆RR). Reactivity of parasympathetic and sympathetic divisions of the ANS and autonomic support of cardiac activity were investigated using breathing test. To ensure vegetative dysadaptation cardiac activity includes reaction with low vegetative coverage of both divisions of the ANS and paradoxical reaction in which there is a decrease in ∆RRmax (instead of increase) and an increase in ∆RRmin instead of decrease. These reactions indicate autonomic dysfunction. Vasodilatory reserve of the arteries was investigated using ultrasonography of the brachial artery with compressive sample and determination of endothelium-dependent vasodilation. It was found that in boys with neurocirculatory asthenia vagotonic and sympathetic types of vegetative regulation are often determined by disadaptative vegetative provision of cardiac activity, which is accompanied by endothelial dysfunction with reduced vasodilator reserve of the arteries.
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##article.viewOnOriginalSite##About the authors
Vladimir S. Ivanov
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: v.sivanov@yandex.ru
MD, PhD, Associate Professor of Department of Hospital Therapy with Endocrinology Course
Russian Federation, Saint PetersburgLilia I. Levina
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: tani_tani@mail.ru
MD, PhD, Dr Med Sci, Professor of Department of Hospital Therapy with Endocrinology Course
Russian Federation, Saint PetersburgSergey N. Ivanov
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: s.nivanov@yandex.ru
MD, PhD, Associate Professor of Department of Hospital Therapy with Endocrinology Course
Russian Federation, Saint PetersburgVladimir S. Vasilenko
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: vasilenkovladi@yandex.ru
MD, PhD, Dr Med Sci, Professor, Head of Department of Hospital Therapy with Endocrinology Course
Russian Federation, Saint PetersburgReferences
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