Complex assessment of conductive heart system and myocardial electric instability in arterial hypertension patients

The study included 86 patients aged 42;57 years, with Stage II essential arterial hypertension (AH) and no antihyperten; sive therapy during the study. All participants underwent 24;hour blood pressure (BP) monitoring, diagnostic transesophageal left atrium electrostimulation, and echocardiography....

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Main Authors: B. G. Iskenderov, T. V. Lokhina, V. A. Lyusov, V. Yu. Kapelovich
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2006-02-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/1692
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author B. G. Iskenderov
T. V. Lokhina
V. A. Lyusov
V. Yu. Kapelovich
author_facet B. G. Iskenderov
T. V. Lokhina
V. A. Lyusov
V. Yu. Kapelovich
author_sort B. G. Iskenderov
collection DOAJ
description The study included 86 patients aged 42;57 years, with Stage II essential arterial hypertension (AH) and no antihyperten; sive therapy during the study. All participants underwent 24;hour blood pressure (BP) monitoring, diagnostic transesophageal left atrium electrostimulation, and echocardiography. QT interval length and dispersion, as well as RR interval variability (SDNN) were analyzed. In AH patients, left ventricular hypertrophy (LVH), metabolic syndrome and pathologic types of cir; cadian BP profile were associated with sino;atrial node function suppression, and increased atrial and ventricular electric instability. Adverse electrophysiologic prognostic parameters, cardiac rhythm disturbance predictors, were diagnosed in high; risk group by 3;5 times more often than in patients without LVH or MS and with normal circadian BP profile. Therefore, car; diac electric remodeling, associated with LVH, MS, and circadian BP rhythm disturbances, increased electric instability and arrhythmia risk.
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spelling doaj.art-d101cccb00914e93a65a42f078ec3ebb2025-03-02T11:42:22Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202006-02-010122261458Complex assessment of conductive heart system and myocardial electric instability in arterial hypertension patientsB. G. Iskenderov0T. V. Lokhina1V. A. Lyusov2V. Yu. Kapelovich3Пензенский институт усовершенствования врачейПензенский институт усовершенствования врачейРоссийский государственный медицинский университетПензенский институт усовершенствования врачейThe study included 86 patients aged 42;57 years, with Stage II essential arterial hypertension (AH) and no antihyperten; sive therapy during the study. All participants underwent 24;hour blood pressure (BP) monitoring, diagnostic transesophageal left atrium electrostimulation, and echocardiography. QT interval length and dispersion, as well as RR interval variability (SDNN) were analyzed. In AH patients, left ventricular hypertrophy (LVH), metabolic syndrome and pathologic types of cir; cadian BP profile were associated with sino;atrial node function suppression, and increased atrial and ventricular electric instability. Adverse electrophysiologic prognostic parameters, cardiac rhythm disturbance predictors, were diagnosed in high; risk group by 3;5 times more often than in patients without LVH or MS and with normal circadian BP profile. Therefore, car; diac electric remodeling, associated with LVH, MS, and circadian BP rhythm disturbances, increased electric instability and arrhythmia risk.https://russjcardiol.elpub.ru/jour/article/view/1692essential hypertensionheart conductive systemmyocardial electric instabilitycomplex assessment
spellingShingle B. G. Iskenderov
T. V. Lokhina
V. A. Lyusov
V. Yu. Kapelovich
Complex assessment of conductive heart system and myocardial electric instability in arterial hypertension patients
Российский кардиологический журнал
essential hypertension
heart conductive system
myocardial electric instability
complex assessment
title Complex assessment of conductive heart system and myocardial electric instability in arterial hypertension patients
title_full Complex assessment of conductive heart system and myocardial electric instability in arterial hypertension patients
title_fullStr Complex assessment of conductive heart system and myocardial electric instability in arterial hypertension patients
title_full_unstemmed Complex assessment of conductive heart system and myocardial electric instability in arterial hypertension patients
title_short Complex assessment of conductive heart system and myocardial electric instability in arterial hypertension patients
title_sort complex assessment of conductive heart system and myocardial electric instability in arterial hypertension patients
topic essential hypertension
heart conductive system
myocardial electric instability
complex assessment
url https://russjcardiol.elpub.ru/jour/article/view/1692
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AT tvlokhina complexassessmentofconductiveheartsystemandmyocardialelectricinstabilityinarterialhypertensionpatients
AT valyusov complexassessmentofconductiveheartsystemandmyocardialelectricinstabilityinarterialhypertensionpatients
AT vyukapelovich complexassessmentofconductiveheartsystemandmyocardialelectricinstabilityinarterialhypertensionpatients