STRUCTURAL AND FUNCTIONAL STATE OF THE MYOCARDIAL AND TYPES OF HEMODYNAMICS IN MEN WITH ARTERIAL HYPERTENSION OF DIFFERENT CONSTITUTIONAL TYPES

Abstract

The purpose of the study. Study of the structural and functional state of the myocardium and types of hemodynamics in men with hypertension of various constitutional types. Materials and methods. 89 men aged from 20 to 60 years were examined. The standard technique of anthropometric research used, followed by determination of constitutional types, as well as determination of the types of hemodynamics according to the data of ultrasound examination of the heart. Results. In the course of the study, it found that both among patients with arterial hypertension and among those without arterial hypertension, eukinetic and hyperkinetic types of hemodynamics are more common in comparison with the hypokinetic type. When studying the frequency of occurrence of types of hemodynamics in hypertensive patients with different somatotypes, no statistically significant differences obtained between groups of somatotypes. In the control group, the number of persons with a muscular somatotype was statistically significantly higher in the eukinetic type and lower in the hyperkinetic type in comparison with the thoracic and abdominal somatotypes. When comparing the structural and functional parameters of the myocardium in patients with arterial hypertension of different somatotypes, it can be noted that the value of the ejection fraction and reduction fraction in patients with arterial hypertension of an undefined somatotype were the smallest. Also statistically significantly lower in comparison with the pectoral body type (p <0,01). In persons with arterial hypertension of the thoracic somatotype, they were statistically significantly higher than in the abdominal constitutional type (p <0,05). Conclusion. Individuals with hypertension of the thoracic somatotype characterized by more favorable values of some structural and functional indicators of the state of the myocardium, in comparison with the abdominal and indefinite types of constitution.

Keywords

• артериальная гипертония
• соматотип
• структурно-функциональное состояние миокарда
• тип гемодинамики