RESUMEN
The aim of the study was to develop a method for diagnosing pre-nosological changes in the electrophysiological state of the myocardium in patients with somatoform dysfunction of the autonomic nervous system (SDANS) and risk factors for cardiovascular diseases using the ECG dispersion mapping method. MATERIALS AND METHODS: The study involved 109 male patients, 58 of them with SDANS, and 51 were healthy subjects. The patients with SDANS had the following risk factors for cardiovascular diseases, in decreasing order: stress (71% of cases), low physical activity (59%), smoking (57%), overweight and obesity (43%), anxiety (41%), low consumption of vegetables and fruit (36%), lack of extra aerobic physical activity (36%), excessive alcohol consumption (34%), depression (26%), total cholesterol ≥5 mmol/L (23%), and heart rate ≥80 (9% of the cases). All the subjects underwent clinical examination, laboratory investigation, ECG, ECG dispersion mapping, heart rate variability monitoring. RESULTS: Using the method of ECG dispersion mapping allowed a way for diagnosing pre-nosological changes in the electrophysiological state of the myocardium in male patients with SDANS, the basis of the pathogenesis of which is formed by the tension of the regulatory systems. Correlation between the total score according to the developed method, the RRNN value after 4 min of staying in orthostasis, and the "Myocardium" integral index has been proved. The diagnostic sensitivity of the proposed method with a threshold score of 8 was 80%, specificity - 70.8%. CONCLUSION: The developed method for assessing pre-nosological changes in the electrophysiological state of the myocardium which includes cardiovascular risk factors with a reclassifying potential, proves the development of pre-nosological changes in patients with SDANS in response to daily physical strain. The changes are associated with the tension of the electrophysiological state of the myocardium, an increased activity of the sympathetic division of the ANS being one of its pathogenetic mechanisms.
Asunto(s)
Enfermedades Cardiovasculares , Sistema Nervioso Autónomo/fisiología , Enfermedades Cardiovasculares/diagnóstico , Electrocardiografía , Frecuencia Cardíaca/fisiología , Humanos , Masculino , MiocardioRESUMEN
The kit is designed in accordance with the list of the first medical aid procedures and syndromic standards of emergency medical care providing. The kit contains modern local hemostatic agents, vent tubes, cricothyrotomy, needles to eliminate pneumothorax, portable oxygen machine, sets for intravenous and intraosseous infusion therapy, collapsible plastic tires, anti-shock pelvic girdle, and other medical products and pharmaceuticals. As containers used backpack and trolley bag on wheels camouflage colours. For the convenience and safety of the personnel of the vest is designed discharge to be converted in the body armour.
Asunto(s)
Servicios Médicos de Urgencia/métodos , Servicios Médicos de Urgencia/provisión & distribución , Medicina Militar/instrumentación , Medicina Militar/métodos , Enfermería Militar , Equipos Desechables , Diseño de Equipo , Enfermería Militar/organización & administración , Enfermería Militar/normas , Federación de RusiaRESUMEN
The Hospital made a great contribution to the development of national healthcare during its 180-years history. Outstanding medical scientists of XIX-XX centuries, such as Bekhterev, Sklifosovsky, Vreden, Kupriyanov, Petrov and many others stood not only behind the history of the Hospital, they represented scientific society of military medical science. The merit of the Hospital cannot be overestimated during the World War II period, when 82% of the wounded and sick soldiers were returned to duty. The Hospital is considered as one of the best hospitals in the medical service of the Western Military District of the Russian Federation. Despite the on-going reconstruction of the main building, the year of 2014 has been eventful--institutional personnel achieved positive progress in improving combat skills and field training in the sphere of medical support in the district. Nowadays the methods of tutoring seminars with all categories of personnel are actively being improved. Currently 442th Military clinical hospital of Russian Defense Ministry is in the process of acquisition of its modern appearance. Phased plan for reconstruction and capital construction of its main building is now successfully implementing.