Morphofunctional state of the myocardium in children with various variants of elevated blood pressure
Aim. To determine the morphofunctional geometric structure of the muscular membrane of the left ventricle of the heart in various variants of high blood pressure in overweight children. Material and methods. A clinical cross-sectional examination of 292 children was conducted by random sampling. The age of the examined overweight children was 12-17 years. Variants of blood pressure in children included individuals with normal blood pressure, high normal and essential hypertension. According to the daily monitoring of SMAD, four clinical groups were formed. The first group of 22 people was represented by children with normal blood pressure, the second - children with high normal blood pressure (n = 32), the third group - children with labile hypertension in the number of 103 patients, and the fourth group - children with stable hypertension (n = 135). The control group consisted of 38 healthy children. Results. Variants of structural and geometric remodeling of the myocardium of the left ventricle of the heart in the examined children were analyzed. Echocardiography was used to assess the state of the myocardium in groups of obese and overweight children with normal and various variants of elevated blood pressure. In the examined adolescent children with excessive MT and obesity, characteristic features of spatial remodeling of the muscular membrane of the heart with various variants of increased blood pressure were revealed. Conclusion. Early signs of subclinical lesions of target organs in overweight and obese adolescent children with various variants of elevated blood pressure are represented by concentric remodeling and concentric hypertrophy of the left ventricular myocardium.