PECULIARITIES OF CARDIAC DISORDERS IN CHILDREN OF SCHOOL AGE AFTER MILITARY STRESS
The inﬂ uence of the strongest stress factor on the health status of children who were at the epicenter of hostilities in the Donbass region is currently very relevant and insufﬁ ciently studied. The aim of this study was to assess the psychosomatic health status of children 7-16 years old, including the activity of the cardiovascular system. A total of 113 children living in the military conﬂ ict zone were examined. A general clinical study of the state of health was carried out, including: psychopathological tests and methods adapted according to age, assessment of physical development (somatometric and physiometric data), electrocardiography, echocardiography and cardiointervalography. The study revealed psychoemotional disorders (in 100%) and functional disorders of the cardiovascular system in 104 (92,04%) children of the main group with a predominance of complaints of cardialgia, palpitations, cephalgia, increased fatigue, agitation, sleep disturbances. An analysis of the electrocardiogram revealed cardiac arrhythmias in the form of supraventricular tachycardia (34,51%), right bundle branch block (29,47%), atrioventricular block and left bundle branch block (17,70%), wandering pacemaker(9,73%), ectopic rhythms (6,19%), extrasystole (8,85%); changes in the processes of atrial depolarization (51,33%) and ventricular repolarization (64,60%); prolongation of the QT interval (12,39%). A decrease in the level of physical development in the main group was recorded. In children who were in a stressful situation of a military conﬂ ict for a long time, the incidence of somatic pathology signiﬁcantly exceeded, in particular, the pathology of the nervous system (89,38%) (disorders of the autonomic nervous system and transient tics); neurotic, stressrelated and somatoform disorders (in 24,21% of children) (reaction to severe stress and adaptation disorders); chronic foci of nasopharyngeal infection (58,41%) (chronic tonsillitis); diseases of the digestive system (52,21%) ( gallbladder dyskinesia and biliary dyskinesia, classiﬁ ed in the ICD - 10 as “other speciﬁ ed diseases of the gallbladder”, as well as functional intestinal disorders in the form of functional diarrhea); disorders of the musculoskeletal system (38,93%) (deforming dorsopathies, namely scoliosis, kyphosis and lordosis); diseases of the genitourinary system (14,16%) (cystitis, acute tubulointerstitial nephritis). Autonomic homeostasis was characterized by a predominance of sympathicotonic tonus (48,67%) and hypersympathicotonic vegetative reactivity. Prolonged stay in the combat zone signiﬁ cantly reduced the adaptive capabilities of children, which led to the development of distress.