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Артериальная гипертензия

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ПОРАЖЕНИЯ СЕРДЕЧНО-СОСУДИСТОЙ СИСТЕМЫ У ДЕТЕЙ С ОЖИРЕНИЕМ

https://doi.org/10.18705/1607-419X-2015-21-1-6-15

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Аннотация

Доминирующая доля сердечно-сосудистых заболеваний в структуре смертности и инвалидизации населения развитых стран, рост сердечно-сосудистой патологии привели к формированию представления о сердечно-сосудистом континууме, основанном на клинической оценке факторов, влияющих на риск развития сердечно-сосудистых осложнений. В связи с этим актуальным является изучение начальных этапов этого процесса, а именно — детства и подросткового периода. В настоящее время стало очевидным, что ожирение у детей может рассматриваться как фактор сердечно-сосудистого риска в последующие зрелые годы. Такому взгляду способствуют накопившиеся сведения о поражении сердечно-сосудистой системы у детей и подростков с ожирением и их созвучность изменениям, обнаруживаемым у взрослых. Актуальности этого вопроса способствует и тот факт, что во всем мире наблюдается неуклонный рост доли детей с избытком массы тела, что может означать возможное увеличение сердечно-сосудистой патологии в недалеком будущем. В обзоре освещены ранние проявления поражения сердечно-сосудистой системы у детей с ожирением. Обсуждаются развитие эндотелиальной дисфункции, процессы ремоделирования артериальной стенки, возникновение атеросклеротических повреждений в аорте и периферических сосудах. Также уделено внимание особенностям развития и течения артериальной гипертензии, рассмотрены признаки ремоделирования сердца и критерии диагностики гипертрофии миокарда левого желудочка. Приведены направления профилактики и лечения кардиоваскулярных изменений у детей и подростков с ожирением.

Об авторах

А. Г. Кедринская
Северо-Западный федеральный медицинский исследовательский центр, Санкт-Петербург
Россия
Кедринская Анастасия Георгиевна — научный сотрудник научно-исследовательской лаборатории диагностики и лечения патологии детского возраста, педиатр Института перинатологии и педиатрии ФГБУ «СЗФМИЦ» Минздрава России


Г. И. Образцова
Северо-Западный федеральный медицинский исследовательский центр, Санкт-Петербург
Россия
Образцова Галина Игоревна — доктор медицинских наук, старший научный сотрудник научно-исследовательской лаборатории диагностики и лечения патологии детского возраста, детский кардиолог Института перинатологии и педиатрии ФГБУ «СЗФМИЦ» Минздрава России


И. И. Нагорная
Северо-Западный федеральный медицинский исследовательский центр, Санкт-Петербург
Россия
Нагорная Ирена Игоревна — кандидат медицинских наук, старший научный сотрудник научно-исследовательской лаборатории детской эндокринологии, детский эндокринолог Института эндокринологии ФГБУ «СЗФМИЦ» Минздрава России


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Для цитирования:


Кедринская А.Г., Образцова Г.И., Нагорная И.И. ПОРАЖЕНИЯ СЕРДЕЧНО-СОСУДИСТОЙ СИСТЕМЫ У ДЕТЕЙ С ОЖИРЕНИЕМ. Артериальная гипертензия. 2015;21(1):6-15. https://doi.org/10.18705/1607-419X-2015-21-1-6-15

For citation:


Kedrinskaya A.G., Obraztsova G.I., Nagornaya I.I. CARDIOVASCULAR LESIONS IN CHILDREN WITH OBESITY. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2015;21(1):6-15. (In Russ.) https://doi.org/10.18705/1607-419X-2015-21-1-6-15

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