ПРОГНОЗИРОВАНИЕ РИСКА ВОЗНИКНОВЕНИЯ ПРОТРОМБОТИЧЕСКИХ ИЗМЕНЕНИЙ У ПОДРОСТКОВ С ЭССЕНЦИАЛЬНОЙ АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИЕЙ

Acta Biomedica Scientifica

О. Н. Бердина¹  Т. А. Баирова¹  С. Е. Большакова¹  Л. В. Рычкова¹  И. М. Михалевич¹  М. В. Гомелля¹  О. В. Бугун¹ 

[1] ФГБНУ «Научный центр проблем здоровья семьи и репродукции человека»

关键词: подростки;    гены;    эссенциальная артериальная гипертензия;    протромботические изменения;    тромбоз;   

DOI  :  10.12737/article_59fad515bbca24.82856461

学科分类：自然科学（综合）

来源: Scientific entre for Family Health and Human Reproduction Problems

【 摘 要 】

Today, the problem of early diagnosis of hematological changes predisposing to the development of thrombotic complications in patients with essential hypertension (EH) is an urgent problem that requires close attention not only of physicians, but also of pediatricians. The aim of the study was the development of prognostic criteria for risk of prothrombotic changes (PC) in adolescents with EH, timely preventive measures and prevention of thrombotic complications. Sixty adolescents with EH without PC and 37 adolescents with EH and PC were examined. We used the following methods: clinical anamnestic (including genealogy), functional and ultrasound, laboratory, mathematical and statistical. To create a mathematical model of forecasting, discriminant analysis was used, with the help of which from the 59 proposed predictors the algorithm selected 8 most informative features: the C777T polymorphism of the 5,10-methylenetetrahydrofolate reductase gene, the A66G gene of the methionine synthase reductase gene, the daily diastolic blood pressure level, the level of the nocturnal systolic arterial pressure-time index of hypertension, systolic blood pressure during the day, weighed down by thrombotic genealogically history, early onset of thrombosis, burdened thrombotic genealogical history. Our method for predicting the risk of developing PC allows to place adolescents with EH having an increased risk of developing these coagulation shifts in a separate group, to identify thrombogenic risk in adolescence and, if necessary, to initiate preventive measures in time to reduce the incidence of thrombotic complications of EH and mortality of patients.

【 授权许可】

CC BY