Russian Family Doctor,
Год журнала:
2024,
Номер
28(4), С. 50 - 61
Опубликована: Дек. 15, 2024
Cardiovascular
diseases
(CVD),
including
myocardial
infarction
and
stroke,
remain
the
leading
cause
of
morbidity
mortality
in
industrialized
nations.
This
review
highlights
studies
demonstrating
that
adverse
prenatal
factors
play
a
significant
role
determining
cardiovascular
health
contribute
to
early
development
subclinical
atherosclerosis
children
adolescents.
Indirect
evidence
can
be
obtained
through
non-invasive
imaging
vascular
changes,
such
as
anatomical
alterations
(e.g.,
increased
intima-media
thickness),
mechanical
changes
arterial
stiffness),
physiological
reduced
flow-mediated
dilation).
Effective
identification
individuals,
particularly
children,
at
an
risk
future
is
critical
for
prevention.
Existing
algorithms
assessing
CVD
or
stages
primarily
rely
on
“traditional”
factors.
However,
these
often
fail
accurately
detect
young
individuals
are
unsuitable
pediatric
use,
emphasizing
need
alternative
methods
classify
asymptomatic
patients.
article
provides
overview
methodologies.
Marmara medical journal,
Год журнала:
2024,
Номер
37(3), С. 311 - 317
Опубликована: Окт. 25, 2024
Objective:
We
aimed
to
evaluate
cardiovascular
risks
and
influencing
factors
by
measuring
aortic
elasticity
parameters
carotid
intima
thickness
in
children
with
cronic
kidney
disease
(CKD),
also
evaluated
the
hydration
status
of
patients
bioimpedance
spectroscopy
(BIS)
measurements
investigated
effect
on
vascular
functions.
Patients
Methods:
The
study
group
included
an
average
13.3
±
3.7
years
(16
girls
22
boys,
38
CKD
patients),
control
12.1
2.9
15
31
healthy
children).
Systolic
diastolic
diameters
annulus
aorta
at
each
level
were
obtained;
z-scores,
strain,
distensibility,
stiffness
index
calculated.
Carotid
intima-media
flow
–
mediated
dilatation
studied.
Bioimpedance
was
performed
all
patients.
Results:
Interventricular
septum
left
atrial
(p=0.002,
p=0.013),
sinus
valsalva
sinotubular
junction
z
scores
(p=0.009,
p=0.012)
found
be
higher
distensibility
strain
decreased,
increased
abdominal
(p=0.007,
p=0.002,
p=0.004).
had
statistically
significant
over-hydration.
Conclusion:
Vascular
wall
changes
that
affect
elastic
properties
begin
develop
childhood
CKD.
Russian Family Doctor,
Год журнала:
2024,
Номер
28(4), С. 50 - 61
Опубликована: Дек. 15, 2024
Cardiovascular
diseases
(CVD),
including
myocardial
infarction
and
stroke,
remain
the
leading
cause
of
morbidity
mortality
in
industrialized
nations.
This
review
highlights
studies
demonstrating
that
adverse
prenatal
factors
play
a
significant
role
determining
cardiovascular
health
contribute
to
early
development
subclinical
atherosclerosis
children
adolescents.
Indirect
evidence
can
be
obtained
through
non-invasive
imaging
vascular
changes,
such
as
anatomical
alterations
(e.g.,
increased
intima-media
thickness),
mechanical
changes
arterial
stiffness),
physiological
reduced
flow-mediated
dilation).
Effective
identification
individuals,
particularly
children,
at
an
risk
future
is
critical
for
prevention.
Existing
algorithms
assessing
CVD
or
stages
primarily
rely
on
“traditional”
factors.
However,
these
often
fail
accurately
detect
young
individuals
are
unsuitable
pediatric
use,
emphasizing
need
alternative
methods
classify
asymptomatic
patients.
article
provides
overview
methodologies.
