Identification of predisposition to the development of arterial hypertension in students in the study of indicators of systemic hemodynamics

The identification of a predisposition in young people to the development of arterial hypertension (AH) is an urgent task of preventive medicine, since the formation of hypertension does not begin at 40—50 years old, as previously thought, but at an earlier age. The article presents the results of a study of systemic hemodynamics by volumetric compression oscillometry (VCO) in students of the Medical Faculty of the State University of Education. In the examination of 191 students aged 18—25, normal blood pressure was noted in 78.5% of cases, a downward trend in blood pressure was detected in 19.4% of the subjects and 2.1% of the subjects had elevated blood pressure. The determination of the main indicators of hemodynamics by the VCO method made it possible to correlate each respondent with a certain profile. Among the examined group, 16 hemodynamic profiles were identified. The hemodynamic profile 222, corresponding to the normal values of heart rate, systemic vascular resistance and stroke volume, was noted in this group only in 31.4% of respondents. The discrepancy in this group of subjects in the number of detected cases with normal blood pressure values to the number of detected cases with normal values of key hemodynamic constants proves the need for early prevention of hypertension, allows identifying a risk group for hypertension, prescribing personalized preventive measures and optimizing preventive medical examination.