The ClinicianThe ClinicianКлиницист1818-83382412-8775Publishing House ABV Press19110.17650/1818-8338-2015-9-2-23-27ORIGINAL INVESTIGATIONSОРИГИНАЛЬНОЕ ИССЛЕДОВАНИЕMETABOLIC DISTURBANCES IN THE FUTURE DEVELOPMENT AND PROGRESSION OF ARTERIAL HYPERTENSION IN YOUNG MENМЕТАБОЛИЧЕСКИЕ НАРУШЕНИЯ В ПЕРСПЕКТИВЕ РАЗВИТИЯ И ПРОГРЕССИРОВАНИЯ АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИИ У МОЛОДЫХ МУЖЧИНGordienkoA. V.ГордиенкоА. В.
Russian Federation
MirokhinaM. A.МирохинаМ. А.
Russian Federation
DydyshkoV. T.ДыдышкоВ. Т.
Russian Federation
SerdyukovD. Yu.СердюковД. Ю.
Russian Federation
serdukovdu@yandex.ruFedorovaA. S.ФёдороваА. С.
Russian Federation
S.M. Kirov Military Medical Academy, Ministry of Defense of RussiaФГБВОУ ВПО «Военно-медицинская академия им. С.М. Кирова» Минобороны России6 Academician Lebedev St., Saint Petersburg, 194044, RussiaРоссия, 194044, Санкт-Петербург, ул. Академика Лебедева, 6150420159223271308201513082015Copyright ©; 2015, Gordienko A.V., Mirokhina M.A., Dydyshko V.T., Serdyukov D.Y., Fedorova A.S.Copyright ©; 2015, Гордиенко А.В., Мирохина М.А., Дыдышко В.Т., Сердюков Д.Ю., Фёдорова А.С.2015Gordienko A.V., Mirokhina M.A., Dydyshko V.T., Serdyukov D.Y., Fedorova A.S.Гордиенко А.В., Мирохина М.А., Дыдышко В.Т., Сердюков Д.Ю., Фёдорова А.С.https://creativecommons.org/licenses/by/4.0https://klinitsist.abvpress.ru/Klin/article/view/191

Objective: to reveal carbohydrate and lipid metabolic disturbances and their possible importance in examined young men with early arterial hypertension (AH). Subjects and methods. A total of 130 men aged 40.3 ± 4.3 years were examined. There were 3 patient groups: stage I hypertensive disease with a history of AH (n = 61); primarily diagnosed hypertensive disease without evidence of long-term AH (n = 39); a control group noncardiovascular diseases (n = 30). Results. The patients with long-term AH were more commonly found to have a compromised history of cardiovascular diseases and type 2 diabetes mellitus, signs of insulin resistance and subclinical atherosclerosis than those with the primarily diagnosed disease and the control group. Conclusion. Carbohydrate and lipid metabolic disturbances are latent in young men with long-term AH. Both 2and 1-hour oral glucose tolerance tests are recommended for the early diagnosis of glycemic disorders in the above patient cohort. 

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