Pediatrics
doi: 10.25005/2074-0581-2017-19-3-358-363
THE STATE OF MICROCIRCULATION AND TYPES OF HEMODYNAMIC DISORDERS IN CHILDREN WITH VEGETATIVE DYSTONY SYNDROME

M.Yu. Shcherbakova1, T.K. Artykova2, K.I. Ismoilov2

1Department of Pediatric Cardiology of the Faculty of Advanced Training of Medical Workers, the Federal State Autonomous Educational Institution of Higher Education «Peoples’ Friendship University of Russia», Moscow, Russia
2Department of Pediatric Diseases № 2, Avicenna Tajik State Medical University, Dushanbe, Tajikistan

Objective: To study the state of microcirculation and to reveal the peculiarities of hemodynamics in children with dystonia syndrome in different age periods.

Methods: 165 children aged 5 to 15 years with a syndrome of vegetative dystonia were examined, among them 79 children with the vagotonic type of the initial vegetative tonus (IVT); 35 – with the sympathetic-tonic type of IVT; 51 – with a mixed type of IVT. The state of the microcirculation was evaluated by the method of laser doppler flowmetry.

Results: The most pronounced changes in the parameters of microcirculation were found in children with the vagotonic type of vegetative dystonia. Early violations of hemodynamics, manifested hyperemic type, were detected in 37.6%, and the most severe, stagnant-stasis type – in 49.1% of cases. It is proved that the number of children with congestive-stasis type of microcirculation increased from 7.3% of cases at the youngest age to 27.3% in the older age group.

Conclusion: Infringements of microcirculation take place at children irrespective of type IVT. With increasing age of children with the syndrome of vegetative dystonia, the frequency of pathological types of hemodynamics increases.

Keywords: Vegetative dystonia syndrome, microcirculation, hemodynamics, parasympathetic type, sympathetic type.

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Authors' information:

Shcherbakova Marina Yurievna,
Doctor of Medical Sciences, Full Professor, Professor of the Department of Pediatric Cardiology, FAT MW FSAEI HE PFUR

Artykova Takhmina Karimdzhonovna,
Postgraduate Student of the Department of Pediatric Diseases № 2, Avicenna Tajik State Medical University

Ismoilov Komildzhon Isroilovich,
Doctor of Medical Sciences, Full Professor, Head of the Department of Pediatric Diseases № 2, Avicenna Tajik State Medical University

Conflicts of interest: No conflict

Address for correspondence:

Artykova Takhmina Karimdzhonovna

Postgraduate Student of the Department of Pediatric Diseases № 2, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel .: (+992) 931 277575

E-mail: tahmina_artikova@mail.ru

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