DIAGNOSTIC MODEL OF DETECTION OF HIGH PROBABILITY OF ARTERIAL HYPERTENSION OF THE 1ST DEGREE IN MEN AGED 18-29 YEAR

Aim: to develop a model for differential diagnosis of hypertension (HT) in men aged 18-29 years based on anamnestic data and instrumental indicators. Material and methods: Ambulatory blood pressure (BP) monitoring, heart rate variability analysis, exercise testing, echocardiography and detecting of pulse wave velocity were performed in 91 patients with high normal BP and 67 patients with HT. Results: Signifcant indicators of HT in men aged 18-29 years were: the type of hemodynamic response to exercise (OR 2.15 [1.16-4.00], p=0.016); the response of diastolic BP (DBP) to exercise (OR 1.17 [1.05-1.30], p=0.004); indicators of autonomic support (AS) (OR 0.82 [0.70-0.96], p=0.016); relative left ventricle wall thickness (OR 1.04 [1.01-3.52], p=0.004); offce systolic BP (SBP) (OR 1.1 [1.03-1.18], p=0.004). Conclusion: A diagnostic model for identifying patients aged 18-29 with a high probability of HT is proposed.