ABSTRACT 552
Annotatsiya
Background and aims: Intrauterine fetal hypoxia is one of the main factors affecting the postnatal adaptation of the child and wich leads to disruption of the autonomic regulation of the heart and blood vessels. The preservation autonomic dysfunction in the future may lead to the formation of persistent disorders autonomo-vascular and autonomo-visceral, one of its manifestation is functional cardiopathy. Aims: Identify the main risk factors and clinical and instrumental manifestation of functional disorders of the cardiovascular system in children. Methods: Under observation were 30 children from 1 year to 7 years, treated at a hospital. At all children had made a careful study of anamnestic date, as well as a full clinical examination with assessment of autonomic tone. Studies were conducted in view of requiremens IRB. Results: In the study of anamnestic data revealed main risk factors in the development of functional disorders of the cardiovascular system: the threat of termination of pregnancy (10%), transferring viral respiratory and other infections during pregnancy (10%), intrauterine fetal hypoxia (80%). The children from 1 year to 3 y.o. disorders of the cardiovascular system are presented in 80.8% of cases of vasomotor dysregulation and cardiac type of autonomic disorders 19.2%. Children 4–7 years dominates the clinical picture of cardiovascular autonomic disorders option presented bradycardia and hypotension. Conclusions: These results confirm the influence of intrauterine hypoxia on disorders of the cardiovascular system of a functional character. Clinical and instrumental manifestation consequences of intrauterine hypoxia allow identification of children in a high risk group for heart disease for implementation of individual dispensary supervision.