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Спектральні характеристики першого серцевого тону як маркер функціонального стану міокарда: Автореф. дис… канд. мед. наук / О.І. Щобак, Ін-т геронто

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?inoeooo aa?iioieia?? AII Oe?a?ie

Uiaae

Ieaenaiae? ?aaiiae/

OAeE:612.171:616.12-072.7

Niaeo?aeuei? oa?aeoa?enoeee ia?oiai na?oeaaiai oiio

ye ia?ea? ooieoe?iiaeueiiai noaio i?iea?aea

14.03.03- ii?iaeueia o?c?ieia?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Oaeai?iaenueeiio aea?aeaaiiio oi?aa?neoao?.

Iaoeiaee ea??aiee: aeieoi? a?ieia?/ieo iaoe, i?ioani? Oaeaoa Aieiaeeie?
Iao?iae/, Oaeai?iaenueeee aea?aeaaiee oi?aa?neoao, caa?aeoaa/ eaoaae?e
ii?iaeueii? oa iaoaeia?/ii? o?c?ieia??.

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe, aeaaeai?e AII Oe?a?ie ,
/e.ei?. ?AII, i?ioani? Ei?eooei Ieaa Aaneeueiae/ , ?inoeooo aa?iioieia??
AII Oe?a?ie, ea??aiee a?aeae?eo ee?i?/ii? o?c?ieia?? ? iaoieia??
aioo??oi?o i?aai?a;.

aeieoi? iaaee/ieo iaoe, i?ioani? Nao?iiiaa Aaeeia Ai?en?aia,
Euea?anueeee aea?aeaaiee ?inoeooo o?ce/ii? eoeueoo?e , caa?aeoaa/
eaoaae?e o?ce/ii? ?aaa?e?oaoe??

I?ia?aeia onoaiiaa: Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. I.
Aiaiiieueoey, IIC Oe?a?ie, (eaoaae?a ii?iaeueii? o?c?ieia??) i. Ee?a

Caoeno a?aeaoaeaoueny “ 6 ” o?aaiy 1999 ?. i 13-00 aiae. ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.551.01 a ?inoeooo? aa?iioieia?? AII
Oe?a?ie, i.Ee?a, aoe.Aeoai?iaenueea, 67.

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe? ?inoeoooo
aa?iioieia?? AII Oe?a?ie (i.Ee?a, aoe.Aeoai?iaenueea, 67).

Aaoi?aoa?ao ?ic?neaiee “ 4 ” ea?oiy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee,

eaiaeeaeao iaaee/ieo iaoe
Iioaiaiei ?.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. Aaeineiiaeaiiy ?ino?oiaioaeueieo iaoiae?a
aeine?aeaeaiiy ?iaioe na?oey ? iaei??th c iaeaaaeeea?oeo i?iaeai, ui
ciaoiaeyoueny a oeaio?? oaaae aeine?aeiee?a na?oeaai-noaeeiii? nenoaie.
I??i?eoao iaaea?oueny ia?iaaceaiei iaoiaeai. Iaoiaeeee aeine?aeaeaiiy
na?oeaai? ae?yeueiino?, ui canoiniaothoueny a ee?i?oe?, ? a o?e /e ?io?e
i??? iia’ycaieie c ioe?ieith nei?ioeeaino? na?oeaaiai i’yca
(A.A.Eiinoaioeiia ? ni?aaao., 1989; N.E.A?o?oe, 1990).

A?aeiia cia/aiiy a oeueiio a?aeiioaii? iaaoee iie?ea?ae?ia?ao?/iee ?,
iniaeeai, aoiea?ae?ia?ao?/iee iaoiaee aeine?aeaeaiiy (I.A.Ei?eooei,
1983; I.Cosme, R.S.Grodman, 1997). Aea aoaathoue aeiaaeee, eiee i?e
yai?e iaoieia?? na?oeaaiai i’yca iieacieee oaciai? no?oeoo?e na?oeaaiai
oeeeeo nooo?ai ia ci?iththoueny (N.Eiea?ia ? ni?aaao., 1979). Ca aeaieie
I.Oeeea?a, I.Ineiiaa (1993) o eiaeiiai o?aoueiai oai?iai c yaeuaie
cano?eii? na?oeaai? iaaeinoaoiino? aoiea?ae?ia?ao?/i? iieacieee
nei?i/aiiy ia ii?ooai?, a i?e/eia ?icaeoeo ea?ae?aeueii? neiioiiaoeee
iieyaa? a ii?ooaii? e?iaiiaiiaiaiiy e?aiai oeoii/ea, oiaoi a eiai
ae?anoie?/i?e aeenooieoe??. O ca’yceo c oeei ana aeooaeuei?oith noa?
ioe?iea ooieoe?iiaeueiiai noaio i?iea?aea ca aia?aaoe/ii aeoeaiei
i?ioeanii – ?icneaaeaiiyi (A.A.O?ieuee?n ? ni?aaao., 1994; I.I.I?e?o?i,
A.N.Iiena?a, 1998; I.Nia?aeae?n, 1990). E??i oiai, ia ?aii?o noaae?yo
caoai?thaaiue na?oeaaiai i’yca iiaeeea? eieaeuei? ii?ooaiiy
nei?ioeeaino?, ye? /anii aaaeei aeyaeoe (A.A.Noia?ieia, A.N.Iiena?a,
1985). O?aaeeoe?ei? iaoiaee aeine?aeaeaiiy aeathoue ioe?ieo
eiio?aeoeeueiino? i?iea?aea ye oe?e?niiai i?aaio, ia a?aoiaoth/e
iniaeeainoae eiai ye oeaieie.

Ca?aeii c aeuaneacaiei, aeooaeueiith i?iaeaiith ? iiaeaeueoa aea/aiiy
niinia?a ia?iaaceaii? ioe?iee ooieoe?iiaeueiiai noaio na?oeaaiai i’yca.
sse a?aeiii, nei?i/aiiy na?oey i?ecaiaeeoue aei aaia?aoe?? a?a?aoe?e,
ye? ooai?ththoue ia?oee oii. O eiai neeaae? ? oae caaiee i’yciaee
eiiiiiaio. C oi/ee ci?o a?io?ce/ii? a?a?aoe?eii? a?iioace a iniia?
i?iea?ae?aeueieo caoe?a eaaeaoue aneio?iii? eieeaaiiy i’yciaeo aieieii
i?ae /an nei?i/aiiy. Ca aeaieie inoaii?o aeine?aeaeaiue /anoioiee
?ioa?aae 20-60 Aoe ? naia i?iea?ae?aeueiiai iioiaeaeaiiy (A.I.Oaeaoa,
1987). Ca?aene aeieeaa? ?iai/a a?iioaca i?i oa, ui eiai ia?aiao?e
iiaeia aeei?enoaoe aeey oa?aeoa?enoeee iniaeeainoae no?oeoo?e na?oeaaiai
i’yca o ca’yceo ?c nei?ioeea?noth.

O aeinooii?e e?oa?aoo?? ie ciaeoee iacia/io e?euee?noue ?ia?o,
iia’ycaieo c aeine?aeaeaiiyie aiie?ooaeii-/anoioieo oa?aeoa?enoee
aeaiiai eiiiiiaioa. A?eueo?noue aeine?aeiee?a aaaaeathoue i’ycia?
eieeaaiiy iecueeiaiie?ooaeieie. I?ioa i?e i?iaaaeaii? niaeo?aeueiiai
aiae?co a?aei?/aii, ui iaeneioi caoeiai? aia?a?? a niaeo?? ciaoiaeeoueny
a iecueei/anoioiiio ?ioa?aae? (P.D.Ste?n et al., 1984).

A?aoiaoth/e aeuaiaaaaeaia, i?aaeiaoii aeena?oaoe?eii? ?iaioe ie ia?aee
aeine?aeaeaiiy niaeo?aeueieo oa?aeoa?enoee ia?oiai oiio, aeoeaiooth/e
oaaao ia caoeao i?iea?ae?aeueiiai iioiaeaeaiiy c iaoith ae?iaeaiiy
niaeo?ioiiiea?ae?ia?ao?/ieo e?eoa???a nei?ioeeaino?.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie ? oaiaie.
Aeena?oaoe?y aeeiiaia a ?aieao iaoeiai-aeine?aeii? oaie “?ic?iaea
iiaiai ?ino?oiaioaeueiiai iaoiaeo ioe?iee ooieoe?iiaeueiiai noaio
i?iea?aea ia iniia? eiii’thoa?ii? niaeo?aeueii? oiiiea?ae?ia?ao??”, ?
aea?ae?a?no?aoe?? 0196U003256.

Iaoa ? caaea/? aeine?aeaeaiiy. Iaoith aeaii? ?iaioe aoei
anoaiiaeaiiy ?ioi?iaoeaieo e?eoa???a aiie?ooaeii-/anoioii?
oa?aeoa?enoeee ia?oiai oiio, ye? a a?aeia?aaeaee ?iio?iiiee noai
i?iea?aea, ? aea/aiiy iiaeeeaino? ?o aeei?enoaiiy aeey ioe?iee
ooieoe?iiaeueiiai noaio na?oeaaiai i’yca a o?c?ieia?/ieo oiiaao, a
oaeiae i?e i?iea?ae?aeuei?e iaoieia??.

Aeey aeinyaiaiiy oe??? iaoe ae??ooaaeeny iniiai? caaaeaiiy:

1. ?ic?iaea aaoiiaoeciaaii? onoaiiaee, yea a aeaea iiaeeea?noue oaeaeei
io?eioaaoe /anoioiee niaeo? ia?oiai oiio, aecia/aoe /anoioe c
iaeneiaeueieie aiie?ooaeaie, ae?aoiaoaaoe a?aeiinio caoeiao aia?a?th ia
aoaeue-yeiio /anoioiiio ?ioa?aae? a iaaeao aeine?aeaeoaaiiai
/anoioiiai ae?aiaciio.

2. Aeyaeaiiy /anoioiiai ?ioa?aaeo ia?oiai oiio, iaea?eueo /ooeeaiai aei
ci?i nei?ioeeaino? i?iea?aea.

3. Ni?anoaaeaiiy aaee/eie aia?a?? iaea?eueo /ooeeaeo aei ?iio?iiieo

aieea?a iecueei/anoioieo neeaaeiaeo oiio c iieacieeaie nei?ioeeaino? ca
aeaieie I-aoiea?ae?ia?ao?? aeey anoaiiaeaiiy iayaiino? ?
oa?aeoa?o aca?iica’yce?a i?ae ieie.

4. Anoaiiaeaiiy caeiiii??iinoae ia?a?iciiae?eo caoeiai? aia?a?? o

/anoioiiio ae?aiacii? ia?oiai oiio a caeaaeiino? a?ae ?iio?iiiiai
noaio i?iea?aea c iaoith ae?iaeaiiy oi?o?eiaaieo niaeo?aeueieo
iieaciee?a nei?i/aiiy i?iea?aea.

5. Ioe?iea ee?i?/ii? ?ioi?iaoeaiino? niaeo?aeueieo iieaciee?a ia?oiai
oiio aeey ae?aaiinoeee ii?ooaiiy eiio?aeoeeueiino? o oai?eo ?oai?/iith
oai?iaith na?oey.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. ?iaioa a?ae??ciy?oueny a?ae
?ai?oa aeeiiaieo iiaei i?aeoiaeii aei ioe?iee nei?ioeeaino? i?iea?aea
oeyoii canoinoaaiiy iaoiaeo niaeo?aeueii? oiiiea?ae?ia?ao?? c
aeei?enoaiiyi eiii’thoa?ii? oaoi?ee. Ia iniia? aeanieo aeine?aeaeaiue
aia?oa iieacaiee o?niee aca?iica’ycie i?ae aia?a??th iecueeeo /anoio
ia?oiai oiio (AI*N) oa nei?i/aiiyi na?oey ? c iiaeo iiceoe?e
i?aeoaa?aeaeaii a?iioaco i?i aioo??oiueii?iea?ae?aeueia iioiaeaeaiiy
iecueei/anoioieo neeaaeiaeo. O aeeneon?? a?aeiinii iioiaeaeaiiy
ia?oiai oiio aianai? a?aoiaioe, ye? na?ae/aoue i?i aaaiio o/anoue
i’yciaiai eiiiiiaioa a eiai ooai?aii?.

Aia?oa cai?iiiiiaai? oi?o?eiaai? niaeo?aeuei? iieacieee nei?ioeeaino?
oa iaoiae e?euee?nii? ioe?iee eiio?aeoeeueiiai ?aca?ao i?iea?aea ca
aeaieie niaeo?aeueiiai aiae?co ia?oiai oiio. Ae?noaei iiaeaeueoee
?icaeoie canoinoaaiiy iaoiaeo aeey ae?aaiinoeee cieaeaiiy
eiio?aeoeeueiiai ?aca?ao i?e i?iea?ae?aeuei?e iaoieia??.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. ?acoeueoaoe
aeine?aeaeaiiy aeeaoa ?ice?eaathoue ?ieue i’yciaiai eiiiiiaioa o
no?oeoo?? ia?oiai oiio ? ooi/iththoue eiai aaiac. Ciaeaeai?
niaeo?aeuei? iieacieee nei?ioeeaino? ni?eythoue i?aeaeuaiith
ae?aaiinoe/ii? ?ioi?iaoeaiino? iaoiaeeee niaeo?aeueii?
oiiiea?ae?ia?ao??. ?acoeueoaoe aeine?aeaeaiiy ai?iaaaeaeai? a
iaa/aeueiee i?ioean ia eaoaae?? ii?iaeueii? oa iaoieia?/ii? o?c?ieia??
iaaee/iiai oaeoeueoaoo Oaeai?iaenueeiai aea?aeaaiiai oi?aa?neoaoo i?e
aea/aii? ?icae?eo “O?c?ieia?y e?iaiia?ao”.

Io?eiai? aeai? oaeiae iiaeooue aooe aeei?enoai? o iaaeeoeei? – aeey
ioe?iee ooieoe?iiaeueiiai noaio i?iea?aea a aeeiai?oe? i?e ??cieo
caoai?thaaiiyo na?oey, ioe?iee aoaeoeaiino? e?eoaaiiy oai?eo
ea?ae?ieia?/iiai i?io?eth ? aecia/aiiy i?iaiico caoai?thaaiiy; o nii?o?
– aeey eiio?ieth yeino? o?aioaaeueiiai i?ioeano oiui.

Iniaenoee aianie caeiaoaa/a. Aeena?oaoe?eia ?iaioa aeeiiaia iniaenoi
caeiaoaa/ai. Aaoi?ii noi?ioeueiaaii iaoo oa caaea/? aeine?aeaeaiiy,
i?iaaaeaii aiae?c iaoeiai? e?oa?aoo?e, io?eiaii oa i?iaaaeaii
iaaiai?aiiy ?acoeueoao?a aeine?aeaeaiiy. Iaa?oioiaaii iaoeia? aeniiaee
oa i?aeoe/i? ?aeiiaiaeaoe??.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy
aeena?oaoe?eii? ?iaioe aeiiia?aeaeenue ? aoee iaaiai?ai? ia
iaoeiai-i?aeoe/ieo eiioa?aioe?yo i?ioani?nueei-aeeeaaeaoeueeiai neeaaeo
iaaee/iiai oaeoeueoaoo OaeAeO o 1997-1998 ??., ia i?aeia?iaeiiio
neiiic?oi?, i?aai?ciaaiiio Oai?nueeith aeaaeai??th iaoe (1997 ?.,
i.I??aaeueaaca, Oai?ueia), ia i?aeia?iaeiiio ?aa?iiaeueiiio nai?ia??
“Iaoea, oaoiieia?y, i?ia?an” (1998?., i. Oaeai?iae). Ai?iaaoe?y
aeena?oaoe?? a?aeaoeany 26 aa?aciy 1998 ?ieo ia ?icoe?aiiio can?aeaii?
eaoaae? ii?iaeueii? oa iaoieia?/ii? o?c?ieia??, aini?oaeueii?
oa?ai??, a?io?i?? oa oa?iaeieia?? iaaee/iiai oaeoeueoaoo OaeAeO.

Ioae?eaoe??. Iniiai? iieiaeaiiy aeena?oaoe?? aena?oeai? a 6 noaooyo o
oaoiaeo iaoeiaeo aeo?iaeao ? 1 oacao. 2 ?iaioe iioae?eiaai? naiino?eii.

No?oeoo?a oa ianya aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 125
noi??ieao iaoeiiieniiai oaenoo ? neeaaea?oueny c anooio, 5 ?icae?e?a,
a oaeiae aeniiae?a, nieneo e?oa?aoo?e, yeee neeaaeathoueny c 213
aeaea?ae oa aeiaeaoe?a. O ?iaio? i?aaenoaaeaii 7 oaaeeoeue, 8 ?enoie?a,
4 aeiaeaoee, ui caeiathoue 9 noi??iie.

INIIAIEE CIINO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. Aeey ae??oaiiy iinoaaeaieo
caaaeaiue iaie i?iaaaeai? aeine?aeaeaiiy o aeaio a?oiao
aeine?aeaeoaaieo. O ia?oo a?oio aoiaeeei 85 i?aeoe/ii caei?iaeo
/ieia?e?a a?eii a?ae 18 aei 60 ?ie?a. Ae?oao a?oio neeaee 30
/ieia?e?a a?eii a?ae 40 aei 60 ?ie?a, oai?eo ?oai?/iith oai?iaith
na?oey ?c noaa?eueiith noaiiea?ae??th II ? III ooieoe?iiaeueieo eean?a,
o yeeo i?iaaaeaii niaeo?aeueiee aiae?c ia?oiai oiio c iaoith
aea/aiiy iiaeeeaino? ee?i?/iiai canoinoaaiiy iaoiaeo NOEA aeey
ae?aaiinoeee ii?ooaiiy eiio?aeoeeueiino? na?oeaaiai i’yca. A yeino?
eiio?ieth neoaeeee 20 i?aeoe/ii caei?iaeo /ieia?e?a aiaeia?/iiai a?eo c
ia?oi? a?oie.

Aeey aeine?aeaeaiiy i?aeae?aeenue noa’?eoe c i?eaeecii iaeiaeiaith
oiaueiith a?oaeii? no?iee aeey i?i?i?caoe?? aieeao ia
aiie?ooaeii-/anoioi? oa?aeoe?enoeee ia?oiai oiio i?ia?aeieeiaiai
na?aaeiaeua. Iiia?aaeiuei i?iaiaeeeinue o?ceeaeueia ianoaaeaiiy c
iaia’yceiaith aoneoeueoaoe??th aeey aeeeth/aiiy eeaiaiieo ii?ooaiue oa
a?oa??aeueii? a?ia?oaic??. Aeine?aeaeaiiy i?iaiaeeeinue o iieiaeaii?
“eaaea/e ia niei?” i?ney 10-15 oaeeei a?aeii/eieo aeine?aeaeoaaiiai.
I?ei?uaiiy, a yeeo i?iaiaeeeenue aenia?eiaioe, a?aeiia?aeaee
aeiiaai, ye? noaaeyoueny aei eaa?iao?a oiiiea?ae?ia?ao??
(ooiicaoeuai?noue).

Ia ia?aaeith a?oaeio no?ieo aeine?aeaeoaaiiai a ae?eyioe?
aa?o?aeiaiai iiooiaoo iaeeaaeaany eiioaeoiee aeaeo?iiaai?oiee i?e?ioii,
ui canoiniao?oueny a neeaae? aeaeo?iiiiai iie?a?aoa I4* – 01, c nioaith
a?aeoai?thaaieo /anoio 10-500 Aoe. Caien i?iaiaeeany ia i?ioyc? 10
naeoiae i?e cao?eioe? aeeoaiiy i?ney niie?eiiai aeaeeoo ? caaacia/oaaany
caioneii ia?oi? i?ia?aie, ?acoeueoaoii /iai aoa caien ioeeo?iaaiiai
oiiineaiaeo ia aei?noeee aeene o aeaeyae? oaeeo. Caione ae?oai?
i?ia?aie aeaaaa iiaeeea?noue i?aaenoaaeoe ioeeo?iaaio ?ioi?iaoe?th a
a?ao?/iiio aeaeyae? ia ae?ai? aeenieay. I?ney a?coaeueii? ioe?iee
oiiiea?ae?ia?aie eo?ni?ii o?enoaaee ii/aoie ? e?iaoeue inoeeeyoe?e
ia?oiai oiio. Caioneii o?aouei? i?ia?aie aeae?eaiee oiiineaiae
?iceeaaeaany ia /anoioiee niaeo?, yeee i?aaenoaaeyany o a?ao?/iiio oa
oeeo?iaiio aeaeyae?. O ?ic?aooiie i?eeiaeanue ona?aaeiaia aaee/eia c
i’yoe iine?aeiaieo na?oeaaeo oeeee?a. Niaeo?aeuei? ia?aiao?e ia?oiai
oiio ?ic?aoiaoaaeenue aaoiiaoe/ii o aoaeue-yeeo /anoioieo ?ioa?aaeao ye
ieiua i?ae iaeiath/ith niaeo? e?eaith ? ae?aaeaeenue a oiiaieo
iaeeieoeyo. Aaoiiaoe/ii aecia/aeanue /anoioa, ia ye?e niinoa??aaeanue
iaeneiaeueia aiie?ooaea.

Aeey ioe?iee aeeiai?ee niaeo?aeueieo neeaaeiaeo o oiae? oiio inoaii?e
?icae?eyany ia o?e ??aieo ii o?eaaeino? naaiaioe, a eiaeiiio c yeeo
i?iaaaeaii niaeo?aeueiee aiae?c.

Iaea?eueo /ooeeaee aei ?iio?iiieo aieea?a /anoioiee ?ioa?aae aecia/aany
oeyoii i?iaaaeaiiy o?ueio na??e aenia?eiaio?a. Caaaeueiee /anoioiee
?ioa?aae ia?oiai oiio (20-200 Aoe) ?icae?eyany ia o?e i?aeae?aiaciie
(20-60 Aoe, 60-100 Aoe, 100-200 Aoe) ? aei??thaaeeny i?ioeaioi?
ci?ie aia?a?? ye o caaaeueiiio ?ioa?aae?, oae ? a i?aeae?aiaciiao i?e
i?iaaaeaii? ?ciiao?e/iiai iaaaioaaeaiiy aei iiaii? aoiie oa i?e
noeioeyoe?? ia?aneiiaoe/iiai aieeao ia i?iea?ae oeyoii
i?iaaaeaiiy i?iae Aoia?a-Aeai’?i? o ?aaeei? niieith oa
?ciiao?e/iiai iaaaioaaeaiiy. Niaeo?aeuei? iieacieee niieith i?e
oeueiio neoaeeee aeaniei eiio?ieai aeey eiaeiiai aeine?aeaeoaaiiai ?
i?eeiaeenue ca 100 % . Iaaaioaaeaiiy ia i?iea?ae cae?enithaaeinue
oeyoii i?iaaaeaiiy eenoueiai? ?ciiao?e/ii? iaaaioaaeoaaeueii? i?iae
c neeith noeneaiiy aeeiaiiiao?a a 1/3 a?ae iaeneiaeueii? aei iiaii?
aoiie.

Aeey aea/aiiy caeiiii??iinoae ia?a?iciiae?eo aia?a?? o niaeo?? i?e
??cieo ?iio?iiieo noaiao o caei?iaeo in?a i?iaaaeai? iiaeaethaaiiy
nei?ioeeaino? caniaaie aieeao ia i?iea?ae /a?ac aaaaoaoeaio ia?aiao
nenoaio oa oa?iaeieia?/i? i?iae. Iaaaoeaiee ?iio?iiiee aieea ia
i?iea?ae cae?enithaaany /a?ac ia?aneiiaoe/io ia?aiao nenoaio iaoiaeii,
aeacaiei aeua.

Oa?iaeieia?/i? i?iae i?iaaaeai? c aeiiiiiaith naeaeoeaiiai
aaoa-aae?aiiaeieaoi?a Atenolol-rat?opharm 50 oa i?o?iae?oea?eio.
Aaoa-aae?aiiaeieaoi? i?eeiaany ana?aaeeio iaeii?aciai o aeic? 50 ia.
Caien oiiia?aie i?iaiaeeany aei i?eeiio i?aia?aoo, /a?ac 1 aiae. oa
ia aenio? oa?iaeieia?/ii? ae?? – /a?ac 2 aiae. I?o?iae?oea?ei
i?eeiaany noae?iaaaeueii o aeic? 0,5 ia. Caien cae?enithaaany
aaciina?aaeiuei aei i?eeiio i?aia?aoo ? /a?ac 3 oa. i?ney i?eeiio.

I?e i?iaaaeaii? aenia?eiaio?a aoei aeei?enoaii iie?ea?ae?iaiae?caoi?
IEA 4-01, ui i?aoeth? a I-?aaeei? (neaia? S?m-3000, Ioae?y).
Aeine?aeaeaiiy i?iaiaeeeiny a iieiaeaii? “eaaea/e ia niei?”. Aeao/ee
?ici?uoaaany a III-IY i?ae?aaa?’? ce?aa a?ae a?oaeeie. Eieaoe?th
i?iaiaeeee a ia?o?e noaiaea?oi?e iiceoe??. I?e oeueiio ia eiaei?e
aoiea?ae?ia?ai? aei??thaaeenue e?ioeaai-ae?anoie?/iee oa
e?ioeaai-nenoie?/iee ?ici??e ii?iaeieie e?aiai oeoii/ea oa oiaueia
eiai caaeiuei? no?iee. Oe? ia?aiao?e aoee aeei?enoai? aeey io?eiaiiy
oaeeo iieaciee?a nei?ioeeaino?, ye o?aeoe?y aeeeaeo (OA, %),
nooi?iue nei?i/aiiy ia?aaeiuei-caaeiueiai ?ici??o ii?iaeieie e?aiai
oeoii/ea (% S) oa oaeaee?noue oee?eoey?iiai nei?i/aiiy aieieii
i?iea?aea (Vcf, 1/n), ye? ?ic?aoiaoaaeeny ca a?aeiieie oi?ioeaie
(Caoeeyi, 1986). Aeei?enoiaoaaeanue neio?iiia ?a?no?aoe?y
aoiea?ae?ia?ai oa oiiiea?ae?ia?ai a oiiaao o?c?ieia?/iiai niieith
aeine?aeaeoaaieo oa i?e aeeiiaii? ieie ?ciiao?e/ii? iaaaioaaeoaaeueii?
i?iae. A?oa??aeueiee oene aei??thaaany ca iaoiaeii Ei?ioeiaa,
i?ae?aoiaoaaeanue /anoioa na?oeaaeo nei?i/aiue ii ?ioa?aaeo i?ae
inoeeeyoe?yie ia?oeo oii?a OEA aai ii /anoio? a?oa??aeueiiai
ioeueno, ?ic?aoiaoaaany iiaea?eiee aeiaooie (IAe, oi. iae.) ca
oi?ioeith IAe = AOn o *NN.

Oeeo?iaee iaoa??ae ia?iaeaiee iaoiaeii aa??aoe?eii? noaoenoeee c
aeei?enoaiiyi e?eoa??th t Nouethaeaioa ca aeiiiiiaith ia?niiaeueii? AII.
A caeaaeiino? a?ae eiie?aoieo caaaeaiue aeine?aeaeaiiy aoee
aeei?enoai? iaoiaee ei?aeyoe?eiiai oa aeenia?n?eiiai aiae?co.
?ica?aeiino? i?ae aaee/eiaie, ui

ni?anoaaeyeenue, aaaaeaeenue a??ia?aeieie, yeui ? aoei iaioa 0,05.

?ACOEUeOAOE AeINEIAeAEAIIss OA ?O IAAIAI?AIIss

1. Oa?aeoa?enoeea aaee/eie oa ?iciiae?eo caoeiai? aia?a?? o niaeo??
ia?oiai oiio o caei?iaeo in?a o noai? niieith. I?e i?iaaaeaii?
niaeo?aeueiiai aiae?co o?ueio ??aieo ca o?eaae?noth naaiaio?a oiio
aeyaeaii c?inoaiiy caaaeueii? aia?a?? c iaeneioiii o oeaio?aeueiiio
naaiaio? c ianooiiei ?? cieaeaiiyi. *anoioa c iaeneiaeueiith
aiie?ooaeith aoea iaeaeuith o oeaio?aeuei?e /anoei?, i?ioa ia
ia?aaeuoaaea 30-32 Aoe. Ia i?ioyc? anueiai oiio aeii?ioaaee
iecueei/anoioi? neeaaeia?. Iaea?eueoa aia?a?y aeniei/anoioieo
neeaaeiaeo ?a?no?oaaeanue o oeaio?aeuei?e /anoei?. I/aaeaeii, o oeae
ia??iae iaeneiaeueii a?a?othoue ao??iaaio?eeoey?i? eeaiaie.
Canoinoaaiiy o eeane/i?e oiiiea?ae?ia?ao?? aeniei/anoioieo o?eueo??a
aeaei, oaeei /eiii, iniiao aeey o?aeoiaee aaaaoueia a/aieie iniiaiiai
eiiiiiaioa ye eeaiaiiiai. A?aoiaoth/e, ui OEA ?noi?e/ii ?icaeioeanue c
aoneoeueoaoe?? ? ii??a neooiaiai ni?eeiyooy a?eueo aenieee aeey
a?eueo iecueeeo /anoio, iaa?oue neeuei? a?a?aoe?? a ae?aiacii? 20-50
Aoe i?e nei?i/aii? na?oey noa’?eoeaii iiaeooue ia ni?eeiaoeny.

I?e aiae?c? niaeo??a o ?aaeei? niieith aeyaeaii iaea?eueoo ieoiio aaao
caoeiai? aia?a?? o iecueei/anoioiiio ?ioa?aae? 20-60 Aoe – 56 %4,3 %

(?en. 1). Ae?aiaciie eieeaaiue aaee/ei caoeiai? aia?a?? caoaeoaaeenue
ii i??? c?inoaiiy /anoioieo ?ioa?aae?a. Iaea?eueo? a?aeoeeaiiy
niinoa??aaeenue o iecueei/anoioiiio ae?aiacii? niaeo?a, ui, ia iaoo
aeoieo, a ia?oo /a?ao coiiaeaii ??ciith eiio?aeoeeuei?noth i?iea?aea o
??cieo in?a o caeaaeiino? a?ae aaiaoe/ii aeaoa?i?iiaaieo ??cieo oei?a
naii?aaoeyoe?? nenoaiii? aaiiaeeiai?ee.

2. Aea?? /anoioiiai ?ioa?aaeo, iaea?eueo /ooeeaiai aei ?iio?iiieo
aieea?a. I?iaaaeaii iiaeaethaaiiy ??cieo ?iio?iiieo noai?a oeyoii
aieeao ia ooieoe?iiaeueiee noai na?oeaaiai i’yca /a?ac aaaaoaoeaio
ia?aiao nenoaio. Ooo/ia cieaeaiiy eiio?aeoeeueiino? iiaeaethaaeinue
i?aeaeuaiiyi ia?aneiiaoe/ieo aieea?a ia i?iea?ae oeyoii i?iaaaeaiiy
i?iae Aoia?a – Aeai’?i?, i?aeaeuaiiy – oeyoii noeioeyoe??
neiiaoe/ieo aieea?a /a?ac i?iaaaeaiiy ?ciiao?e/iiai iaaaioaaeaiiy. O
noai? niieith i?i?iaeueia ciaioaiiy caoeiai? aia?a?? niinoa??aaeinue a
ae?aiaciiao 20-60 oa 100-200 Aoe (oaae. 1). I?e i?iaaaeaii?
?ciiao?e/ii? i?iae iaea?eueoa c?inoaiiy aia?a?? aoei o
iecueei/anoioiiio ae?aiacii? – ia 114,37,8 %. Eiee ia oii?
iaaaioaaeaiiy i?iaiaeeee i?iao Aoia?a-Aeai’?i?, oi AI*N i?aeaeuoaaeany
anueiai ia 69,2 %16,8 % ii??aiyii c? noaiii niieith aai ciaiooaaeany
ia 45,1 16,8 % ii??aiyii c? noeioeyoe??th eeoa neiiaoe/ieo aieea?a. A
?ioeo /anoioieo ?ioa?aaeao nooo?aeo ci?i i?e oeueiio ia aeyaeaii.
Iaaaoeaiee ?iio?iiiee aieea aeoeath/iai ia?aa ia oeoii/ee ?
i?i?iaeueiei o noai? niieith (I.Nia?aeae?n, 1990) ? oei a?eueoee, /ei
a?eueoa oiiiaa neiiaoe/ia aeoeai?noue. Ci?ie AI*N i?e i?iaaaeaii? oeeo
aenia?eiaio?a ia caaaeaee ei?aethaaee ?c ci?iaie aia?a?? a ?ioeo
/anoioieo ?ioa?aaeao.

Oaeei /eiii, iaea?eueo oi/iei ? /ooeeaei ae?aiaciiii aei ?iio?iiieo
aieea?a ? iecueei/anoioiee.

3. Aca?iica’ycie i?ae aia?a??th iecueeeo /anoio ia?oiai oiio oa
iieacieeaie nei?ioeeaino? ca aeaieie I-aoiea?ae?ia?ao??. Ianooii?
aeine?aeaeaiiy aoee ni?yiiaai? ia anoaiiaeaiiy aca?iica’yceo i?ae AI*N
oa iieacieeaie nei?ioeeaino? ca aeaieie I-aoiea?ae?ia?ao??: o?aeoe??th
aeeeaeo, nooiaiai nei?i/aiiy ia?aaeiuei-caaeiueiai ?ici??o ii?iaeieie
e?aiai oeoii/ea oa oaeaee?noth oee?eoey?iiai nei?i/aiiy aieieii
i?iea?aea. I?e oeueiio iaeneaaoee i?yiee ei?aeyoe?eiee ca’ycie
anoaiiaeaii i?ae AI*N oa OA (r = 0,326, ?

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