http://dspace.zsmu.edu.ua/handle/123456789/267 Tue, 29 Sep 2026 20:17:01 GMT 2026-09-29T20:17:01Z http://dspace.zsmu.edu.ua/handle/123456789/26021 Название: Современный взгляд на проблему синдрома ранней реполяризации желудочков в спортивной кардиологии Авторы: Михалюк, Е. Л.; Малахова, С. Н.; Михалюк, Євген Леонідович; Малахова, С. М.; Mikhalyuk, E. L.; Malakhova, S. N. Аннотация: Синдром ранньої реполяризації шлуночків, вперше описаний більше 70 років тому, залишається недостатньо вивченим в прогностичному плані і тактиці ведення. Результати сучасних досліджень змушують поглянути на синдром ранньої реполяризації шлуночків як на можливий прояв патологічних процесів, що відбуваються в міокарді, особливо при інтенсивних фізичних навантаженнях, що важливо в спорті вищих досягнень. Нами проведено електрокардіографічне обстеження спортсменів різної кваліфікації з метою виявлення даного феномена. Early ventricular repolarization syndrome, first described more than 70 years ago, remains poorly understood in terms of prognosis, and tactics. These modern studies look at the cause of early ventricular repolarization syndrome as a possible manifestation of the pathological processes occurring in the myocardium, especially in intense physical activity, which is especially important in sports. We conducted a survey of electrocardiographic athletes of different skills in order to identify this phenomenon. Sun, 01 Jan 2012 00:00:00 GMT http://dspace.zsmu.edu.ua/handle/123456789/26021 2012-01-01T00:00:00Z http://dspace.zsmu.edu.ua/handle/123456789/25964 Название: Оцінка показників метаболічного профілю за результатами комплексної реабілітації хворих похилого віку з гонартритом у поєднанні з саркопенічним синдромом Авторы: Алипова, Олена Євгенівна; Рубан, Є. В.; Черепок Олександр Олексійович Mon, 01 Jan 2024 00:00:00 GMT http://dspace.zsmu.edu.ua/handle/123456789/25964 2024-01-01T00:00:00Z http://dspace.zsmu.edu.ua/handle/123456789/25924 Название: Підходи до профілактики серцево-судинних подій в рамках навчального процесу у студентів медичного університету Авторы: Михалюк, Євген Леонідович; Малахова, С. М.; Mikhalyuk, E. L.; Malakhova, S. M. Аннотация: Проведено обстеження 3486 студентів, які вступили на I курс до Запорізького державного університету в період з 2009/2010 по 2013/2014 навчальні роки. Всім студентам виконана електрокардіографія, при наявності показань – ехокардіоскопія. За даними електрокардіографії встановлено, що за вказаний проміжок часу кількість осіб без патологічних змін варіює від 88,9% до 91,2%. Вперше виявлено зміни на електрокардіограмі у 8,8%-11,1% підлітків. При необхідності, зумовленій наявністю медичних показань, проводилась ехокардіоскопія. The problem of deaths from cardiovascular disease continues to remain relevant in the world. At the same time the share of sudden cardiac death (SCD) accounts for the largest number of deaths. SCD most frequently implemented by the development of acute left ventricular failure with malignant ventricular arrhythmias, a manifestation of which is accompanied by disturbances as a systemic and regional hemodynamics. Consequently, the identification of a particular type of arrhythmias and conduction of the heart must be accompanied by their predictive assessment on the risk of SCD, regardless of the presence or absence of structural heart disease. At the same time, the presence or absence of structural heart disease may be determinative for adaptive changes in cardiac output parameters, and hence to the nature of the clinical course of arrhythmia. In this regard, the key value for the clinical interpretation of malignant course of any arrhythmia, determine its life-threatening nature should be considered the following states: syncope, dizziness, hypotension, chest pain, shortness of breath. The study involved 3486 students enrolled in the course I Zaporozhye State Medical University (ZSMU) in the period from 2009/2010 to 2013/2014 academic years. All students performed electrocardiography, when indicated – echocardioscopy. Of 535 students enrolled in the I course in 2009/2010 academic year not found electrocardiography changes in 487 (91,0%) teenagers. Electrocardiography changes were recorded in 48 (9,0%) students. Among first-year students 2010/2011 academic year according to norm electrocardiography set at 577 (91,2%), have bias – 56 (8,8%) students. Echocardioscopy held 17 students, of whom 11 – no structure change of heart, in 7 – found deviations. In 2011/2012 academic year examined 643 students enrolled in the I course. As a result, electrocardiography studies in 572 (88,9%) students reported lack of pathological changes, in 71 (11,1%) – detected abnormalities. Held 14 echocardioscopy. Of these, four students found organic changes have, 10 – without pathological changes. According to the 2012/2013 academic year, out of 903 first-year students electrocardiography abnormality were absent in 818 (90,6%), 85 (9,4%) had changes. Held 6 echocardioscopy, no changes – only 1 student. In 2013/2014 academic year I course on ZSMU received 772 students. In 691 (89,5%) on the electrocardiography abnormalities were not found, in 81 cases (10,5%) – detected changes. Indications for echocardioscopy have 16 students. We consider it appropriate to conduct electrocardiography all teenagers, regardless of the presence or absence of complaints for timely detection of pathological changes in the structures of the heart and prevent unwanted cardiovascular events, and if there are indications – echocardioscopy. Wed, 01 Jan 2014 00:00:00 GMT http://dspace.zsmu.edu.ua/handle/123456789/25924 2014-01-01T00:00:00Z http://dspace.zsmu.edu.ua/handle/123456789/25809 Название: Beyond injury prevention: an iterative cycle architecture for musculoskeletal health and quality of life in sedentary adults Авторы: Chukhlantseva, N. V.; Cherednychenko, I. A.; Sokyrko, O. S.; Сокирко, Олексій Сергійович Аннотация: The article addresses the gap between existing physical activity programming models and the needs of sedentary adults with musculoskeletal dysfunction and reduced health-related quality of life (HRQoL). The study aims to develop and substantiate an iterative cycle architecture integrating the PDCA model, Just-in-Time Adaptive Interventions (JITAI), and Self-Determination Theory (SDT), and to evaluate its feasibility through a 12-week intervention with a 3-month follow-up. A critical analysis of three established frameworks – classical periodization, FITT-based prescription, and JITAI – reveals that none fully addresses the programming challenge for this population: periodization lacks adaptability, FITT has no responsive adjustment mechanism, and JITAI operates without program-level architecture. The proposed iterative cycle fills this gap through four interconnected stages – assessment, individualized design, monitored implementation, and data-driven adjustment – repeated every two weeks. The intervention involved 27 sedentary adults and combined aerobic, resistance, stabilization, and proprioceptive training at 50–60% HRmax, monitored via accelerometry and training diaries. Post-intervention results showed significant improvements in posture, back muscle endurance, static balance, and pain, with gains maintained and in some domains – dynamic balance and joint mobility – continued to develop at the 3-month follow-up. A key theoretical contribution is the formal integration of SDT indicators into load prescription logic, treating motivational readiness as a structural determinant of program progression. The iterative cycle is proposed as a reproducible mid-range programming model applicable in rehabilitation, fitness, and health-promotion settings. Thu, 01 Jan 2026 00:00:00 GMT http://dspace.zsmu.edu.ua/handle/123456789/25809 2026-01-01T00:00:00Z