Liudmila Gerasimova
Russian Biotechnological University, Russian FederationPresentation Title:
Assessment of the prenosological and pre-morbid conditions by means of the method of variation pulsometry
Abstract
The Total Effect of Regulation (TER) of the heart rhythm is determined by the mathematical expectation of the heart rate with the separation of states: marked tachycardia, moderate tachycardia, normocardia, moderate bradycardia, marked bradycardia. The following are used for TER research: bedside monitors, Holter monitors, portable wearable analysers, telemetry monitors. The specific formula for calculating TER may depend on the context and purpose of the study, so we developed a management tool to predict the reduction in the likelihood of developing rhythm disturbances. This index was calculated in students on the basis of the following factors: index of activity of regulatory systems, autonomic homeostasis, vasomotor (vascular) centre, automatism function and degree of centralisation of control. On the basis of the data obtained, we can conclude that the application of the model based on the total effect of regulation, taking into account the above-mentioned indicators, has a high degree of informative value and reliability. Based on the calculated indicators, a management mechanism for forecasting the level of TER has been developed. By ranking the degree of expression of the risk factors included in the model, it is possible to develop management mechanisms of the TER indicator. We obtain the dependency of changes in the level of TER from the unfavourable to the favourable level. The study of TER and its application in clinical practice can contribute to improving the quality of life of patients and reducing the risk of complications due to cardiac arrhythmias. Keywords: Variation pulsometry, total regulation effect, students, management mechanisms.
Biography
Ludmila Gerasimova received her MD degree at the age of 40 from Kazan State Medical University, Russia. She currently serves as the head of the pedagogical and methodical department at the Vinogradov University Teaching Hospital, a branch of the Federal State Autonomous Educational Institution of Higher Education "People's Friendship University of Russia named after Patrice Lumumba" (FSAEI HE "People's Friendship University of Russia named after Patrice Lumumba"), located at 61 Vavilova Street, Moscow, 117292, Russian Federation. In addition to her administrative role, she is a professor in the department of obstetrics and gynecology at the Medical Institute of Continuing Education of the 2nd Federal State Budgetary Educational Institution of Higher Education "Russian Biotechnological University" (FSBEI HE "ROSBIOTEKH"). Gerasimova has authored 388 publications, which have been cited over 850 times, resulting in an h-index of 14 according to e-library metrics. She is also an editorial board member of several reputable journals in her field.