BLOOD LIPOPROTEIN SPECTRUM AND THE LEVEL OF VASOACTIVE ENDOTHELIAL FACTORS IN CHILDREN WITH ARTERIAL HYPOTENSION
The article presents the data on the characteristic features of lipoprotein metabolism and the level of vasoactive endothelial factors in children with primary and symptomatic arterial hypotension. Dyslipidemia in the first group of patients is characterized by an increase in low-density lipoprotein cholesterol, apolipoprotein B100, the atherogenicity coefficient, the ApoLP atherogenicity index, a high concentration of nitric oxide in case of low levels of high-density lipoprotein cholesterol and ApoLP A1. In children with chronic gastroduodenal pathology and symptomatic arterial hypotension, the above disorders of lipoprotein metabolism and endothelial function are accompanied by an increased content of total cholesterol and bradykinin. These data suggest that in children with primary and symptomatic arterial hypotension, conditions for the formation of the initial atherosclerotic process are created due to the predominance of the pro-atherogenic Apo B100 transporter protein over the anti-atherogenic Apo A1, as well as due to a significant increase in nitric oxide and endothelial dysfunction.