Arrhythmias in young men with hypertension (opinion on the problem)

Abstract

Hypertension (HTN) in young men is associated with a high arrhythmia risk due to myocardial remodeling, impaired autonomic regulation, and metabolic disturban­ces. Analysis of current data shows that this group of patients frequently experien­ces sinus tachycardia, supraventricular and ventricular premature beats, and paro­xysmal atrial fibrillation. Early detection of arrhythmias in young men with HTN can reduce the risk of sudden cardiac death and the progression of cardiovascular complications. Effective arrhythmia diagnosis includes standard electrocardio­graphy, 24-hour cardiac monitoring, exercise testing, and 2D speckle tracking echocardiography. In complex cases, transesophageal left atrial pacing, cardiac magne­tic resonance ima­ging, and intracardiac electrophysiological studies are used. The use of artificial intelligence for analyzing electrocardiographic signals is becoming a promising approach. The purpose of this review is to analyze and systematize exis­ting know­ledge about the need for early diagnosis of latent cardiac arrhythmias and various diagnostic methods for cardiac arrhythmias in young hypertensive men.