Push Phenomenon

The push phenomenon or push-type syndrome FT is a clinical-metabolic syndrome manifested by a disturbance of the heart rhythm in the form of atrial fibrillation, provoked by a short traumatic brain injury, physical activity, psycho-emotional stress and combined with metabolic syndrome - diabetes mellitus, obesity, arterial hypertension and leading to severe cardiovascular complications. This syndrome is recorded in more than 40% of hospitalized trauma patients (the main cohort is young and middle-aged people, predominantly male). The presented data contribute to the transition from the phenomenological meaning of the term “Push Phenomenon” to the definition of an independent etiopathogenetic syndrome.

From this perspective, it seems logical to us to develop several promising areas of research into the push phenomenon: - Clarification of the symptoms of cardiovascular failure in push-type syndrome. - Assessment of hemodynamic and biochemical parameters in the acute period of injury and throughout the year to establish risk factors for deterioration of the condition. - Determination of mechanisms of activation of the blood coagulation process (primarily the hemostatic system) with the participation of the endothelium, fibrin growth factors during physical and mental stress, fatigue, as well as mental, psychogenic and extreme stress, dysregulation of the sleep-wake cycle. - Conducting provocative tests using video recording and ECG recording at a low threshold for their manifestation to create an algorithm for assessing the severity of harm to health and an algorithm for its assessment.