CHANGE IN THE ELECTRICAL ACTIVITY OF THE HEART AFTER A BULLET WOUND TO THE ABDOMEN: INFLUENCE OF INJURY ON THE WORK OF THE HEART

Abstract

The article highlights the study of the impact of a bullet wound, particularly of the abdomen, on the electrical activity of the heart. The author investigates the changes that occur in the work of the heart after an injury and considers their consequences for the health of patients. The results of the study may contribute to the development of new methods of treatment and care for victims of such injuries. Purpose. Study of changes in the electrical activity of the heart after a bullet injury to the abdomen. Scientific novelty. The scientific novelty of this article is a unique study of changes in the electrical activity of the heart in the context of a bullet wound to the abdomen. The use of advanced monitoring methods made it possible to study in detail the dynamics of the electrical activity of the heart after a traumatic impact. The obtained results can make a significant contribution to the understanding of cardiovascular responses to trauma and contribute to the improvement of strategies for the treatment of cardiac complications in the case of bullet wounds to the abdomen. Materials and methods. The basis of the study was the results of the ballistic characteristics of 5.45-caliber ammunition, paramagnetic signals in peripheral blood, and the state of the cardiovascular system in 14 animals (pigs) with severe and extremely severe through bullet wounds to the abdomen without damage to vascular and nerve bundles and vital organs. Results: The obtained results of the reactions of the cardiovascular system in animals to a through bullet wound of the abdomen allowed us to reveal the regular periodicity of the hemodynamic changes that occur, characteristic of shock, concussion and myocardial infarction, myocardial blood supply deficiency, and can be useful in solving the issues of diagnosing cardiac injuries of the vascular system in severe and extremely severe penetrating gunshot wounds to the abdomen in humans. Conclusions. The obtained results emphasize the importance of systemic monitoring of cardiovascular parameters in patients with bullet wounds to the abdomen and emphasize the need for early intervention to ensure the stability of the cardiovascular system. This study contributes to a deeper understanding of the mechanisms of electrophysiological disturbances arising as a result of traumatic exposure.