[Human heart and endothelium functional activity depending on age and sex]

The complex study ofcardio-hemodynamics and functional activity of the endothelium in healthy persons of different age allowed us to establish that aging accompanied with a gradual worsening in the endothelium functioning with resulting increase in peripheral vascular resistance and blood pressure as well as decrease in the myocardial contractile activity. Such age shifts might be involved in pathogenesis of cardiovascular diseases, which prevalence is highly rises with increased age. Analysis of sex difference in the endothelium functioning showed a progressing lowering of the endothelium-dependent vasodilatory reaction to begin in the men as early as after 40 years of age. This leads to the decrease in the vasodilatory reserve with increase in peripheral vascular resistance and blood pressure. Worsening in the myocardial contractility in 40-year men can be also stipulated by changing in the endothelium synthetic activity that was evidenced by decrease in plasma levels of NO stable metabolites. In the women, such a lowering of the endothelium functional activity begins 10 years later and progresses more slowly compared to the men. The rate of worsening in the endothelium functioning in the men is twice of that in the women. Therefore, the elderly women have the endothelium to be 20 years "younger" than that in the elderly men, and perhaps namely this explains the better functioning of the cardiovascular system in the elderly women. So, a functional activity of the endothelium can be a main age and sex determinant, which stipulates well-known age and sex differences in prevalence of cardiovascular diseases and life expectancy. Prevention of the endothelium function disturbances might lead to the alignment of the differences between men and women in prevalence of cardiovascular diseases and life expectancy, decrease in general morbidity with improvement of life quality in elderly.