Diagnosis and treatment of hemodynamic disorders and especially hypertension in obese patients is a medico-social problem. Dynamic monitoring and control of the treatment with a non-invasive method of examination is required for these patients with labile psycho-emotional status. Dynamics control is necessary during a certain period of time and with a computer program evaluating the obtained results. The authors examined the patients with obesity on the complex Simon III, allowing to carrying out a comprehensive survey of non-invasive dynamic within a few minutes of observation with the software of the survey process. From a study of the literature suggests that overweight reduces contractility and diastolic function. The examination of 14 men (who do not have acute and chronic diseases, without bad habits, aged (29-52 years) revealed an inverse relationship between increasing body mass index and the index of myocardial contractility (r = -0.62, p <98 %) and the feedback correlation inotropy condition index (r = - 0,75, p <99%)., stroke index and left ventricular work fell well within the normal range of values. Such a detailed interpretation of hemodynamics makes it possible to more reasonable therapy of hypertension and prediction of outcomes in patients with obesity.

Definition risk factors, the proof of their role in human health, as well as a quantitative characteristic of dependences of harmful effects on the levels of exposure to specific factors are one of the fundamental problems of modern clinical medicine, epidemiology, toxicology, occupational health, environmental and other sections of biology and medicine. The object of this study is the population of the city of Tula (22282 patients) and Astrakhan (27776 patients) who applied for emergency medical care apropos of diseases characterized by high blood pressure (ICD I10-I15) in 2013. Women at the age older than working age are the most weather-sensitive group. In the winter time there is a tendency to increase the number of calls to the AG at low amplitude changes daily temperature at high air humidity, wind speed. In spring there is increasing dependence on the number of calls AG at low mean temperature, maximum temperature, speed of wind. In summer there is a significant dependence of increasing the number of calls on AG low average daily temperature, maximum temperature, at low amplitude changes daily temperature; there is a tendency of increasing the number of calls to hypertension in increasing atmospheric pressure difference, while increasing humidity. There are more pronounced changes during sudden changes of weather conditions and a short period of adaptation to temperature changes and humidity.

The introduction gives the morphological characteristics of myocardial hypertrophy, hy-pertrophic cardiomyopathy, as a subject of differential diagnosis. In the description of clinical cases of diagnostics of transient myocardial hypertrophy by echocardiographic method, the aim was to show the possibilities of such diagnostics in newborns

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