ARTERIAL BLOOD PRESSURE DAILY PROFILE CHARACTERISTICS AT PATIENTS WITH CHRONIC HEART FAILURE AND RENAL DISORDER
https://doi.org/10.24884/1561-6274-2011-15-4-39-44
Abstract
THE AIM: investigation of arterial blood pressure (ABP) daily profile specifications at patients with chronic heart failure (CHF) depending on functional kidneys state. PATIENTS AND METHODS. 184 patients with CHF were searched (101 men and 83 women), average age - 56.7 years. 20 patients were diagnosed I functional class (FC), 105 - II., 58 - III CHF FC and 1 - IV CHF FC. Glomerular filtration rate (GFR) was counted by MDRD formula, average GFR was 58.6±18.9 ml/min/1.73m2. CHF ordered sample was divided into quartiles. RESULTS. Patients from quartile 4 had higher value of ABP. There was shown positive correlation of diurnial and average daily systolic and diastolic ABP., diastolic ABP hypertension time index with CHF value. Meaningful differences were detected in night decreasing level (NDL) of systolic and diastolic ABP at patients of CHF with different GFR: ABP NDL was statically rather lower at patients with CHF from 1 quartile. CONCLUSION. Results of the research testify about appreciable ABP diurnial rhythm disturbances at patients with CHF associated with chronic kidney disease which can potentially affect on disease prognosis. It is necessary to provide further investigations of diurnial ABPM factors alteration prognostic value determination at patients with CHF and usage of received information for treatment optimization
About the Authors
V. A. SEROV
Ульяновский государственный университет
Russian Federation
Russian Federation
A. V. SHUTOV
Ульяновский государственный университет
Russian Federation
Russian Federation
O. V. TROSHEN’KINA
Ульяновский государственный университет
Russian Federation
Russian Federation
Ye. R. MAKEEVA
Ульяновский государственный университет
Russian Federation
Russian Federation
D. V. SEROVA
Ульяновский государственный университет
Russian Federation
Russian Federation
Yu. S. KUZNETSOVA
Ульяновский государственный университет
Russian Federation
Russian Federation
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Review
For citations:
SEROV V.A., SHUTOV A.V., TROSHEN’KINA O.V., MAKEEVA Ye.R., SEROVA D.V., KUZNETSOVA Yu.S. ARTERIAL BLOOD PRESSURE DAILY PROFILE CHARACTERISTICS AT PATIENTS WITH CHRONIC HEART FAILURE AND RENAL DISORDER. Nephrology (Saint-Petersburg). 2011;15(4):39-44. (In Russ.) https://doi.org/10.24884/1561-6274-2011-15-4-39-44
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