CENTRAL HEMODYNAMICS INDICES IN PATIENTS WITH ESSENTIAL AND RENAL ARTERIAL HYPERTENSION
https://doi.org/10.24884/1561-6274-2006-10-4-37-42
Abstract
THE AIM of the investigation was to make a comparative analysis of central hemodynamics indices in patients with essential arterial hypertension and symptomatic arterial hypertension against the background of chronic glomerulonephritis. PATIENTS AND METHODS. Results of clinical observations and EchoCG investigations were analyzed in 145 patients with arterial hypertension. Essential arterial hypertension (EAH) was diagnosed in 94 patients, 51 patients had chronic glomerulonephriis – renal arterial hypertension (RAH), which made up 64.8% and 35.2% of the total number of patients with arterial hypertension respectively. RESULTS. Patients with EAH and RAH against the background of chronic glomerulonephritis had impairments of central hemodynamics, with the most pronounced changes of the LV diastolic function. At that, more substantial changes of the diastolic function were observed in patients with EAH. The EAH patients against the background of insignificant LV hypertrophy had substantial impairments of the LV diastolic function with the saved systolic LV function. Patients with RAH against the background of CGN had more pronounced hypertrophy of the LV myocardium as compared with EAH patients and reliably less manifestations of the LV diastolic dysfunction. CONCLUSION. So, there are particular features in the state of the central hemodynamics in patients with EAH and RAH.
About the Authors
V. G. Yarkova
Тюменская государственная медицинская академия
Russian Federation
Russian Federation
V. A. Zhmurov
Тюменская государственная медицинская академия
Russian Federation
Russian Federation
M. V. Malishevsky
Тюменская государственная медицинская академия
Russian Federation
Russian Federation
D. E. Kovalchuk
Тюменская государственная медицинская академия
Russian Federation
Russian Federation
E. E. Fedorova
Тюменская государственная медицинская академия
Russian Federation
Russian Federation
References
1. Ajmani RS. Hypertension and hemorheology. Clin Hemorheol Microcirc 1997;17: 397-420
2. Смирнов АВ, Добронравов ВА, Каюков ИГ. Кардио – ренальный континуум: Патогенетические основы превентивной кардиологии. Нефрология 2005; 3:7-15
3. Phillips RА, Goldman МE, Ardeian M et al. Determinants of abnormal left ventricular filling in early hypertension. J Am Со11 Cardiol 1989;14: 979-985
4. Kannel WВ. Hypertension as а risk factor for cardiac eventsepidemiologic results of long-term studies. J Cardiovasc Pharmacol 1993; 21[Suppl 2]:27-37
5. Dauterman KW, Massie BM, Gheorghiade M. Heart failure associated with preserved systolic function: a common and costly clinical entity. Am Heart J 1998;135: S310-S319
6. Шутов АМ, Мардер НЯ, Хамидулина ГА, Машина ТВ. Диагностика диастолической сердечной недостаточности у больных с хронической болезнью почек. Нефрология 2005;(4): 30-34
7. Беленков ЮН. Роль нарушений систолы и диастолы в развитии сердечной недостаточности. Тер арх 1994;(9):3-7
8. Беленков ЮН, Агеев ФТ, Мареев ВЮ. Знакомьтесь: диастолическая сердечная недостаточность. Сердечная недостаточность 2000; 2:40-44
9. Vasan RS, Benjamin EJ, Levy D. Congestive heart failure with normal left ventricular systolic function. Arch Intern Med 1996;156:146-157
10. Баранов ОИ, Антоненко ЛН. Нарушение расслабления миокарда: патогенез и клиническое значение. Кардиология 1995;(4):57-60
11. White WВ, Shulman P, Deu NМ et al. Average daily blood pressure, not blood pressure determines cardiac dysfunction in left ventricular hypertension. J Cardiovasc Pharmacol 1992;19 [Suppl 5]:116-121
12. Galderisi M, Celentano А, Таттата D et al. Left ventricular hypertrophy, compliance and ventricular filling. Int Med Res 1991;19:103-111
13. Gang S, Feng W, Hatbo R. The relationship between left ventricular hypertrophy, diastolic function and ambulatory blood pressure in patients with borderline hypertension. J Eur Hyrh 1999;17[Suppl 3]:120
14. Voutilainen S, Kuрart М, Hipellatnen М et al. Circadian variation of left ventricular diastolic function in healthy people. Heart 1996;75:35-39
15. Beltman F, Нееsеr W, Smit А. Two-year follow-up study of evaluate the reduction of left ventricular mass and diastolic function in mild to moderate diastolic hypertensive patients. J Hypertens 1998;16:15-19
16. Юренев АП, Коздоба ОА, Беснева ЭВ и др. Характеристика гипертрофии левого желудочка у больных с различными формами артериальной гипертонии, по данным эхокардиографии. Кардиология 1985;25:60-62
17. Григоричева ЕА, Празднов АС. Функциональное состояние левого желудочка у больных эссенциальной гипертонией с различными типами гипертрофии левого желудочка в покое и при ручной изометрической нагрузке. Кардиология 1999;(7):17-21
18. Глотов МН, Мазур НА. Диастолическая функция левого желудочка у больных гипертонической болезнью. Кардиология 1994;(1):89-93
19. Phillips RА, Goldman МE, Ardeian M et al. Determinants of abnormal left ventrciular filling in early hypertension. J Am Соll Cardiol 1989;14:979-985
Review
For citations:
Yarkova V.G., Zhmurov V.A., Malishevsky M.V., Kovalchuk D.E., Fedorova E.E. CENTRAL HEMODYNAMICS INDICES IN PATIENTS WITH ESSENTIAL AND RENAL ARTERIAL HYPERTENSION. Nephrology (Saint-Petersburg). 2006;10(4):37-42. (In Russ.) https://doi.org/10.24884/1561-6274-2006-10-4-37-42
Views:
443
Email this article 