Preview

Nephrology (Saint-Petersburg)

Advanced search

Sonography data in pregnant women with arterial hypertension

Abstract

THE AIM - to identify the sonography picture features in pregnant women with somatic pathology and without it. PATIENTS AND METHODS. 401 complex clinical examination of pregnant women aged from 18 to 46 years with somatic pathology were performed: group 1 with gestational hypertension, group 2 with essential arterial hypertension. The control group consisted of 152 pregnant women. All patients were examined impatiently and outpatiently according to diagnostic standards. RESULTS. The length and thickness of kidneys remained the most constant parameters in main groups during gestation and after it (p> 0.05). The volume of kidney in comparison of control group increased up to second trimester of pregnancy: in 1 group at the expense of left kidney width, in 2 group at the expense of right kidney. Dilation of right kidney pelvis was more significant in 2 group with chronical arterial hypertension. Diameter of the cups was significantly increased in comparison with the control and with the same parameters in group 2. CONCLUSION. Changes of the kidneys detected by ultrasonic biometrics, and anthropometric parameters are statistically significantly interrelated and reflect the kidneys remodeling during gestation stages in both pregnancy women with gestation and chronic arterial hypertension.

About the Authors

N. A. Konyshko
State Education Institution of Higher Professional Training Smolensk State Medical Academy
Russian Federation


T. E. Morozova
State Education Institution of Higher Professional Training First Sechenov Moscow State Medical University
Russian Federation


References

1. Abramson B.L., Melvin R.G. Cardiovascular risk in women: focus on hypertension. Can. J. Cardiol. 2014; 30(5): 553-559.

2. Itoh H. Programs for continuing medical education: B session; 6. Metabolic syndrome and chronic kidney disease. Nihon Naika Gakkai Zasshi. 2014; 103(3): 710-716.

3. Konta T. Renal disease-related clinical examination in a cohort study. Rinsho Byori. 2014; 62(2): 190-196.

4. Mimura I., Nangaku M. Epigenetics in kidney diseases. Rinsho Byori. 2014; 62(2): 180-189.

5. Смирнов А.В., Каюков И.Г, Добронравов В.А., Румянцев A.Ш. Острое повреждение почек: концептуальные проблемы. Нефрология. 2014; Т 18; № 2: С. 8-24

6. Смирнов А.В., Каюков И.Г, Дегтерева О.А., Добронравов B.А. Проблемы диагностики и стратификации тяжести острого повреждения почек. Нефрология. 2009; Т. 13. № 3: С. 9-18

7. Российские рекомендации по диагностике и лечению сердечно-сосудистых заболеваний при беременности 2013 г.// Российский кардиологический журнал.-2013.-4(102).-Пр. 1. - 40 с.

8. Mosteller RD. Simplified Calculation of Body Surface Area. N. Engl. J. Med. 1987; 317(17): 1098.

9. Митьков В.В. Практическое руководство по ультразвуковой диагностике: М. 2011;720 с.

10. Верзакова И.В., Сетоян М.А. Дуплексное сканирование почек у здоровых беременных. Медицинский вестник Башкортостана. 2008; 5: 54-57

11. Магомедова Г.А. Гемостаз и почечная гемодинамика у беременнных с гестозом. Вестник новых медицинских технологий. 2010; 4: 73-75

12. Hussein W., Lafayette R.A. Renal function in normal and disordered pregnancy. Curr Opin Nephrol Hypertens. 2014 ;23(1):46-53.


Review

For citations:


Konyshko N.A., Morozova T.E. Sonography data in pregnant women with arterial hypertension. Nephrology (Saint-Petersburg). 2015;19(1):61-66. (In Russ.)

Views: 432


ISSN 1561-6274 (Print)
ISSN 2541-9439 (Online)