pm mfvt1
    • Main page
      • About journal
      • Articles. Working with contents
      • Editor-in-chief
      • Editorial Council
      • Editorial Board


      • For authors
      • Standards for formatting information
      • Reviewing
      • Politics editorial board
      • Ethics of journal publications


      • For advertisers
      • Subscription
      • About the Publishing House
      • Contact us
  • Influence of hemodynamic factors of structural geometric remodeling of the left ventricle on the daily profile of arterial pressure in patients with arterial hypertension

    Редактор | 2018, Practical medicine 01 (18) Modern questions of diagnostics | 29 марта, 2018

    Yu.E. TEREGULOV1,2, Z.K. LATIPOVA2, M.S. MAKSIMOVA1, N.V. MAKSUMOVA1

    1 KSMA –– Branch Campus of the FSBEI FPE RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012

    2 Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012

    Teregulov Yu. E. — D. Med. Sc., Associate Professor, Head of the Department of Functional Diagnostics, Associate Professor of the Department of Hospital Therapy, tel. +7-917-264-70-04, e-mail: tereg2@mail.ru

    Latipova Z.K. ― applicant of the Department of Hospital Therapy, tel. +7-987-285-33-52, e-mail: zaliya87@rambler.ru

    Maksimova M.S. ― Assistant Lecturer of the Department of Functional Diagnostics, tel. +7-917-393-05-19, e-mail: mariamaxfd@mail.ru

    Maksumova N.V. ― Assistant Lecturer of the Department of Functional Diagnostics, tel.  +7-917-257-80-03, e-mail: nv_maks@mail.ru

    The article is devoted to the study of the influence of integral indices of central hemodynamics and structural-geometric remodeling of the left ventricle on the daily profile of arterial pressure in senior patients with arterial hypertension (AH). 75 patients aged from 60 to 86 y.o. (68.6 ± 6.9) were examined; of them 45 women (60 %) and 30 men (40 %). All patients underwent 24-hour monitoring of blood pressure (BP) and echocardiography. The 24-hour patterns of BP, heart rate, SV, CO, systolic and diastolic BP were determined. According to the mathematical model, modulus of volume elasticity (MVE), total peripheral vascular resistance (TPVR), MVE/TPVR and mean arterial pressure were calculated. The geometric model of LV remodeling and the differentiated types of hemodynamic were determined. It is shown that the increase in the integral stiffness of the arterial system and the overall peripheral vascular resistance, together with the decrease in the shock release contribute to the lower degree of nocturnal decrease in systolic blood pressure in patients with AH. Most frequently, night pressure is increases under hyperkinetic type of circulation and in patients with predominant stiffness of the arterial system.The types of 24-hour pattern of BP for eccentric and concentric types of structural-geometric remodeling of the left ventricle in patients with AH are presented.

    Key words: daily monitoring of arterial blood pressure, central hemodynamics, geometric remodeling of the left ventricle, arterial hypertension.

    REFERENCES

    1. Pshenitsin A.I. Sutochnoe monitorirovanie arterial’nogo davleniya. Izdanie 2-e, ispravlennoe i dopolnennoe [Daily monitoring of blood pressure. Edition 2, revised and enlarged]. Moscow: ID “MEDPRAKTIKA-M”, 2015. 336 p.
    2. Fratolla A., Paratti G., Cuspidietal C. Prognosticvalue of 24-hourpressurevariability. J. Hypertens, 1993, no. 11, rr. 1133–1137.
    3. Hoside S., Kario K., Hoshide Y. et al.  Associations between nondipping of nocturnal blood pressure decrease and cardiovascular target organ damage in strictly selected community-dwelling normotensives. Am. J. of Hypertens, 2003, no. 16 (6), pp. 434–438.
    4. Hermida R.C., Ayala D.E., Fernández J.R., Mojón A. Sleeping time blood pressure: prognostic value and relevance as a therapeutic target for cardiovascular risk reduction. Chronobiol. Int, 2013, 30, pp. 68–86.
    5. Hermida R.C., Ayala D.E., Mojón A., Fernández Decreasing sleep-time blood pressure determined by ambulatory monitoring reduces cardiovascular risk. Am. Coll. Cardiol, 2011, no. 58, pp. 1165–1173.
    6. Hermida R.C., Smolensky M.H., Ayala D.E. et al.  2013 ambulatory blood pressure monitoring recommendations for the diagnosis of adult hypertension, assessment of cardiovascular and other hypertension-associated risk, and attainment of therapeutic goals. Chronobiol Int, 2013, no. 30 (3), pp. 355–410.
    7. Dorogova I.V., Usanov V.D., Bocharnikov D.Yu., Taktaeva E.L. The effect of the 24-hour blood pressure profile of pregnant women during pregnancy, childbirth and fetal growth. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki, 2016, no. 2 (38), pp. 27–33 (in Russ.).
    8. Davidovich I.M., Neapolitanskaya T.E. Influence of different regimes of permanent electrocardiostimulation on the daily profile of arterial pressure in patients with coronary heart disease in combination with hypertensive disease. Dal’nevostochnyy meditsinskiy zhurnal, 2012, no. 2, pp. 14–18 (in Russ.).
    9. Rebrov A.P., Kharitonova I.A. Features of the daily profile of arterial pressure and indices of arterial stiffness in patients with osteoarthritis in the presence and absence of hypertension. Saratovskiy nauchno-meditsinskiy zhurnal, 2009, no. 1, pp. 68–70 (in Russ.).
    10. Nikitina N.M., Lobanova O.S., Rebrov A.P. Daily profile of arterial pressure in patients with rheumatoid arthritis. Saratovskiy nauchno-meditsinskiy zhurnal, 2009, no. 2, pp. 190–194 (in Russ.).
    11. Kario K., Shimada K. Differential effects of amlodipine on ambulatory blood pressure in elderly hypertensive patients with different nocturnal reductions in blood pressure. Am. J. of Hypertens, 1997, no. 10, rr. 261–268.
    12. Ratova L.G., Dmitriev V.V., Tolpygina S.N., Chazova I.E. Daily monitoring of arterial pressure in clinical practice. Consilium Medicum, 2001, no. 13, pp. 14–24 (in Russ.).
    13. Somers V., Dyken M., Mark A. et al.  Autonomic and hemodynamic responses during sleep in normal and sleep-apneic humans. J. Hypertens., 1992, no. 10 (4), r. 4.
    14. Zadorozhnaya M.P., Razumov V.V., Minochenko I.L. Remodeling prognostic indexes of daily arterial pressure monitoring for left ventricular myocardium. Kardiovaskulyarnaya terapiya i profilaktika, 2014, vol. 13, no. S2, p. 43 (in Russ.).
    15. Teregulov Yu.E., Mayanskaya S.D., Latipova Z.K. et al.  Evaluation of hemodynamics in patients with arterial hypertension with various types of left ventricular remodeling. Prakticheskaya meditsina, 2014, no. 6 (82), pp. 88–94 (in Russ.).
    16. Pavlova O.S., Liventseva M.M., Korobko I.Yu., Nechesova T.A. The daily rhythm of arterial fission, depending on the type of left ventricular myocardial remodeling in patients with arterial hypertension. Vestnik aritmologii, 2004, no. 35 (appl.), p. 68 (in Russ.).
    17. Khromtsova O.M., Arkhipov M.V. Structural and functional features of the left ventricle of the heart and their connection with the daily profile of arterial pressure in patients with arterial hypertension. Ratsional’naya farmakoterapiya v kardiologii, 2009, no. 1, pp. 46–50 (in Russ.).
    18. Teregulov Yu.E., Teregulov A.E. Rigidity of the arterial system as a risk factor for cardiovascular complications: assessment methods. Prakticheskaya meditsina, 2011, no. 4 (52), pp. 133–137 (in Russ.).
    19. Teregulov Yu.E. Integral indices of central hemodynamics in healthy individuals and patients with hypertensive disease, depending on the type of hemodynamics. Prakticheskaya meditsina, 2012, 8(64), pp. 164–168 (in Russ.).
    20. Ganau A., Devereux R.B., Roman M.J. et al.  Patterns of left ventricular hypertrophy and geometric remodeling in essential hypertension. J. Am. Coll. Cardiol., 1992, no. 19 (1), rr. 1550–1558.
    21. Lang R.M., Badano L.P., Mor-Avi V. et al. Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J. Am. Soc. Echocardiogr., 2015, vol. 28, pp. 1–39.
    22. Ostrovskiy Yu.P. Serdechnaya nedostatochnost’ [Heart failure]. Minsk: Belaruskaya navuka, 2016. 503 p.

    Метки: 2018, Arterial hypertension, central hemodynamics, daily monitoring of arterial blood pressure, geometric remodeling of the left ventricle, M.S. MAKSIMOVA, N.V. MAKSUMOVA, Practical medicine 01 (18) Modern questions of diagnostics, Yu.E. TEREGULOV, Z.K. LATIPOVA

    ‹ AN APPROACH TO THE REMOVAL OF FOREIGN BODIES FROM THE TRACHEOBRONCHIAL TREE IN PATIENTS WITH ACUTE RESPIRATORY FAILURE Heart rate variability in patients with heart failure combined with chronic obstructive pulmonary disease ›
    • rus Версия на русском языке


      usa English version site


      Find loupe

      

    • PARTNERS

      пов  logonew
    «Для
    Practical medicine. Scientific and practical reviewed medical journal
    All rights reserved ©