Yu.E. TEREGULOV^1,2, S.D. MAYANSKAYA², Z.K. LATIPOVA², G.F. ABZALOVA², A.A. SADRIYEVA², E.T. TEREGULOVA³, M.M. MANGUSHEVA^1,2

¹Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation 420064

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

³Kazan State Medical Academy, 36 Butlerov St., Kazan, Russian Federation 420012

Teregulov Yu.E. —Cand. Med. Sc., Head of the Department of Functional Diagnostics, Associate Professor of Hospital Therapy Department, tel. +7-917-264-70-04, e-mail: tereg2@mail.ru^1,2

906-320-70-79, e-mail:guzelka88@bk.ru²

Mayanskaya S.D. — D. Med. Sc., Professor, Vice Rector on Science and Innovations, tel. +7-905-316-99-66, e-mail: smayanskaya@mail.ru²

Latipova Z.K. — postgraduate student of Hospital Therapy Department, tel. +7-987-285-33-52, e-mail:zaliya87@rambler.ru²

Abzalova G.F. — postgraduate student of Hospital Therapy Department, tel. +7-906-320-70-79, e-mail: guzelka88@bk.ru²

Sadriyva A.A. — postgraduate student of Hospital Therapy Department, tel. +7-987-277-60-39, e-mail: anzilya-s@yandex.ru²

Teregulova E.T. — Cand. Med. Sc., Assistant Lecturer of the Department of Cardiology, Roentgen-endovascular and Cardio-vascular Surgery, tel. +7-917-265-27-52, e-mail: elena_dt@mail.ru³

Mangusheva M.M. — Cand. Med. Sc., Associate Professor of Hospital Therapy Department, tel. +7-917-297-56-06, e-mail: rkb_nauka@rambler.ru^1,2

To study features of hemodynamics in patient with essential hypertension with left ventricle remodeling of various type, there were studied 195 patients with essential hypertension of 1-3 degree aged from 18 till 84, 56,4±12,9 (M±σ). The duration of hypertension in this group was from 1 to 29 years, average 10,7±7,5 years.

The geometrical model of the left ventricle hypertrophy was determined by eсhocardiography under classification of A. Ganau et al. (1992).

The modulus of volume elasticity (MVE), the average blood pressure, the total peripheral vascular resistance (TPVR), and the MVE/TPVR were calculated by the model of cardio-vascular system by A.E. Teregulov.

It is revealed that in patients with essential hypertension the geometrical remodeling of a myocardium depends on gender, age, duration of arterial hypertension and hemodynamic indicators (MVE, TPVR). Concentric types of remodeling are accompanied with prevalence of the arterial system stiffness over peripheral vascular resistance. With an eccentric hypertrophy, peripheral vascular resistance prevails over the arterial system stiffness.

Key words: arterial hypertension, left ventricle remodeling, arterial system stiffness.

 

 

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