Blood pressure profile, structural and functional cardiac parameters, renal function and metabolic status in hypertensive patients with chronic secondary pyelonephritis
https://doi.org/10.18705/1607-419X-2010-16-3-256-260
Abstract
Objective. To study the blood pressure variability, morphofunctional parameters of the heart, kidney and metabolic status
in hypertensive patients with secondary chronic pyelonephritis. Design and methods. The study included 110 patients: 55
patients with arterial hypertension and secondary chronic pyelonephritis, who underwent surgery for upper urinary tract, and
55 patients with essential arterial hypertension. All patients underwent 24-hour blood pressure monitoring, echocardiography;
relative urine density in the morning urine portion, microalbuminuria, blood creatinine were assessed, glomerular fi ltration
rate was calculated using MDRD formula. Results. Patients with arterial hypertension and chronic pyelonephritis have
signifi cant changes of the blood pressure profi le, and hypertrophy and diastolic left ventricle dysfunction are more frequently
observed in this group. A close relation between renal function and the state of the cardiovascular system is established. We
also found higher numbers of total cholesterol, the most atherogenic fractions of cholesterol and triglycerides in this group
compared to patients with essential hypertension.
in hypertensive patients with secondary chronic pyelonephritis. Design and methods. The study included 110 patients: 55
patients with arterial hypertension and secondary chronic pyelonephritis, who underwent surgery for upper urinary tract, and
55 patients with essential arterial hypertension. All patients underwent 24-hour blood pressure monitoring, echocardiography;
relative urine density in the morning urine portion, microalbuminuria, blood creatinine were assessed, glomerular fi ltration
rate was calculated using MDRD formula. Results. Patients with arterial hypertension and chronic pyelonephritis have
signifi cant changes of the blood pressure profi le, and hypertrophy and diastolic left ventricle dysfunction are more frequently
observed in this group. A close relation between renal function and the state of the cardiovascular system is established. We
also found higher numbers of total cholesterol, the most atherogenic fractions of cholesterol and triglycerides in this group
compared to patients with essential hypertension.
About the Authors
M. E. Statsenko
Volgograd State Medical University
Russian Federation
Russian Federation
M. V. Derevjanchenko
Volgograd State Medical University
Russian Federation
Russian Federation
References
1. Терентьев В.П., Батюшин М.М. Нефрогенная артериальная гипертензия. - Ростов-на-Дону: издательство РостГМУ, 2004. - 62 с.
2.
3. Рогоза А.Н. Суточное мониторирование артериального давления (по материалам методических рекомендаций ESH 2003) // Функцио- нальная диагностика. - 2004. - № 4. - С. 29-44.
4.
5. Шиллер Н.Б., Осипов М.А. Клиническая эхокардиография. - М.: Практика, 2005. - 344 с.
6.
7. Нефрология. Руководство для врачей / Под ред. И.Е. Тареевой. - М.: Медицина, 2000. - 688 с.
8.
9. Verdecchia P., Schillaci G., Reboldi G. et al. Different prognostic impact of 24-hour mean blood pressure and pulse pressure on stroke and coronary artery disease in essential hypertension // Circulation. - 2001. - Vol. 103, № 21. - P. 2579-2584.
10.
11. Беленков Ю.Н., Мареев В.Ю. Сердечно-сосудистый континуум // Сердечная недостаточность. - 2002. - Т. 3, № 1. - С. 7-11.
12.
13. European Best Practice Guidelines for Haemodialisis. Part I // Nephrol. Dial. Transplant. - 2002. - Vol. 17 (Suppl. 7). - P. 7-15.
14.
15. Мухин Н.А. Избранные лекции по внутренним болезням. - М.: Изд-во Литтерра, 2006. - 240 с.
16.
17. Mancia G., De Backer G., Dominiczak A. et al. 2007 Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC) // J. Hypertens. - 2007. - Vol. 25, № 6. - P. 1105-1187.
18.
19. K/DOQI clinical practice guidelines for managing dislipidemias in chronic kidney disease // Am. J. Kidney Dis. - 2003. - Vol. 41 (Suppl. 4). - P. S1-S92.
20.
Review
For citations:
Statsenko M.E., Derevjanchenko M.V. Blood pressure profile, structural and functional cardiac parameters, renal function and metabolic status in hypertensive patients with chronic secondary pyelonephritis. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2010;16(3):256-260. (In Russ.) https://doi.org/10.18705/1607-419X-2010-16-3-256-260
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