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"Arterial’naya Gipertenziya" ("Arterial Hypertension")

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Endothelial dysfunction in patients with bronchial asthma and concomitant essential hypertension

https://doi.org/10.18705/1607-419X-2012-18-1-52-57

Abstract

Objective. To investigate endothelial function in asthmatic subjects including patients with essential hypertension (EH). Design and methods. The levels of endothelium-dependent and endothelium-independent vasodilation, pulmonary artery systolic pressure (PASP) were evaluated by ultrasound scanner before and after the treatment of the asthma exacerbation. Results. The PASP values before treatment in patients with asthma and concomitant EH (31.3 ± 0.6 mm Hg) and II stage (31.4 ± 0.7 mm Hg) were higher, than in patients with normal blood pressure (28.3 ± 0.6 mm Hg), p < 0.05. The levels of endothelium-dependent vasodilation after treatment in patients with asthma and concomitant EH I stage (11.12 ± 1.00 %) and II stage (10.04 ± 0.88 %) were lower, than in patients with normal blood pressure (15.60 ± 1.58 %), p < 0.05. The levels of endothelium-dependent and endothelium-independent vasodilation, PASP were comparable in patients with different asthma severity. Conclusion. Endothelial function, PASP in asthmatic subjects are related to the presence of concomitant EH.

About the Authors

A. G. Kozyrev
Scientific Research Institution of Pulmonology at Pavlov St Petersburg State Medical University
Russian Federation


A. Y. Gichkin
Scientific Research Institution of Pulmonology at Pavlov St Petersburg State Medical University
Russian Federation


V. E. Perley
Scientific Research Institution of Pulmonology at Pavlov St Petersburg State Medical University
Russian Federation


References

1. Демко И.В., Гордеева Н.В., Петрова М.М., Артюхов И.П. Особенности клинической картины и лечения бронхиальной астмы, сочетающейся с заболеваниями сердечно-сосудистой системы // Терапевт. арх. — 2007. — № 9. — С. 60-65.

2. Dogra S., Ardern C.I., Baker J. The relationship between age of asthma onset and cardiovascular disease in Canadians // J. Asthma. — 2007. — Vol. 44, № 10. — P. 849-854.

3. Celermajer D.S., Sorensen K.E., Gooch V.M., Spiegelhalter D.J., Miller O.I. Sullivan I.D., Lloyd J.K., Deanfield J.E. Non-invasive detection of endothelial dysfunction in children and adults at risk of atherosclerosis // Lancet. — 1992. — Vol. 340, № 8828. — P. 1111-1115.

4. Yildiz P., Oflaz H., Cine N., Genchallac H., Erginel-Unaltuna N., Yildiz A., Yilmaz V. Endothelial dysfunction in patients with asthma: the role of polymorphisms of ACE and endothelial NOS genes // J. Asthma. — 2004. — Vol. 41, № 2. — P. 159-166.

5. Corretti M.C., Anderson T.J., Benjamin E.J. Celermajer D., Charbonneau F., Creager M.A., Deanfield J., Drexler H., Gerhard-Herman M., Herrington D., Vallance P., Vita J., Vogel R. Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery // J. Am. Coll. Cardiol. — 2002. — Vol. 39, № 2. — P. 257-265.

6. Al-Qaisi M., Kharbanda R.K., Mittal T.K., Donald A.E. Measurement of endothelial function and its clinical utility for cardiovascular risk // Vasc. Health Risk Manag. — 2008. — Vol. 4, № 3. — P. 647-652.

7. Бродская Т.А., Невзорова В.А., Гельцер Б.И., Моткина Е.В. Дисфункция эндотелия и болезни органов дыхания // Терапевт. арх. — 2007. — № 3. — С. 76-84.

8. Борута С.А., Шахнис Е.Р., Омельяненко М.Г. Роль дисфункции эндотелия в формировании легочной гипертензии у больных бронхиальной астмой // Пульмонология. — 2008. — № 2. — С. 38-41.

9. Ребров А.П., Кароли Н.А., Мешковская О.В. Неинвазивное определение функции периферических сосудов у больных бронхиальной астмой // Пульмонология. — 2002. — № 2. — С. 38-44.

10. Юлдашева И.А. Состояние эндотелия сосудов легких у больных бронхиальной астмой // Клинич. мед. — 2004. — № 5. — С. 36-39.

11. Кароли Н.А., Ребров А.П. Вазорегулирующая активность эндотелия и легочная гипертензия // Терапевт. арх. — 2004. — № 12. — С. 39-44.

12. Латышева Е.А., Гендлин Г.Е., Сторажаков Г.И., Курбачева О.М. Гипотензивная терапия у больных с сочетанием гипертонической болезни и бронхиальной астмы // Артериальн. гипертензия. — 2009. — Т. 15, № 1. — С. 71-77.


Review

For citations:


Kozyrev A.G., Gichkin A.Y., Perley V.E. Endothelial dysfunction in patients with bronchial asthma and concomitant essential hypertension. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2012;18(1):52-57. (In Russ.) https://doi.org/10.18705/1607-419X-2012-18-1-52-57

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ISSN 1607-419X (Print)
ISSN 2411-8524 (Online)