Elastic properties of arteries in hypertensive patients with hypertensive nephropathy and chronic stable angina

Authors

  • I.M. Fushtei Zaporizhzhya Medical Academy of Postgraduate Education Ministry of Health of Ukraine,
  • I.A. Kulinich Central hospital of Ordzhonikidzevsky district, Zaporizhzhya, Ukraine,
  • D.P. Myrnyi Zaporizhzhya Medical Academy of Postgraduate Education Ministry of Health of Ukraine,

DOI:

https://doi.org/10.14739/2310-1237.2013.2.17364

Keywords:

arterial hypertension, hypertensive nephropathy, stable angina, arterial stiffness

Abstract

Arterial wall changes are one of the arterial hypertension (AH) earliest complications. Hypertensive nephropathy is the widespread complication of AH which makes a substantial contribution to end stage renal disease. The aim of our work is the determination of specific features of peripheral arteries blood flow in patients with arterial hypertension in combination with stable angina depending on hypertensive nephropathy. 120 patients were examined with computerized tetrapolar electric impedance plethysmography. Significant changes of arterial circulation were revealed in all groups. Large vessels tonus in patients with AH and stable angina increased significantly. There were no changes of large vessels tonus in patients with hypertensive nephropathy. Tonus of femoral artery, medium and small arteries of hip had no significant relation with stable angina and hypertensive nephropathy. Tonus of internal carotid artery was significantly less in patients with AH and stable angina and hadn’t relation with nephropathy. Tonus of medium and small arteries of shoulder hadn’t relation with stable angina and was significantly higher in patients with hypertensive nephropathy than in those without nephropathy.

References

Beneficial effects on arterial stiffness and pulse-wave reflection of combined enalapril and candesartan in chronic kidney disease – a randomized trial / M. Frimodt-Möller, A.L. Kamper, S. Strandgaard [et al.] // PLoS One. – 2012. – Vol. 7, №7. – P. 1–9.

Urine albumin excretion and subclinical cardiovascular disease. The Multi-Ethnic Study of Atherosclerosis / H. Kramer, D.R. Jacobs Jr, D. Bild [et al.] // Hypertension. – 2005. – Vol. 46, №1. – P. 38–43.

Microalbuminuria independently correlates to cardiovascular comorbidity burden in patients with hypertension / .F Mahfoud, C. Ukena, J. Pöss [et al.] // Clin Res Cardiol. – 2012. – Vol. 101, №9. – P. 761–766.

Factors related to the occurrence of microalbuminuria during antihypertensive treatment in essential hypertension / J. Redon, E. Rovira, A. Miralles [et al.] // Hypertension. – 2002. – Vol. 39, №3. – P. 794–798.

Microalbuminuria, but not cystatin C, is associated with carotid atherosclerosis in middle-aged adults / N. Rodondi, P. Yerly, A. Gabriel [et al.] // Nephrol Dial Transplant. – 2007. – Vol. 22, №4. – P. 1107–1114.

Mild renal dysfunction and subclinical cardiovascular damage in primary hypertension / G. Leoncini, F. Viazzi, D. Parodi [et al.] // Hypertension. – 2003. – Vol. 42, №1. – P. 14–18.

Urinary albumin excretion is independently associated with carotid and femoral artery atherosclerosis in the general population / M. Furtner, S. Kiechl, A. Mair [et al.] // Eur Heart J. – 2005. – Vol. 26, №3. – P. 279–287.

Afeccion renal subclinica y establecida en pacientes hipertensos de nuevo diagnostico / M.A. Gomez-Marcos, C. Martinez-Salgado, G. Grandes [et al.] // Med Clin (Barc). – 2010. – Vol. 134, №6. – P. 246–253.

Прасолов А.В. Нарушения иммунного статуса, упруго-эластических свойств сосудистого русла и возможности их коррекции у больных ИБС: стабильной стенокардией напряжения II–III ФК: автореф дис. … канд. мед. наук: спец. 14.03.09 «Клиническая иммунология, аллергология» / А.В. Прасолов. – Курск, 2011. – 44 с.

Arterial compliance adds to conventional risk factors for presence of angiographic coronary artery disease / D.M. Herrington, K. Kesler, J.C. Reiber [et al.] // Am Heart J. – 2003. – Vol. 146. – P. 662–667.

Arterial remodeling associates with CKD progression / M. Briet, C. Collin, A. Karras [et al.] // J Am Soc Nephrol. – 2011. – Vol. 22, No. 5. – P. 967–974.

Measurement of the local aortic stiffness by a non-invasive bioelectrical impedance technique / M. Collette, A. Lalande, S. Willoteaux [et al.] // Med Biol Eng. – Comput. – 2011. – Vol. 49, №4. – P. 431–439.

Graham A.A. Plethysmography: safety, effectiveness, and clinical utility in diagnosing vascular disease / A.A.Graham // Health Technol Assess (Rockv). – 1996. – Vol. 7. – P. 41–46.

How to Cite

1.
Fushtei I, Kulinich I, Myrnyi D. Elastic properties of arteries in hypertensive patients with hypertensive nephropathy and chronic stable angina. Pathologia [Internet]. 2013Sep.30 [cited 2024Nov.23];(2). Available from: http://pat.zsmu.edu.ua/article/view/17364

Issue

Section

Original research