SPECIFICS OF ARTERIAL HYPERTENSION COURSE IN PATIENTS WITH AORTIC ATHEROSCLEROSIS COMPLICATED BY ACUTE THROMBOTIC OCCLUSION

Aim. To evaluate the main possible reasons for arterial hypertension in patients with thrombotic occlusion of the large arteries of extremities in atherosclerotic disease.Material and methods. The course of arterial hypertension was analyzed in 129 cases of atherosclerotic aortic disease, complicate...

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Main Authors: E. М. Evsikov, N. V. Teplova, D. A. Maytesian, R. A. Sharipov, М. Kh. Zhapueva, N. N. Levchuk, V. V. Kashirin, G. А. Chervyakova, Е. G. Kurumlidu, S. А. Abduragimov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2016-09-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/912
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author E. М. Evsikov
N. V. Teplova
D. A. Maytesian
R. A. Sharipov
М. Kh. Zhapueva
N. N. Levchuk
V. V. Kashirin
G. А. Chervyakova
Е. G. Kurumlidu
S. А. Abduragimov
author_facet E. М. Evsikov
N. V. Teplova
D. A. Maytesian
R. A. Sharipov
М. Kh. Zhapueva
N. N. Levchuk
V. V. Kashirin
G. А. Chervyakova
Е. G. Kurumlidu
S. А. Abduragimov
author_sort E. М. Evsikov
collection DOAJ
description Aim. To evaluate the main possible reasons for arterial hypertension in patients with thrombotic occlusion of the large arteries of extremities in atherosclerotic disease.Material and methods. The course of arterial hypertension was analyzed in 129 cases of atherosclerotic aortic disease, complicated with acute thrombotic occlusion of the arteries of lower (112) and upper (17) extremities due to thrombosis (108) and embolism (21) of magistral vessels comparing to the data of 46 patients with chronic ischemia of lower extremities.Results. Arterial hypertension (AH) in anamnesis was marked in all patients of study groups and comparison group. systolic AH was diagnosed in 17,8% (23), and in comparsion group — 19,5% (9). Thrombectomy was followed by the decrease of mean BP in most of patients, with good effect of operation and return of adequate circulation in the extremity — in 82,2%, by mean 17,1% systolic and 21,4% — diastolic BP. In 31 patient the dynamics of systolic and diastolic BP after operation was not single-directed and did not raise for more than 5% over baseline, and in 7% cases there was increase of BP, by mean 19,4% systolic and 22,6% diastolic. GFR levels were lower than normal in more than 70% patients of AEI and more than 65% in comparison group.Conclusion. Thrombectomy and reconstruction interventions on occluded arteries, with successful restore of main circulation in the extremity, are followed by significant decrease of systemic systolic and diastolic arterial pressure in most patients.
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spelling doaj.art-45c85cc9b7594fe7acadc821fe70742f2023-03-29T21:23:26Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202016-09-0109141810.15829/1560-4071-2016-9-14-18765SPECIFICS OF ARTERIAL HYPERTENSION COURSE IN PATIENTS WITH AORTIC ATHEROSCLEROSIS COMPLICATED BY ACUTE THROMBOTIC OCCLUSIONE. М. Evsikov0N. V. Teplova1D. A. Maytesian2R. A. Sharipov3М. Kh. Zhapueva4N. N. Levchuk5V. V. Kashirin6G. А. Chervyakova7Е. G. Kurumlidu8S. А. Abduragimov9N. I. Pirogov Russian National Research Medical University (RNRMU), Moscow; O. M. filatov CCH № 15 of the Department of Health of Moscow, MoscowN. I. Pirogov Russian National Research Medical University (RNRMU), MoscowO. M. filatov CCH № 15 of the Department of Health of Moscow, MoscowO. M. filatov CCH № 15 of the Department of Health of Moscow, MoscowN. I. Pirogov Russian National Research Medical University (RNRMU), MoscowO. M. filatov CCH № 15 of the Department of Health of Moscow, MoscowO. M. filatov CCH № 15 of the Department of Health of Moscow, MoscowO. M. filatov CCH № 15 of the Department of Health of Moscow, MoscowN. I. Pirogov Russian National Research Medical University (RNRMU), MoscowN. I. Pirogov Russian National Research Medical University (RNRMU), MoscowAim. To evaluate the main possible reasons for arterial hypertension in patients with thrombotic occlusion of the large arteries of extremities in atherosclerotic disease.Material and methods. The course of arterial hypertension was analyzed in 129 cases of atherosclerotic aortic disease, complicated with acute thrombotic occlusion of the arteries of lower (112) and upper (17) extremities due to thrombosis (108) and embolism (21) of magistral vessels comparing to the data of 46 patients with chronic ischemia of lower extremities.Results. Arterial hypertension (AH) in anamnesis was marked in all patients of study groups and comparison group. systolic AH was diagnosed in 17,8% (23), and in comparsion group — 19,5% (9). Thrombectomy was followed by the decrease of mean BP in most of patients, with good effect of operation and return of adequate circulation in the extremity — in 82,2%, by mean 17,1% systolic and 21,4% — diastolic BP. In 31 patient the dynamics of systolic and diastolic BP after operation was not single-directed and did not raise for more than 5% over baseline, and in 7% cases there was increase of BP, by mean 19,4% systolic and 22,6% diastolic. GFR levels were lower than normal in more than 70% patients of AEI and more than 65% in comparison group.Conclusion. Thrombectomy and reconstruction interventions on occluded arteries, with successful restore of main circulation in the extremity, are followed by significant decrease of systemic systolic and diastolic arterial pressure in most patients.https://russjcardiol.elpub.ru/jour/article/view/912acute arterial thrombosischronic ischemia of lower extremitiesarterial hypertension
spellingShingle E. М. Evsikov
N. V. Teplova
D. A. Maytesian
R. A. Sharipov
М. Kh. Zhapueva
N. N. Levchuk
V. V. Kashirin
G. А. Chervyakova
Е. G. Kurumlidu
S. А. Abduragimov
SPECIFICS OF ARTERIAL HYPERTENSION COURSE IN PATIENTS WITH AORTIC ATHEROSCLEROSIS COMPLICATED BY ACUTE THROMBOTIC OCCLUSION
Российский кардиологический журнал
acute arterial thrombosis
chronic ischemia of lower extremities
arterial hypertension
title SPECIFICS OF ARTERIAL HYPERTENSION COURSE IN PATIENTS WITH AORTIC ATHEROSCLEROSIS COMPLICATED BY ACUTE THROMBOTIC OCCLUSION
title_full SPECIFICS OF ARTERIAL HYPERTENSION COURSE IN PATIENTS WITH AORTIC ATHEROSCLEROSIS COMPLICATED BY ACUTE THROMBOTIC OCCLUSION
title_fullStr SPECIFICS OF ARTERIAL HYPERTENSION COURSE IN PATIENTS WITH AORTIC ATHEROSCLEROSIS COMPLICATED BY ACUTE THROMBOTIC OCCLUSION
title_full_unstemmed SPECIFICS OF ARTERIAL HYPERTENSION COURSE IN PATIENTS WITH AORTIC ATHEROSCLEROSIS COMPLICATED BY ACUTE THROMBOTIC OCCLUSION
title_short SPECIFICS OF ARTERIAL HYPERTENSION COURSE IN PATIENTS WITH AORTIC ATHEROSCLEROSIS COMPLICATED BY ACUTE THROMBOTIC OCCLUSION
title_sort specifics of arterial hypertension course in patients with aortic atherosclerosis complicated by acute thrombotic occlusion
topic acute arterial thrombosis
chronic ischemia of lower extremities
arterial hypertension
url https://russjcardiol.elpub.ru/jour/article/view/912
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