RENAL HEMODYNAMICS EVALUATION IN PATIENTS SUFFERING FROM RHEUMATOID ARTHRITIS WITH AND WITHOUT COMORBID HYPERTENSION

Aim. To study the features of renal arterial blood flow in patients suffering from rheumatoid arthritis, its interaction with visual markers of atherosclerosis in the presence of comorbid hypertension.Materials and methods. 113 patients with rheumatoid arthritis (RA) were enrolled into this study. D...

Full description

Bibliographic Details
Main Authors: Zh. Z. OTAROVA, L. N. YELISEYEVA, O. I. ZHDAMAROVA, A. U. BLEDNOVA, A. F. DAVYDOVA
Format: Article
Language:Russian
Published: Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” 2018-02-01
Series:Кубанский научный медицинский вестник
Subjects:
Online Access:https://ksma.elpub.ru/jour/article/view/1011
_version_ 1797295468566282240
author Zh. Z. OTAROVA
L. N. YELISEYEVA
O. I. ZHDAMAROVA
A. U. BLEDNOVA
A. F. DAVYDOVA
author_facet Zh. Z. OTAROVA
L. N. YELISEYEVA
O. I. ZHDAMAROVA
A. U. BLEDNOVA
A. F. DAVYDOVA
author_sort Zh. Z. OTAROVA
collection DOAJ
description Aim. To study the features of renal arterial blood flow in patients suffering from rheumatoid arthritis, its interaction with visual markers of atherosclerosis in the presence of comorbid hypertension.Materials and methods. 113 patients with rheumatoid arthritis (RA) were enrolled into this study. Depending on the comorbidity of hypertension the patients were divided into two groups: without (n=53) and with hypertension (n=60). The comparison group consisted of 41 patients with arterial hypertension without RA. Clinical characteristics and blood biochemistry of all the patients were measured. Renal arterial resistance index (RI), presence of atherosclerotic plaques (ASP) in the carotid arteries were assessed by ultrasound scan.Results. In this investigation we report the correlation of the of renal resistive index (RI) and ultrasound signs of carotid atherosclerosis with hypertension in patients with RA. It was found out that there is the increase of RI in RA associated with the age of patients, the onset of the disease at a later age, the presence of atherosclerotic plaques in the carotid arteries and hypertension. In addition, patients with RA had a high frequency of bilateral RI increase by more than 0.7 (64%). Patients with bilateral high RI had a two-fold increase in the registration rate of atherosclerotic plaques in both group of patients with RA.Conclusion. Increased renal arteries RI in patients with RA is a factor associated with the comorbid hypertension and accompanied by more significant atherosclerotic changes in the carotid arteries in the form of an increased incidence of atherosclerotic plaques.
first_indexed 2024-03-07T21:48:21Z
format Article
id doaj.art-4a04bd91b773495b929174bb2122f013
institution Directory Open Access Journal
issn 1608-6228
2541-9544
language Russian
last_indexed 2024-03-07T21:48:21Z
publishDate 2018-02-01
publisher Ministry of Healthcare of the Russian Federation. “Kuban State Medical University”
record_format Article
series Кубанский научный медицинский вестник
spelling doaj.art-4a04bd91b773495b929174bb2122f0132024-02-25T10:57:22ZrusMinistry of Healthcare of the Russian Federation. “Kuban State Medical University”Кубанский научный медицинский вестник1608-62282541-95442018-02-01251889310.25207/1608-6228-2018-25-1-88-93875RENAL HEMODYNAMICS EVALUATION IN PATIENTS SUFFERING FROM RHEUMATOID ARTHRITIS WITH AND WITHOUT COMORBID HYPERTENSIONZh. Z. OTAROVA0L. N. YELISEYEVA1O. I. ZHDAMAROVA2A. U. BLEDNOVA3A. F. DAVYDOVA4Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation.Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation.Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation.Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation.Scientific Research Institution – S.V. Ochapovsky Regional Clinical Hospital № 1.Aim. To study the features of renal arterial blood flow in patients suffering from rheumatoid arthritis, its interaction with visual markers of atherosclerosis in the presence of comorbid hypertension.Materials and methods. 113 patients with rheumatoid arthritis (RA) were enrolled into this study. Depending on the comorbidity of hypertension the patients were divided into two groups: without (n=53) and with hypertension (n=60). The comparison group consisted of 41 patients with arterial hypertension without RA. Clinical characteristics and blood biochemistry of all the patients were measured. Renal arterial resistance index (RI), presence of atherosclerotic plaques (ASP) in the carotid arteries were assessed by ultrasound scan.Results. In this investigation we report the correlation of the of renal resistive index (RI) and ultrasound signs of carotid atherosclerosis with hypertension in patients with RA. It was found out that there is the increase of RI in RA associated with the age of patients, the onset of the disease at a later age, the presence of atherosclerotic plaques in the carotid arteries and hypertension. In addition, patients with RA had a high frequency of bilateral RI increase by more than 0.7 (64%). Patients with bilateral high RI had a two-fold increase in the registration rate of atherosclerotic plaques in both group of patients with RA.Conclusion. Increased renal arteries RI in patients with RA is a factor associated with the comorbid hypertension and accompanied by more significant atherosclerotic changes in the carotid arteries in the form of an increased incidence of atherosclerotic plaques.https://ksma.elpub.ru/jour/article/view/1011rheumatoid arthritisrenal resistive indexhypertension
spellingShingle Zh. Z. OTAROVA
L. N. YELISEYEVA
O. I. ZHDAMAROVA
A. U. BLEDNOVA
A. F. DAVYDOVA
RENAL HEMODYNAMICS EVALUATION IN PATIENTS SUFFERING FROM RHEUMATOID ARTHRITIS WITH AND WITHOUT COMORBID HYPERTENSION
Кубанский научный медицинский вестник
rheumatoid arthritis
renal resistive index
hypertension
title RENAL HEMODYNAMICS EVALUATION IN PATIENTS SUFFERING FROM RHEUMATOID ARTHRITIS WITH AND WITHOUT COMORBID HYPERTENSION
title_full RENAL HEMODYNAMICS EVALUATION IN PATIENTS SUFFERING FROM RHEUMATOID ARTHRITIS WITH AND WITHOUT COMORBID HYPERTENSION
title_fullStr RENAL HEMODYNAMICS EVALUATION IN PATIENTS SUFFERING FROM RHEUMATOID ARTHRITIS WITH AND WITHOUT COMORBID HYPERTENSION
title_full_unstemmed RENAL HEMODYNAMICS EVALUATION IN PATIENTS SUFFERING FROM RHEUMATOID ARTHRITIS WITH AND WITHOUT COMORBID HYPERTENSION
title_short RENAL HEMODYNAMICS EVALUATION IN PATIENTS SUFFERING FROM RHEUMATOID ARTHRITIS WITH AND WITHOUT COMORBID HYPERTENSION
title_sort renal hemodynamics evaluation in patients suffering from rheumatoid arthritis with and without comorbid hypertension
topic rheumatoid arthritis
renal resistive index
hypertension
url https://ksma.elpub.ru/jour/article/view/1011
work_keys_str_mv AT zhzotarova renalhemodynamicsevaluationinpatientssufferingfromrheumatoidarthritiswithandwithoutcomorbidhypertension
AT lnyeliseyeva renalhemodynamicsevaluationinpatientssufferingfromrheumatoidarthritiswithandwithoutcomorbidhypertension
AT oizhdamarova renalhemodynamicsevaluationinpatientssufferingfromrheumatoidarthritiswithandwithoutcomorbidhypertension
AT aublednova renalhemodynamicsevaluationinpatientssufferingfromrheumatoidarthritiswithandwithoutcomorbidhypertension
AT afdavydova renalhemodynamicsevaluationinpatientssufferingfromrheumatoidarthritiswithandwithoutcomorbidhypertension