Functional characteristics of microcirculation and their prognostic value in patients with arterial hypertension

Aim. To study functional characteristics of microcirculation (MC), various hemodynamic variants of peripheral hemocirculation, and their clinical and prognostic value in patients with arterial hypertension (AH). Material and methods. The study included 78 AH patients (mostly with Stage II-III AH) an...

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Main Authors: A. P. Vasilyev, N. N. Streltsova, M. A. Sekisova, M. V. Malishevskyi, I. V. Samoylova
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2011-10-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/1931
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author A. P. Vasilyev
N. N. Streltsova
M. A. Sekisova
M. V. Malishevskyi
I. V. Samoylova
author_facet A. P. Vasilyev
N. N. Streltsova
M. A. Sekisova
M. V. Malishevskyi
I. V. Samoylova
author_sort A. P. Vasilyev
collection DOAJ
description Aim. To study functional characteristics of microcirculation (MC), various hemodynamic variants of peripheral hemocirculation, and their clinical and prognostic value in patients with arterial hypertension (AH). Material and methods. The study included 78 AH patients (mostly with Stage II-III AH) and 29 healthy individuals. Forearm skin MC was assessed by laser Doppler flowmetry. Results. In AH patients, substantially elevated pre-capillary tone resulted in reduced nutritive blood flow, increased total peripheral vascular resistance, arteriolovenular shunting, and venous hyperemia. The depression of the main MC regulatory mechanisms was partly compensated by passive, breath and pulse-related factors. Conclusion. Among all hemodynamic MC types, the negative effects on target organs and prognosis were maximal for spastic and congestive-stasic MC variants. MC types should be taken into account when choosing optimal strategy of pharmaceutical treatment.
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spelling doaj.art-f811b390303b41c6a87fecf598a7e3d92023-03-13T07:23:20Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252011-10-01105141910.15829/1728-8800-2011-5-14-191643Functional characteristics of microcirculation and their prognostic value in patients with arterial hypertensionA. P. Vasilyev0N. N. Streltsova1M. A. Sekisova2M. V. Malishevskyi3I. V. Samoylova4Тюменский кардиологический центр — филиал ГУ НИИ кардиологии Томского научного центра СО РАМНТюменский кардиологический центр — филиал ГУ НИИ кардиологии Томского научного центра СО РАМНТюменский кардиологический центр — филиал ГУ НИИ кардиологии Томского научного центра СО РАМНТюменская государственная медицинская академия РосздраваЗападносибирский медицинский центр ФМБАAim. To study functional characteristics of microcirculation (MC), various hemodynamic variants of peripheral hemocirculation, and their clinical and prognostic value in patients with arterial hypertension (AH). Material and methods. The study included 78 AH patients (mostly with Stage II-III AH) and 29 healthy individuals. Forearm skin MC was assessed by laser Doppler flowmetry. Results. In AH patients, substantially elevated pre-capillary tone resulted in reduced nutritive blood flow, increased total peripheral vascular resistance, arteriolovenular shunting, and venous hyperemia. The depression of the main MC regulatory mechanisms was partly compensated by passive, breath and pulse-related factors. Conclusion. Among all hemodynamic MC types, the negative effects on target organs and prognosis were maximal for spastic and congestive-stasic MC variants. MC types should be taken into account when choosing optimal strategy of pharmaceutical treatment.https://cardiovascular.elpub.ru/jour/article/view/1931артериальная гипертониямикроциркуляция
spellingShingle A. P. Vasilyev
N. N. Streltsova
M. A. Sekisova
M. V. Malishevskyi
I. V. Samoylova
Functional characteristics of microcirculation and their prognostic value in patients with arterial hypertension
Кардиоваскулярная терапия и профилактика
артериальная гипертония
микроциркуляция
title Functional characteristics of microcirculation and their prognostic value in patients with arterial hypertension
title_full Functional characteristics of microcirculation and their prognostic value in patients with arterial hypertension
title_fullStr Functional characteristics of microcirculation and their prognostic value in patients with arterial hypertension
title_full_unstemmed Functional characteristics of microcirculation and their prognostic value in patients with arterial hypertension
title_short Functional characteristics of microcirculation and their prognostic value in patients with arterial hypertension
title_sort functional characteristics of microcirculation and their prognostic value in patients with arterial hypertension
topic артериальная гипертония
микроциркуляция
url https://cardiovascular.elpub.ru/jour/article/view/1931
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AT masekisova functionalcharacteristicsofmicrocirculationandtheirprognosticvalueinpatientswitharterialhypertension
AT mvmalishevskyi functionalcharacteristicsofmicrocirculationandtheirprognosticvalueinpatientswitharterialhypertension
AT ivsamoylova functionalcharacteristicsofmicrocirculationandtheirprognosticvalueinpatientswitharterialhypertension