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Артериальная гипертензия у пациентов с хроническими бронхолегочными заболеваниями. В фокусе проблемы сердце как орган-мишень

Артериальная гипертензия у пациентов с хроническими бронхолегочными заболеваниями. В фокусе проблемы сердце как орган-мишень

Abstract

В результате обследования 57 пациентов с эссенциальной артериальной гипертензией 2-й степени в сочетании с хроническим обструктивным бронхитом или бронхиальной астмой было установлено, что для них характерны такие особенности суточного профиля артериального давления, как высокий уровень нагрузки давлением и недостаточная степень его ночного снижения. Подавляющему большинству лиц данной категории свойственен концентрический тип гипертрофии левого желудочка (ГЛЖ). Пациенты с высокой степенью концентричности ГЛЖ имеют более выраженный дисбаланс вегетативной регуляции сердечного ритма с преобладанием симпатических влияний на миокард, а больные с низкой степенью концентричности ГЛЖ более высокий уровень секреции альдостерона.

Fifty-seven patients with grade 1 essential hypertension concurrent with chronic obstructive bronchitis or bronchial asthma were examined. They were found to have characteristics of the daily blood pressure profile, such as a high load due to pressure and its inadequate nocturnal lowering. The concentric type of left ventricular hypertrophy (LVH) is typical of the vast majority of persons of this category. The patients with a high LVH concentricity have more significant imbalance of autonomic cardiac rhythm regulation with the preponderance of myocardial sympathetic impact while those with low LVH concentricity showed higher aldosterone secretion.

Keywords

АРТЕРИАЛЬНАЯ ГИПЕРТЕНЗИЯ, ХРОНИЧЕСКИЙ ОБСТРУКТИВНЫЙ БРОНХИТ, БРОНХИАЛЬНАЯ АСТМА, ГИПЕРТРОФИЯ ЛЕВОГО ЖЕЛУДОЧКА, СИМПАТИКО-АДРЕНАЛОВАЯ СИСТЕМА, РЕНИН-АНГИОТЕНЗИН-АЛЬДОСТЕРОНОВАЯ СИСТЕМА

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold