THE MODERN VIEWS TO DIAGNOSIS OF KIDNEY DAMAGE IN PATIENTS WITH ARTERIAL HYPERTENSION FOR EARLY PREVENTION

Autor: L. Khimion, L. Timoshchuk
Jazyk: English<br />Ukrainian
Rok vydání: 2017
Předmět:
Zdroj: Український Журнал Нефрології та Діалізу, Iss 3(55) (2017)
Druh dokumentu: article
ISSN: 2304-0238
2616-7352
DOI: 10.31450/ukrjnd.3(55).2017.02
Popis: The article discusses in detail the problem of the medico-social significance of early kidney damage in essential hypertension (EH) (according to the literature review and own research). Aim. To determine the prevalence of subclinical renal damage in the EAG of the first stage and to assess the diagnostic significance of the functional renal reserve (FRR). Materials and methods. A total of 70 patients were examined. The control group consisted of 50 people with established diagnosis of EH I stage, women - 20 (40%), mean age – 44,6±1,78 years, men - 30 (60%), average age – 46,57±2,23 years. The average duration of the EH is 3,5 ± 0,5 years. The control group included 20 practically healthy persons (11 women (55%), men - 9 (45%), average age 41,1 ± 1,96 years). All the patients underwent the following examinations: clinical examination, general clinical blood and urine tests, biochemical blood test (total protein, urea, creatinine, glucose, lipidogram) 24-hour BP monitoring, ECG, ECHO-CG, carotid ultrasound, definition FRR. The body mass index (BMI), the glomeru-laorpfhiltthratlimonosrcaotpey(aGnFdR) was calculated. Results. According to the FRR, the functional state of the kidneys significantly differs between subgroups of patients with EH stage I (p
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