Renal hemodynamics disturbances and microalbuminuria in young patients with arterial hypertension

Autor: I. G. Fomina, E. N. Gavrilova, N. E. Gaidamakina, T. A. Dyakova, D. A. Zateyshchikova
Jazyk: ruština
Rok vydání: 2005
Předmět:
Zdroj: Кардиоваскулярная терапия и профилактика, Vol 4, Iss 3, ч.II, Pp 4-10 (2005)
Druh dokumentu: article
ISSN: 1728-8800
2619-0125
Popis: Aim. To identify the first clinical signs of renal pathology in young patients (under 35) with initial stages of arterial hypertension (AH). Material and methods. Fifty-seven men with Stage I-II AH, aged 15-35, were examined. Exclusion criteria were: secondary AH, chronic renal or urologic pathology, diabetes mellitus in anamnesis. In all participants, renal dynamic angioscintigraphy with DTPA-Tc99m, and ophtalmoscopy, to determine the stage of hypertensive rethinopathy, were performed. In 27 patients, 24-hour microalbuminuria (MAU) was assessed. Results. Renal dynamic angioscintigraphy with DTPA-Tc99m revealed various renal hemodynamics abnormalities in 98% of the patients (n=56). In most individuals (94%; n=53), renal blood flow was reduced bilaterally. Significant bilateral reduction of renal blood flow, of Stage II-III (
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