Changes in Systemic Hemodynamics in Hypertensive Patients with Diabetes Mellitus Type 2 Depending on the Type of Left Ventricular Remodeling
Journal Title: Міжнародний ендокринологічний журнал - Year 2014, Vol 2, Issue 58
Abstract
The main purpose of the study was to investigate the changes of systemic hemodynamics in patients with essential hypertension stage II in combination with type 2 diabetes, depending on the type of left ventricular remodeling. The research involved 150 patients aged 38 to 65 years old (average age was 53.7 ± 5.6 years). The main group consisted of 60 patients with essential hypertension stage II in combination with type 2 diabetes. The comparison groups consisted of 30 apparently healthy individuals, 30 patients with essential hypertension and 30 patients with type 2 diabetes of the same age. The ultrasound studies have shown that patients of the main group have more adverse types of myocardial remodeling with a predominance of eccentric hypertrophy and concentric remodeling. Accordingly, in the same group of patients, there are more severe violations of systemic hemodynamics with a significant decrease in stroke volume, systolic index against the background of high total peripheral vascular resistance and prevalence of eukinetic and hypokinetic types of systemic hemodynamics. The correlations with the main indicators of the intracardiac systemic hemodynamics confirm a single pathogenetic mechanism of the cardiovascular remodeling in patients with hypertension combined with type 2 diabetes.
Authors and Affiliations
E. Yu. Gura
Keywords
Related Articles
- EP ID EP226866
- DOI -
- Views 37
- Downloads 0
Primary Adrenal Insufficiency: Diagnosis and Management (According to the 17th European Congress of Endocrinology, Dublin, Ireland 16–20 May, 2015)
Primary adrenal insufficiency (PAI, Addison’s disease) — treatable disease, remains potentially lethal. PAI is often detected in the state of adrenal crisis, and timely emergency treatment can prevent the death. To minim...
State of the Large Intestine Microbiota in Patients with Type 1 Diabetes Mellitus Depending on the Severity of Clinical Course
Background. Type 1 diabetes mellitus (DM) results in the development and unfavorable clinical course of chronic inflammatory diseases, including those of ENT organs. Aim of the study — to explore the species composition...
Legal Work of the Doctor at the Stage of Primary Health Care
The article deals with the main problems of medical care providing in primary health care, as well as the settlement of legal relations arising in the work of the doctor, and the need for systematization of legal acts wh...
The Role of Thyroid Hormones in the Development of Atrial Fibrillation in Thyroid Pathology
The article describes the effects of thyroid hormones on the cardiovascular system, their role in the development of cardiac arrhythmias and, particularly, atrial fibrillation. The clinical manifestations and current gui...
Prevalence of Arterial Hypertension with Space-Occupying Lesions of Adrenal Glands of Various Origins According to Appealability Data
For the period from 2003 to 2008, in RSSPMC of Endocrinology of Republic of Uzbekistan RSSPMC Endocrinology of Republic of Uzbekistan (Tashkent) there were hospitalized 27 patients with arterial hypertension and various...