Vessel wall stiffness parameters and left ventricle remodeling in patients receiving renal replacement therapy

Aim. To perform a comparative assessment of vessel wall stiffness parameters and left ventricle (LV) remodeling in groups of patients with arterial hypertension (AH) receiving renal replacement therapy (RRT) and patients with hypertensive heart disease.Material and methods. One hundred fifty eight p...

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Main Authors: E. A. Praskurnichiy, I. E. Minyukhina
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2019-09-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/3294
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author E. A. Praskurnichiy
I. E. Minyukhina
author_facet E. A. Praskurnichiy
I. E. Minyukhina
author_sort E. A. Praskurnichiy
collection DOAJ
description Aim. To perform a comparative assessment of vessel wall stiffness parameters and left ventricle (LV) remodeling in groups of patients with arterial hypertension (AH) receiving renal replacement therapy (RRT) and patients with hypertensive heart disease.Material and methods. One hundred fifty eight people were examined: 32 patients on program hemodialysis (PG), 37 — after kidney transplantation (KT), 69 — with essential hypertension and 20 healthy volunteers. All patients underwent 24-hour blood pressure (BP) monitoring with an assessment of the parameters of daily vessel wall stiffness, aortic pressure and Mand B-mode echocardiography.Results. In groups of patients with PG and after KT, the central and peripheral blood pressure did not differ significantly. When comparing with the group of essential hypertension in RRT patients, with similar values of office systolic and diastolic BP, higher average values of peripheral and central BP were determined. An increase in the values of the pulse wave velocity in the aorta of more than 10 m/s was observed only in RRT patient groups. In all groups of patients with AH, BP and vessel wallConclusion. Patients receiving RRT have higher values of the average daily pulse wave velocity in the aorta, central BP and a longer period of an increase in the pulse wave velocity in the aorta during the day, higher vessel wall stiffness values, and less pronounced LV spherification than in patients with hypertensive heart disease and comparable values of office BP.
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spelling doaj-art-49e2f5879f4e4dfc949dccfe7d95d6b82025-08-20T02:59:07Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202019-09-0108707610.15829/1560-4071-2019-8-70-762705Vessel wall stiffness parameters and left ventricle remodeling in patients receiving renal replacement therapyE. A. Praskurnichiy0I. E. Minyukhina1Russian Medical Academy of Continuing Professional EducationVolga Regional Medical CenterAim. To perform a comparative assessment of vessel wall stiffness parameters and left ventricle (LV) remodeling in groups of patients with arterial hypertension (AH) receiving renal replacement therapy (RRT) and patients with hypertensive heart disease.Material and methods. One hundred fifty eight people were examined: 32 patients on program hemodialysis (PG), 37 — after kidney transplantation (KT), 69 — with essential hypertension and 20 healthy volunteers. All patients underwent 24-hour blood pressure (BP) monitoring with an assessment of the parameters of daily vessel wall stiffness, aortic pressure and Mand B-mode echocardiography.Results. In groups of patients with PG and after KT, the central and peripheral blood pressure did not differ significantly. When comparing with the group of essential hypertension in RRT patients, with similar values of office systolic and diastolic BP, higher average values of peripheral and central BP were determined. An increase in the values of the pulse wave velocity in the aorta of more than 10 m/s was observed only in RRT patient groups. In all groups of patients with AH, BP and vessel wallConclusion. Patients receiving RRT have higher values of the average daily pulse wave velocity in the aorta, central BP and a longer period of an increase in the pulse wave velocity in the aorta during the day, higher vessel wall stiffness values, and less pronounced LV spherification than in patients with hypertensive heart disease and comparable values of office BP.https://russjcardiol.elpub.ru/jour/article/view/3294kidney transplantationhemodialysispulse wave velocity24-hour blood pressure monitoringptin
spellingShingle E. A. Praskurnichiy
I. E. Minyukhina
Vessel wall stiffness parameters and left ventricle remodeling in patients receiving renal replacement therapy
Российский кардиологический журнал
kidney transplantation
hemodialysis
pulse wave velocity
24-hour blood pressure monitoring
ptin
title Vessel wall stiffness parameters and left ventricle remodeling in patients receiving renal replacement therapy
title_full Vessel wall stiffness parameters and left ventricle remodeling in patients receiving renal replacement therapy
title_fullStr Vessel wall stiffness parameters and left ventricle remodeling in patients receiving renal replacement therapy
title_full_unstemmed Vessel wall stiffness parameters and left ventricle remodeling in patients receiving renal replacement therapy
title_short Vessel wall stiffness parameters and left ventricle remodeling in patients receiving renal replacement therapy
title_sort vessel wall stiffness parameters and left ventricle remodeling in patients receiving renal replacement therapy
topic kidney transplantation
hemodialysis
pulse wave velocity
24-hour blood pressure monitoring
ptin
url https://russjcardiol.elpub.ru/jour/article/view/3294
work_keys_str_mv AT eapraskurnichiy vesselwallstiffnessparametersandleftventricleremodelinginpatientsreceivingrenalreplacementtherapy
AT ieminyukhina vesselwallstiffnessparametersandleftventricleremodelinginpatientsreceivingrenalreplacementtherapy