ASSESSMENT OF HEMODYNAMICS OF THE KIDNEYS IN YOUNG PATIENTS WITH ARTERIAL HYPERTENSION

Abstract

To clarify the role of cardiovascular lesions and diseases of the kidneys, their vessels and structures urinary system diseases in the development of arterial hypertension (AH) 60 men aged 18 to 40 years were examined in young men sent by the commission to the hospital for examination and verification of the diagnosis of primary hypertension. Hemodynamic parameters were assessed based on the results of office and monitor measurements of blood pressure, echocardiography in B-mode. The structure and function of the urinary organs and kidneys were studied according to the data of static and dynamic scintigraphy, ultrasound of the kidneys, assessment of microalbuminuria in morning urine and glomerular filtration rate by endogenous creatinine. The level of uric acid, creatinine and urea in blood plasma was studied. The study made it possible to establish that arterial hypertension is not an isolated disease, but is combined with a number of anomalies and lesions of the kidneys, their vessels, organs of the urinary, cardiovascular systems, as well as metabolic changes. In such patients, anomalies in the development of the kidneys and their structures, which are based on genetic causes or disorders of intraembryonic development, account for more than half of the identified cases of pathology. Based on the data obtained, a conclusion was made about the great importance of genetic and congenital anomalies in the development of the kidneys and their structures in the development of chronic arterial hypertension syndrome in young men.