Bulletin of the Russian Military Medical AcademyBulletin of the Russian Military Medical Academy1682-73922687-1424Eco-Vector2596410.17816/brmma25964Research ArticleComparative characteristics of patients with arterial hypertension and stenosing atherosclerosis, depending on the localization of the pathologicalprocess in the vascular bedKryukovE V-PotekhinN P-FursovA Nfursovan@mail.ruZakharovaE G-30032020221363803042020Copyright © 2020, Kryukov E.V., Potekhin N.P., Fursov A.N., Zakharova E.G.2020A comparative analysis of the clinical and functional state of patients suffering from arterial hypertension is given, depending on the localization of vascular stenosis of atherosclerotic origin. It is shown that stenosing atherosclerosis often affects men with hypertension. Lesions of the brachiocephalic arteries and renal arteries in patients suffering from arterial hypertension are detected at a younger age than with other localizations. Patients suffering from lesions of the coronary and brachiocephalic arteries are characterized by the presence of concentric left ventricular myocardial hypertrophy and hyperlipidemia. In patients suffering from damage to the renal arteries, leg arteries, and multivascular pathology, myocardial hypertrophy is eccentric, in addition, they have atherogenic dyslipidemia and significant signs of renal dysfunction. An excessive decrease in blood pressure at night is most often recorded in people suffering from coronary atherosclerosis, and its excessive increase in patients suffering from damage to the arteries of the legs. Arterial hypertension in patients with stenosing atherosclerosis in most cases is well-mediated, however, with stenosis of the renal arteries and with multivascular lesions, it is less likely to achieve a level of «normal» or «high normal» systolic blood pressure than with damage to other vascular pools. Significant differences in the levels of both systolic and diastolic blood pressure in all comparison groups indicate a different effect of local hemodynamic disturbances on systemic blood pressure.arterial hypertensionhyperlipidemiarenal disfunctiongender differencesmyocardial hypertrophydaily monitoring blood pressureatherosclerosisa combination of arterial hypertension and atherosclerosisартериальная гипертензиягиперлипидемиягипертрофия миокардасуточное мониторирование артериального давленияатеросклерозкомбинация артериальной гипертензии и атеросклерозаполовые различияпочечные дисфункции[Крюков, Е.В. Сравнительная характеристика лиц с высоким нормальным уровнем артериального давления в зависимости от размеров комплекса «интима-медиа» сонных артерий / E.В. Крюков [и др.] // Артериальная гипертензия. - 2016. - № 1. - С. 41-52.][Рекомендации по диагностике и лечению артериальной гипертензии Европейского общества по АГ и Европейского общества кардиологов, 2003 г. // Системные гипертензии. - 2019. - № 1. - С. 6-32.][Руководство по кардиологии: заболевания сердечно-сосудистой системы / Под ред. акад. Е.И. Чазова. - М.: Практика, 2014. - Т.4. - 976 с.][Халафян, А.А. Современные статистические методы медицинских исследований / А.А. Халафян. - М.: ЛКИ, 2008. - 320 с.]