ENDOTHELIAL FUNCTION AND CARDIOVASCULAR REMODELININ ARTERIAL HYPERTENSION


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Ultrasound study of the heart and vessels was performed in 105 patients with arterial hypertension and 20 apparently
healthy individuals. Normal endothelial function was noted in 26 patients (24 %), signs of endothelial dysfunction - in 79
patients (76 %). A disrupted ability of the brachial artery to relax corresponded to decreased blood flow in the medial cerebral
artery and parenchymatous renal blood flow (with an increased creatinin level). Patients with left ventricular hypertrophy
revealed an endothelial reaction in the form of increased endothelial shift (increased velocity without an increase in vascular
diameter), slowed-down time of vascular diameter restoration and decreased hemostatic ability of the vascular wall.

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