Modern ap proaches to diagnostics of arterial hypertensia at children



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Abstract

115 children 13-17 years with arterial hypertensia (AH) were surveyed: stable (SAH) 70, labile (LAH) 45. Daily monitoring of arterial pressure, transcranial dopplerographia, triplex ultrasound research of nephritic haemodynamics was executed for all. At AH authentic increase of high-speed indicators in carotid pool and hypokinetic type of a blood-groove in vertebral pool is registered, and given changes are more expressed in group of children from SAH. By the means of klinoortostatik tests decrease in high-speed indicators at level of the basic trunk, segmentary nephritic arteries, and also IR (<0,52) is revealed. This confirms blood-groove arterioviens shuntings mechanism actuation and allows to diagnose nephroangiopatia at early stages AH.

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About the authors

K E Trubnikova

Mechnikov State Academy of Medicine, St. Petersburg

Email: kseniya-trubnikova@yandex.ru

T N Trofimova

Mechnikov State Academy of Medicine, St. Petersburg

N A Belakov

Mechnikov State Academy of Medicine, St. Petersburg

І V Rumyantseva

Mechnikov State Academy of Medicine, St. Petersburg

M L Zhitomirskaya

T V Nazarov

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Copyright (c) 2011 Trubnikova K.E., Trofimova T.N., Belakov N.A., Rumyantseva І.V., Zhitomirskaya M.L., Nazarov T.V.

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