Clinicofunctional features of arterial hypertension in chronic broncho-obstructive syndrome
Zadionchenko, V.S.; Kuz'micheva, N.V.; Sviridov, A.A.; Ol'kha, R.P.; Kashcheeva, E.V.
Terapevticheskii Arkhiv 72(1): 51-55
2000
ISSN/ISBN: 0040-3660 PMID: 10687208 Document Number: 525214
Aim: To describe clinicofunctional features of essential and pulmogenic hypertension in chronic bronchoobstructive syndrome, 24-h profile of arterial pressure (AP), intracardiac hemodynamics and to propose differential diagnostic criteria for these hypertension forms. Materials and methods: 24-h monitoring of arterial pressure (MAP), cardiohemodynamics, external respiration function (ERF) and blood gases examinations were made in 100 hypertensive subjects with chronic obstructive bronchitis and bronchial asthma. Results: Significant differences were found between the groups of essential and pulmogenic hypertension by major values of MAP, echo-CG and ERF. Early disturbances in diastolic function of both the ventricles in essential and pulmonary hypertension in chronic bronchial obstruction arise long before clinical, x-ray and ECG signs of chronic pulmonary heart. Conclusion: The findings enable formulation of criteria of differential diagnosis of essential and pulmogenic hypertension and identify the latter as an independent nosological entity.