Abstract:
AIM:To compare cerebrovascular reactivity (CVR) in patients with rheumatoid arthritis (RA) concurrent with essential hypertension (Group 1) and in those with RA and normal blood pressure (BP) (Group 2). SUBJECTS AND METHODS:During the study of Groups 1 (n = 37) and 2 (n = 12), the investigators estimated the prevalence of traditional cardiovascular risk factors, performed 24-hour BP monitoring, investigated CVR by transcranial Doppler (TCD) of the middle cerebral arteries (MCA) by hyperoxic and hypercapnic tests, and endothelium-dependent vasodilation (EDV) and endothelium-independent vasodilation of the brachial artery. The groups were matched for gender, age, RA activity and stage, and antirheumatic therapy volume. RESULTS:According to the results of MCA TCD, the hyperoxic test recorded impaired CVR in 34 (92%) and 10 (83%) patients in Group 1 and 2, respectively; the hypercapnic test revealed this condition in 19 (51%) and 6 (50%) patients in these groups, respectively. The hyperoxic test most commonly showed an insufficient decrease in MCA linear blood flow velocities (LBFV) in 31 (84%) and 8 (66%) patients in Groups 1 and 2, respectively; the hypercapnic test did an excessive increase in MCA LBFV in 12 (32%) and 4 (33%) patients, respectively. There was a high rate of impaired EDV in 32 (86%) and 9 (75%) patients in Groups 1 and 2, respectively. CONCLUSION:According to the results of MCA TCD, there were high and similar rates of impaired CVR in patients with RA concurrent with and without essential hypertension during the hyperoxic and hypercapnic tests. :Цель исследования. Сравнить реактивность сосудов головного мозга (РСГМ) у больных ревматоидным артритом (РА) в сочетании с эссенциальной артериальной гипертонией - АГ (1-я группа) и на фоне нормального артериального давления - АД (2-я группа). Материалы и методы. В рамках исследования у 37 больных 1-й и у 12 больных 2-й групп оценивали распространенность традиционных факторов риска развития сердечно-сосудистых заболеваний, выполняли суточное мониторирование АД, изучали РСГМ с помощью транскраниальной допплерографии (ТКД) средних мозговых артерий (СМА) с проведением гипероксической и гиперкапнической проб, зависимую от эндотелия (ЗЭВД) и независимую от эндотелия вазодилатацию (НЭВД) плечевой артерии. Группы сопоставимы по полу, возрасту, степени активности и стадии РА, объему противоревматической терапии. Результаты. По результатам ТКД СМА нарушение РСГМ регистрировали в гипероксической пробе у 34 (92%) больных 1-й группы и 10 (83%) больных 2-й группы; в гиперкапнической пробе - у 19 (51%) и 6 (50%) больных соответственно. Наиболее часто в гипероксической пробе наблюдали недостаточное снижение линейных скоростей кровотока (ЛСК) в СМА у 31 (84%) больных 1-й группы и 8 (66%) больных 2-й группы, в гиперкапнической пробе - чрезмерное увеличение ЛСК в СМА у 12 (32%) и 4 (33%) больных соответственно. Установлена высокая частота нарушения ЭЗВД у 32 (86%) больных 1-й группы и у 9 (75%) больных 2-й группы. Заключение. По результатам ТКД СМА у больных РА в сочетании с АГ и без нее выявлена высокая и сопоставимая частота нарушения РСГМ при проведении гипероксической и гиперкапнической проб.
journal_name
Ter Arkhjournal_title
Terapevticheskii arkhivauthors
Rebrova NV,Anisimova EA,Sarkisova OL,Mordovin VF,Karpov RS,Ripp TM,Trifonova TG,Bogomolova IIdoi
10.17116/terarkh201587424-29subject
Has Abstractpub_date
2015-01-01 00:00:00pages
24-29issue
4eissn
0040-3660issn
2309-5342journal_volume
87pub_type
杂志文章abstract::Biological methods are widely used in the treatment of intestinal inflammation (II). The TNFalpha inhibitor infliximab can quickly correct recurrence, provide long-term remission and reduce hormone need in many patients with hormone-resistant and hormone-dependent forms of Crohn's disease (CD) and ulcerative colitis (...
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abstract::Hemodynamic studies in 226 patients with erysipelas of the lower limbs with employment of tetrapolar rheography revealed a marked reduction in the intensity of regional blood flow correlated with the disease severity. Circulation recovery in the affected limb takes place as late as 3 months after the discharge from ho...
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更新日期:1993-01-01 00:00:00
abstract:AIM:To study an association between iron metabolism, free radical oxidation (FRO), and antioxidative system (AOS) in patients with acute myeloid leukemia (AML) during intensive chemotherapy. SUBJECTS AND METHODS:AML patients (n = 14) with a median age of 46 years received 7+3 courses (n = 3) containing cytarabine > or...
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更新日期:2013-01-01 00:00:00
abstract:AIM:To investigate a potential of a new marker of activity of interstitial pulmonary diseases (IPD)--mucin 3EG5--in monitoring of effectiveness of the antiinflammatory therapy. MATERIALS AND METHODS:Serum mucin antigen 3EG5 (glycolyl-sialylated glycoprotein) was assessed with sandwich immunoassay constructed using a m...
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更新日期:2000-01-01 00:00:00
abstract::It has been demonstrated that the basal gastrin level in the blood of patients with peptic ulcer of the duodenum is similar to that in normal subjects. Food stimulation raises blood gastrin in normal subjects and patients. However, in patients, the peak of the blood hormone rise is higher, with this rise lasting for a...
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abstract::Hemostasis was investigated in 2 groups of patients with systemic scleroderma (SSD) with minimal (12 patients) and moderate (9 patients) activity of the process. It has been shown that in SSD, the triggering factor of intravascular blood coagulation is the release of Willebrand's factor, an activator of platelets, fro...
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abstract:AIM:To compare surgical and drug therapies of viable myocardium in IHD patients with left ventricular dysfunction (LVD), to show how to choose between them basing on the presence or absence of viable myocardium in the dyssenergy zones in such patients. MATERIAL AND METHODS:The study enrolled 55 IHD patients with posti...
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更新日期:1988-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::The authors describe the results of studying basal gastrin secretion in patients with peptic ulcer of the duodenum at different phases of disease treated in 3 stages. It was revealed that basal secretion of gastrin experienced substantial changes in the course of transition from the phase of exacerbation to the phase ...
journal_title:Terapevticheskii arkhiv
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更新日期:1985-01-01 00:00:00
abstract::Variants of renal damage in sarcoidosis demonstrate the diversity of clinical manifestations common to this systemic disease and serve distinctive reference points in the choice of the treatment policy. A well-defined relationship between hypercalciuria associated with sarcoidosis and risk of calcium nephropathy devel...
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更新日期:1991-01-01 00:00:00
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更新日期:1996-01-01 00:00:00
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更新日期:1987-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
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更新日期:2012-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
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更新日期:1987-01-01 00:00:00
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更新日期:1984-01-01 00:00:00
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更新日期:1985-01-01 00:00:00