Abstract:
AIM:To assess an association of uric acid level with preclinical target organ damage in patients with hypertensive disease (HD). SUBJECTS AND METHODS:The trial enrolled 100 patients (63 men and 37 women) with Stage I-II HD at moderate and high risk for cardiovascular events (CVEs). The mean age of the patients was 44.9 +/- 1.3 years. Their medical history showed that the duration of hypertension averaged 4.4 +/- 0.3 years. The average daily level of systolic blood pressure (BP) was 138.1 +/- 1.4 mm Hg and that of diastolic BP was 84.3 +/- 1.1 mm Hg. RESULTS:The entire patient group showed a positive correlation between C-reactive protein (CRP) and serum uric acid (SUA) (r = 0.27; p < 0.01), suggesting that the nonspecific inflammatory processes were associated with uric acid levels in patients with HD. An intragroup analysis also revealed a relationship between CRP and SUA levels in the hypertensive patients at high risk for CVEs (r = 0.43; p = 0.01); this relationship was not found in those at their low risk. The hypertensive patients were ascertained to have elevated CRP levels and microalbuminuria, hyperuricosuria, and glomerular hyperfiltration when they had a SUA level >319 micromol/l. CONCLUSION:It can be assumed that the SUA level >319 micromol/l triggers the activation of nonspecific inflammatory processes, which in turn affects renal microvessels.
journal_name
Ter Arkhjournal_title
Terapevticheskii arkhivauthors
Dmitriev VA,Oshchepkova EV,Titov BN,Rogoza AN,Saidova MA,Bolotova MN,Gushchina OV,Polevaia TYsubject
Has Abstractpub_date
2013-01-01 00:00:00pages
52-7issue
9eissn
0040-3660issn
2309-5342journal_volume
85pub_type
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
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journal_title:Terapevticheskii arkhiv
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更新日期:1990-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
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更新日期:1994-01-01 00:00:00
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更新日期:1985-01-01 00:00:00
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更新日期:2000-01-01 00:00:00
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更新日期:1994-01-01 00:00:00
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更新日期:1994-01-01 00:00:00
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doi:
更新日期:1986-01-01 00:00:00
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更新日期:1995-01-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2002-01-01 00:00:00
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更新日期:1989-01-01 00:00:00
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更新日期:1988-01-01 00:00:00
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更新日期:1989-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
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