Issue: 2017, Vol. 22, No. 1

Makerova V. V., Diakonova E. N., Vorobiova N. V., Kotlyarova K. V., Korolenko L. B.

THE PECULIARITIES OF MICROCIRCULATION AND CEREBRAL HEMODYNAMICS IN YOUNG PATIENTS WITH VENOUS DYSHEMIA IN COMBINATION WITH ARTERIAL HYPERTENSION

Keywords

disorders of cerebral venous out-flux, microcirculatory disturbances, laser Doppler flowmetry

Abstarct

Objective - to reveal the peculiarities of hemodynamic and microcirculatory disorders in young patients with arterial hypertension of the first stage in combination with signs of intracranial venous out-flux difficulties. Material and methods. 60 patients aged 28 - 45 years old with diagnosed arterial hypertension were examined. 32 patients with signs of intracranial venous out-flux difficulties were enrolled in the first group and 28 patients with normal intracranial venous out-flux were enrolled in the second group. The status of cerebral hemodynamics was estimated by complex ultra sound examination and microcirculation functional state was evaluated by laser Doppler flowmetry. Results. More expressed decrease of blood flow velocity in cerebral vessels, prevalence of static and spastic-atonic microcirculation pathological types were observed in patients from the 1 group. Cerebral vessels spasm was detected in patients from the 2 group; spastic-atonic and hyperemic types of microcirculation also were found by laser Doppler flowmetry. Conclusions. In young patients with arterial hypertension and intracranial venous out-flux difficulties cerebral blood flow alterations were combined with the microcirculatory changes of static and spastic-atonic pathological types.

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