Українська English

ISSN 2522-9028 (Print)
ISSN 2522-9036 (Online)
DOI: https://doi.org/10.15407/fz

Fiziologichnyi Zhurnal

is a scientific journal issued by the

Bogomoletz Institute of Physiology
National Academy of Sciences of Ukraine

Editor-in-chief: V.F. Sagach

The journal was founded in 1955 as
1955 – 1977 "Fiziolohichnyi zhurnal" (ISSN 0015 – 3311)
1978 – 1993 "Fiziologicheskii zhurnal" (ISSN 0201 – 8489)
1994 – 2016 "Fiziolohichnyi zhurnal" (ISSN 0201 – 8489)
2017 – "Fiziolohichnyi zhurnal" (ISSN 2522-9028)

Fiziol. Zh. 2019; 65(3): 41-46


CHANGES OF THE ENDOTHELIAL FUNCTION AND ARTERIAL STIFFNESS IN MEN WITH ARTERIAL HYPERTENSION, OBESITY AND GOUT

I.P. Vakalyuk, M.O. Vatseba

    SHEI «Ivano-Frankivsk National Medical University», Ukraine
DOI: https://doi.org/10.15407/fz65.03.041


Abstract

Investigated endothelial function and arterial rigidity of vessels in patients with essential hypertension (EH) with obesity and gout, the main group, and without obesity and gout, is a group of comparison. It was established that in patients of both groups decreased endothelium dependent vasodilation (EDV) and endothelial-independent vasodilation (EIV), respectively. Thus, EDV was lower by 58.02 and 39.09% in patients with primary and comparative groups and EIV by 36.17 and 30.59%, respectively. Also, the rate of pulse wave propagation was higher compared to healthy people. In patients with obesity and gout, this figure was 2.55 m/s more than the same in patients without concomitant pathology. The value of the Cardio-ankle vascular index with and without comorbidity was 59.72 and 35.89% higher than that of healthy subjects. A significant increase in the thickness of the intima-media complex was found in patients of both groups. Thus, obesity and gout worsen the course of EH by affecting the stiffness of the arterial wall and contributing to endothelial dysfunction.

Keywords: endothelial function; arterial stiffness; the vessels

References

  1. Demchenko AV, Revenko AV, Volik AO. Effect of Metamox on cognitive function in patients with chronic cerebral ischemia. Medic Ukraine. 2013; 8 (174): 67-70. [Ukrainian].
  2.  
  3. Havreliuk SV, Chykina IV. Vplyv khronichnoho immobilizatsiinoho stresu na rozvytok dysfunktsii endoteliiu u shchuriv Fiziol Zh. 2017; 63(2): 56-64. [Ukrainian].
  4.  
  5. Lysenko HI, Yashchenko OB. Endothelial dysfunction and ways of its correction in the practice of a general practitioner - family medicine. Art Treat. 2011; 8 (84): 15-20. [Ukrainian].
  6.  
  7. Mitchenko OI, Romanov VIu, Yanovska KO. Correction of endothelial dysfunction and thickness of the intimamedia complex in patients with hypertension. Ukr J Cardiology. 2011; 2: 32-33. [Ukrainian].
  8.  
  9. Orlova YaA, Aheeva FT. Artery rigidity as a predictor of cardiovascular complications in coronary heart disease. Therap Arch. 2010; 1: 68-73. [Russian].
  10.  
  11. Martinon F. Signaling by ROS drives inflammasome activation. Eur J Immunol. 2010; 40 (3): 616-9. CrossRef PubMed
  12.  
  13. Mancia G, Fagard K, Narkiewicz K. ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertension. 2013; 31: 1281-357. CrossRef PubMed
  14.  
  15. Arterial hypertension. Updated and Adapted Clinical Decision Based on Evidence (2012) / Working Group on Arterial Hypertension of the Ukrainian Association of Cardiologists. A. hypertension. 2012; 1(21): 96-152. [Ukrainian].
  16.  
  17. Kotani K, Remaley AT. Cardio-Ankle Vascular Index (CAVI) and its Potential Clanical Implications for Cardiovascular Disease. Cardiol Pharmacol. 2013; 2(2): 35-45. CrossRef  
  18. Shirai K, Hiruta N, Song M. Cardio-ankle vascular index (CAVI) as a novel indicator of arterial stiffness: theory, evidence and perspectives. J Atheroscler Thromb. 2011;18 (11): 924-38. CrossRef PubMed
  19.  
  20. Radchenko HD, Sirenko YuM. Elastic properties of arteries: definition, research methods, significance in the practice of a cardiologist. A. hypertension. 2009; 4(6): 52-66. [Ukrainian].
  21.  
  22. Dotsenko NIa., Dotsenko SIa., Boev SS. Sonography in the study of elastic-elastic properties of blood vessels. Cardiology. 2012; 1: 94-7. [Russian].
  23.  
  24. Mishchenko LA., Svishchenko YeP., Yarynkyna OA. Five-year dynamics of the thickness of the intima-media of carotid arteries and new cardiovascular risk factors in patients with hypertension. Archive Clinical Med. 2012; 2: 60-4 . [Ukrainian].
  25.  
  26. Fushtei IM, Kulinich IA, Myrnyi DP. Elastic properties of arterial vessels in patients with hypertension with hypertensive nephropathy and stable angina pectoris. Pathology. 2013; 2(28): 26-30 . [Ukrainian].
  27.  

© National Academy of Sciences of Ukraine, Bogomoletz Institute of Physiology, 2014-2024.