Vasorenal hemodynamic changes in patients with chronic kidney disease in comorbidity with hypertonic disease


arterial hypertension, chronic kidney disease, renal hemodynamics


Clinical studies conducted in recent years have confirmed the predictive value of intrarenal hemodynamic disorders in the progression of arterial hypertension (AH) and chronic kidney disease (CKD). But still, there is still no clear understanding of the issues related to the features of renal hemodynamic disorders, taking into account the severity and staging of the course of CKD, including those associated with hypertension due to their insufficient knowledge. The purpose of this study was to identify the features of vasorenal hemodynamics in patients with arterial hypertension with various forms of chronic kidney disease. Materials of the study were examined 62 patients aged 38 to 64 years, who were in inpatient and outpatient treatment, of which 51 patients had a diagnosis of hypertension and CKD stages 1 - 3a. Conclusions. In 51 patients with CGP and chronic pyelonephritis associated with hypertension at the first, second and 3a stages of CKD, the velocity indices of renal blood flow (Vmax, Vmin), as well as the indices of peripheral resistance (RI, PI) at the main, segmental and interlobar levels did not differ among themselves and reflected only the severity of intrarenal blood flow disorders.