THE STATE OF NITROXIDE PRODUCTION FUNCTION OF ENDOTHELIUM AND LEFT VENTRICLE HYPERTROPHY IN ARTERIAL HYPERTENSION

Aim. To assess levels of stable nitric oxide metabolites (NO) in plasma of arterial hypertension (AH) patients not taking systematic antihypertension therapy, in accordance with the presence and absence of the left ventricle hypertrophy (LVH).Material and methods. Totally, 124 AH patients included:...

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Main Authors: V. I. Podzolkov, A. E. Bragina, G. I. v, N. A. Murashko
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2017-08-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/595
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author V. I. Podzolkov
A. E. Bragina
G. I. v
N. A. Murashko
author_facet V. I. Podzolkov
A. E. Bragina
G. I. v
N. A. Murashko
author_sort V. I. Podzolkov
collection DOAJ
description Aim. To assess levels of stable nitric oxide metabolites (NO) in plasma of arterial hypertension (AH) patients not taking systematic antihypertension therapy, in accordance with the presence and absence of the left ventricle hypertrophy (LVH).Material and methods. Totally, 124 AH patients included: 45 males, 79 females, mean age — 51,4±6,5 y.o., mean duration of AH — 7,9±7,3 y. Controls included 25 healthy persons: 10 males, 15 females; mean age — 48,2±7,8 y.o. Transthoracal echocardiography was done by standard method. Myocardium remodelling types were evaluated by the Ganau A (1992) criteria. Concentration of NO in plasma was measured by spectrophotometry. Statistics was done with Statistica 8.0 software.Results. In AH patients the level of NO was significantly higher than in controls — 43,2±21,7 mcM/L vs 28,3±9,6 mcM/L (p<0,05). There was positive correlation of NO with the fact of AH (r=0,31, p<0,05). In AH patients LVH was diagnosed in 66,7%. In AH with LVH patients concentration of NO was significantly higher than in AH non-LVH — 49,9±19,3 vs 39,8±18,3 mcM/L, respectively, (р<0,05) and in controls. There were direct correlations in AH patients, with NO and myocardial mass index of the left ventricle (LV) (r=0,44, р<0,05), with interventricular septum thickness (r=0,36, р<0,05), posterior LV wall thickness (r=0,44, р<0,05). In the subgroup of AH patients with normal LV geometry there were the lowest NO levels — 35,1±17,3 mcM/L. In subgroups of AH patients with concentric remodeling, eccentric remodeling and concentric LVH, levels of NO were significantly higher than in controls (p<0,05). Higher NO levels were found in AH patients with concentric LVH (53,9±19,1 mcM/L).Conclusion. In AH patients of I-II stages there were raised NO levels. In AH patients with LVH concentration of NO is significantly higher than in non-LVH. There is correlation with myocardium mass index of LV and NO (r=0,44, p<0,05). The highest levels of NO were found in AH patients with concentric LVH.
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spelling doaj-art-a0ff40ccbcc74800bd35a1e8838f99ad2025-08-04T12:50:22Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252017-08-01164111710.15829/1728-8800-2017-4-11-17469THE STATE OF NITROXIDE PRODUCTION FUNCTION OF ENDOTHELIUM AND LEFT VENTRICLE HYPERTROPHY IN ARTERIAL HYPERTENSIONV. I. Podzolkov0A. E. Bragina1G. I. v2N. A. Murashko3I.M. Sechenov First Moscow State Medical University of the Ministry of Health (The Sechenov University)I.M. Sechenov First Moscow State Medical University of the Ministry of Health (The Sechenov University)I.M. Sechenov First Moscow State Medical University of the Ministry of Health (The Sechenov University)I.M. Sechenov First Moscow State Medical University of the Ministry of Health (The Sechenov University)Aim. To assess levels of stable nitric oxide metabolites (NO) in plasma of arterial hypertension (AH) patients not taking systematic antihypertension therapy, in accordance with the presence and absence of the left ventricle hypertrophy (LVH).Material and methods. Totally, 124 AH patients included: 45 males, 79 females, mean age — 51,4±6,5 y.o., mean duration of AH — 7,9±7,3 y. Controls included 25 healthy persons: 10 males, 15 females; mean age — 48,2±7,8 y.o. Transthoracal echocardiography was done by standard method. Myocardium remodelling types were evaluated by the Ganau A (1992) criteria. Concentration of NO in plasma was measured by spectrophotometry. Statistics was done with Statistica 8.0 software.Results. In AH patients the level of NO was significantly higher than in controls — 43,2±21,7 mcM/L vs 28,3±9,6 mcM/L (p<0,05). There was positive correlation of NO with the fact of AH (r=0,31, p<0,05). In AH patients LVH was diagnosed in 66,7%. In AH with LVH patients concentration of NO was significantly higher than in AH non-LVH — 49,9±19,3 vs 39,8±18,3 mcM/L, respectively, (р<0,05) and in controls. There were direct correlations in AH patients, with NO and myocardial mass index of the left ventricle (LV) (r=0,44, р<0,05), with interventricular septum thickness (r=0,36, р<0,05), posterior LV wall thickness (r=0,44, р<0,05). In the subgroup of AH patients with normal LV geometry there were the lowest NO levels — 35,1±17,3 mcM/L. In subgroups of AH patients with concentric remodeling, eccentric remodeling and concentric LVH, levels of NO were significantly higher than in controls (p<0,05). Higher NO levels were found in AH patients with concentric LVH (53,9±19,1 mcM/L).Conclusion. In AH patients of I-II stages there were raised NO levels. In AH patients with LVH concentration of NO is significantly higher than in non-LVH. There is correlation with myocardium mass index of LV and NO (r=0,44, p<0,05). The highest levels of NO were found in AH patients with concentric LVH.https://cardiovascular.elpub.ru/jour/article/view/595arterial hypertensionnitric oxideleft ventricle hypertrophyendothelial dysfunction
spellingShingle V. I. Podzolkov
A. E. Bragina
G. I. v
N. A. Murashko
THE STATE OF NITROXIDE PRODUCTION FUNCTION OF ENDOTHELIUM AND LEFT VENTRICLE HYPERTROPHY IN ARTERIAL HYPERTENSION
Кардиоваскулярная терапия и профилактика
arterial hypertension
nitric oxide
left ventricle hypertrophy
endothelial dysfunction
title THE STATE OF NITROXIDE PRODUCTION FUNCTION OF ENDOTHELIUM AND LEFT VENTRICLE HYPERTROPHY IN ARTERIAL HYPERTENSION
title_full THE STATE OF NITROXIDE PRODUCTION FUNCTION OF ENDOTHELIUM AND LEFT VENTRICLE HYPERTROPHY IN ARTERIAL HYPERTENSION
title_fullStr THE STATE OF NITROXIDE PRODUCTION FUNCTION OF ENDOTHELIUM AND LEFT VENTRICLE HYPERTROPHY IN ARTERIAL HYPERTENSION
title_full_unstemmed THE STATE OF NITROXIDE PRODUCTION FUNCTION OF ENDOTHELIUM AND LEFT VENTRICLE HYPERTROPHY IN ARTERIAL HYPERTENSION
title_short THE STATE OF NITROXIDE PRODUCTION FUNCTION OF ENDOTHELIUM AND LEFT VENTRICLE HYPERTROPHY IN ARTERIAL HYPERTENSION
title_sort state of nitroxide production function of endothelium and left ventricle hypertrophy in arterial hypertension
topic arterial hypertension
nitric oxide
left ventricle hypertrophy
endothelial dysfunction
url https://cardiovascular.elpub.ru/jour/article/view/595
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