Aim. To study the state of central hemodynamics measured with echocardiography in patients with chronic renal disease on the background of chronic pyelonephritis caused by nephrolithiasis and dysmetabolic nephropathy in the phase of incomplete remission and combined with arterial hypertension. Materials and methods. 81 patients with chronic renal disease on the background of chronic pyelonephritis associated with nephrolithiasis in the phase of incomplete clinical and laboratory remission were investigated. Age varied from 25 to 60 years, average age was 46 ± 9.0 years. The study wasperformed at “Tyumen RZHD – hospital” and “Tyumen SMU – multidisciplinary clinic”. Results. Patients with chronic renal disease on the background of chronic pyelonephritis and arterial hypertension had impaired left ventricular diastolic function, characterized by a significant increase in such indicators as the rate of early and late LV filling and the time of isovolumetric relaxation, a decrease in the E/A ratio, with preserved systolic function of left ventricular. Conclusion. Patients with chronic renal disease on the background of chronic pyelonephritis due to nephrolithiasis, combined with arterial hypertension in the absence of severe left ventricular hypertrophy, have diastolic function disorders, preserved left ventricular systolic function, which may contribute to the chronic heart failure.
Aim. To analyze nephroscintigraphy kidney functional state in patients with chronic kidney disease (CKD) on the background of chronic pyelonephritis (CRF) in combination with arterial hypertension (AH). Materials and methods. 81 patients with chronic kidney disease on the background of arterial hypertension and chronic pyelonephritis in the phase of incomplete clinical and laboratory remission were included in the research. Age varied from 25 to 60 years old (average age was 46 ± 9.0 years). The study was performed on the basis of Tyumen railway hospital and Tyumen state medical University multidisciplinary clinic. Results. In patients with CKD, caused by chronic pyelonephritis, and AH in the initial stage of the disease, we found that secretory phase is preserved. At the same time, the urinary tract excretory phase is elongated in both kidneys. Conclusion. In this category of patients with the initial stages of CKD, there is an excretion disorder in both kidneys, which may probably be associated with sclerosis in the urinary tract paries, that takes place in the conditions of a chronic inflammatory process.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.