Clinical Evaluation of the Insulin Resistance Syndrome in Hypertensive Patients With Normal Body Weight

Sokolova, L. A.; Иевская, Е. В.; Вавилова, Т. В.; Moroshkin, V. S.

doi:10.18705/1607-419x-2017-23-4-294-302

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“…Однак, методологічними труднощами, пов'язаними із вивченням нейрогуморальної регуляції, ймовірно, пояснюється і недостатнє обґрунтування ролі гормональних порушень у формуванні ІР при АГ. Між тим, по мірі вивчення цієї проблеми стало відомо, що майже 1/3 хворих на АГ із самого початку і незалежно від величини маси тіла інсулінорезистентні [3,4]. Інсулінорезистентність розглядають як порушення біологічної відповіді на інсулін, порушення метаболізму вуглеводів, жирів, білків, зміни синтезу ДНК, регуляції транскрипції генів, процесів диференціювання і росту клітин, тканин організму [4,5,6].…”

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Hormonal and Vegetative Factors of Insulin Resistance in Patients With Hypertension

Шевчук

Корчинський

2021

PEP

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The combination of arterial hypertension (AH) and insulin resistance (IR) significantly increases the risk of cardiovascular complications. Research objective: Studying indices of carbohydrate metabolism, activity of renin-angiotensin-aldosterone system, calcium-regulating hormones, adrenal glucocorticoid function, the condition of the autonomic nervous system and their possible interrelation with hemodynamic parameters in AH patients with different insulin sensitivity. A comprehensive study of hormonal profile was held with use of radio immune method and that of central hemodynamics with use of echocardiography in 72 patients with arterial hypertension stage II, 1-2 degrees, male (mean age – 54.1±3.4 years), with a body mass index up to 30 kg / mІ and verified insulin resistance (IR), in 32 patients of which insulin resistance (IR) was revealed, and in 40 patients its absence was fixed. Insulin resistance was verified by the value of HOMA-IR in excess of 2,77. To assess the condition of the autonomic nervous system, studies of heart rate variability were performed. It is established that patients with hypertension with IR had increased level of plasma renin activity, levels of angiotensin II, cortisol, insulin, parathyroid hormone, decreased parasympathetic and increased sympathetic tonus. According to the results of factor analysis, AH with insulin resistance has a distinctive structure of neurohumoral regulation of the main indicators of central hemodynamics and interhormonal interactions; the direct regulatory effects of angiotensin II, insulin, progesterone, parathyroid hormone on the indicators of central hemodynamics, modulation of presorption action increases. The study not only revealed peculiarities of neurohumoral profiles in patients with hypertension depending on insulin resistance, but also determined distinctive features in structure of the regulatory process of central hemodynamics and interhormonal interactions. This should be taken into account when prescribing antihypertensive therapy.

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Hormonal and Vegetative Factors of Insulin Resistance in Patients With Hypertension

Шевчук

Корчинський

2021

PEP

View full text Add to dashboard Cite

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Clinical Evaluation of the Insulin Resistance Syndrome in Hypertensive Patients With Normal Body Weight

Cited by 1 publication

References 0 publications

Hormonal and Vegetative Factors of Insulin Resistance in Patients With Hypertension

Hormonal and Vegetative Factors of Insulin Resistance in Patients With Hypertension

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