PLASMAL LEVEL OF ALDEOSTERONE IN PATIENTS WITH HYPERTONIC DISEASE IN DEPEDENCE FROM GENDER-ANNUAL AND CLINICAL CHARACTERISTICS
DOI:
https://doi.org/10.11603/1681-2786.2018.3.9755Keywords:
arterial hypertension, aldosterone, dyslipidemiaAbstract
Purpose: determination of plasma level of aldosterone in patients with hypertension stage II and existing risk factors (RF).
Materials and Methods. The main group of the surveyed was 160 patients with hypertension stage 2 of different sex, aged 19 to 60 years, the control group – 27 practically healthy, aged 19 to 56 years. The level of aldosterone was determined by ELISA assay using IBL International GmbH (Canada) reagents.
Results. Significantly higher aldosterone levels were shown: in hypertensive patients with stage 2 of young and middle age compared with those who were practically healthy (293 vs 32 pg / ml, p <0.0001); in patients with hypertension stage 2 and 3 in comparison with stage 1; with abdominal obesity in comparison with patients without obesity; in cases with optimal and overweight in comparison with abdominal obesity; in patients with dyslipidemia in comparison with the normal level of proatherogenic lipids; in cases with absent and one RF in comparison with 2-4 RF.
Conclusions. The study of the effect of aldosterone on the development of changes in the cardiovascular system against the background of arterial hypertension in the gender-age aspect and the availability of RF will provide an opportunity to improve the algorithms for diagnosis and detection of patients with hypertension.
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