Variants of venousdysfunction in hypertensive patients with different hemodynamic variants of the disease

Abstract

Aim. To identify variants of venous dysfunction in patients with arterial hypertension (AH) in respect of the disease hemodynamic profile. Material and methods. The assessment of central hemodynamics and peripheral venous circulation in the veins of the lower limbs was made in 60 patients with different hemodynamic variants of primary AH. Results. Patients with ejection hypertension were characterized by high extensibility of the peripheral veins and low tolerance to orthostatic loads. In patients with hypertension of resistance venous dysfunction was characterized by signs of venous hypertension in rigidity of the venous wall as well as low and inadequate reactivity of peripheral large vessels. Conclusion. The results of the orthostatic test show different response of venous hemodynamics in patients with hypertension of ejection and resistance. This provides adequate activity of the heart in erect position.

Keywords

• primary arterial hypertension
• venous dysfunction
• hemodynamics