Медицинский вестник Юга России (Mar 2010)
Appart or together. How is better? About the influence metabolic abnormalities on course of hypertantion
Abstract
The association of arterial hypertension and metabolic abnormalities increases the risk of cardiovascular events. It damages more organs. The correlation between the speed of myocardial hypertrophy and degreeses of metabolic abnormalities has been demonstrated in prospective studies. Interventricular septal thickness depends more significantly on metabolic abnormalities than on the left ventricular chamber size. Besides atrial enlargement has also been associated with overweight and high fasting glucose. Renal events depend on metabolic abnormalities Microalbuminuria has been associated with hyperinsulinemia. The linear link between the prevalence of GFR and the number of metabolic syndrome components has been established. Furthermore, the evidence that artery stiffening is new independent risk factor has been found. This marker connected with obesity. Besides metabolic abnormalities produce a lot of different affective decoders, which can decrease patients quality life and motivations to their treatment.