Open AccessKidney damage in essential arterial hypertension: pathogenetic issues for early diagnostics
Author(s) -
Л. В. Мельникова,
Е. В. Осипова
Publication year - 2019
Publication title -
arterialʹnaâ gipertenziâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.126
H-Index - 5
eISSN - 2411-8524
pISSN - 1607-419X
DOI - 10.18705/1607-419x-2019-25-1-6-13
Subject(s) - microalbuminuria , medicine , kidney , cardiology , vascular resistance , hemodynamics , essential hypertension , intensive care medicine , blood pressure
We review main issues of early diagnostics of kidney damage in patients with essential hypertension. The remodeling of renal vessels and the underlying mechanisms are discussed. The evidence-based data are reviewed to substantiate the use of laboratory methods for the kidney damage diagnostics (calculation of glomerular fltration rate and microalbuminuria). We discuss the role of Doppler methods in the assessment of intrarenal hemodynamics (the resistance index and blood ow acceleration time) for timely detection of changes in renal vessels and the choice of management strategy.