Эпизодическая артериальная гипотензия у больных гипертонической болезнью

For the purpose of study of the episodes of arterial hypotension connected with risk factors and injury of target organs in patients with arterial hypertension of old and senile age we examined 260 patients (average age – 73,2 ± 7,3 years). Extreme decreases of systolic blood pressure were marked out on day’s curves of blood pressure. Their hemodynamic parameters and circadian structure were analyzed, popularity of factors of risk of arterial hypertension, indicators of affection of target organs and associated cardiovascular deceases in groups with and without hypotensive episodes were compared. We registered 63 episodes of arterial hypotension (at the average 0,9 episodes in a day) in 48 patients with arterial hypertension. Two maximums of frequency of their development were established. Waist size, level of cholesterinemia, mass of myocardium of left heart ventricle, serum creatinine, frequency of myocardial infarction and chronic kidneys decease predominated in patients with episodic hypotension. We drawn a conclusion of increase of risk of development of hypotensive episodes in old patients with arterial hypertension with affection of heart and kidneys because of disorder of regulatory reactions of blood circulation system of, that is necessary to be taken into account at the adjustment of hyponensive therapy.