[A system for monitoring hemodynamic data and treatment of arterial hypertension (Part I. Evaluation of long-term results of classical therapy)].
In 383 hypertonic patients treated for prolonged periods in the classical way (stopped-care-approach) for an average of 12.5 years, all with more than three drugs, the authors used during comprehensive evaluation thoracic electric bioimpedance. In group (0) are 15.9% normotensive subjects, while 84.1% (189 men and 133 women) are divided into groups (III and IV) with 15.4% where treatment failed, into group (II) with controversial therapeutic effect, 32.4%, and group (I) 36.3% where a certain therapeutic effect was achieved. With regard to the reduction of systemic pressure (groups 0 and I), the success of classical treatment could be expressed as 52.2%. Normotensive subjects (41 men and 20 women) were evaluated according to age, pulse index and the index of vascular resistance. Only 40 (10.4%) are normotensive and normodynamic. There are 24 (6.2%) normotensive subjects with a normal index of vascular resistance. In women, contrary to men, independent on the age bracket (under 30 years, 30-60, over 60 years) hyperdynamic conditions predominate 2.9 x. In treated patients with persisting hypertension in groups II to IV the ratio of hypodynamia is increasing. In men there is a relatively greater increase of systemic vascular resistance, however, even in group IV there is a reduced (supernormal) index of systemic vascular resistance. The hyperdynamic syndrome is not a privilege of the young. It can be found also in men and women over 60 years of age.
Tichý
J A
JA
Institut uzité prevence a lécebné medicíny, Praha.
Cervenka
V
V
Hojerová
M
M
D000328:Adult; D000368:Aged; D005260:Female; D006439:Hemodynamics; D006801:Humans; D006973:Hypertension / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged
Systém sledování hemodynamických dat a lécba arteriální hypertenze (cást I.--hodnocení dlouhodobých výsledků klasické lécby).