[Urate affection of kidneys and metabolic disturbances in hypertensive patients].
OBJECTIVE
To detect urate renal affection and correlations between purine metabolism, hyperinsulinemia, obesity, dyslipidemia in patients with arterial hypertension (AH).


METHODS
78 patients with mild, moderate and severe hypertension have undergone 24-h monitoring of arterial pressure and microalbuminuria test.


RESULTS
Hyperuricemia was diagnosed in 21 of 78, hyperuricosuria in 27 patients. 13 patients had combination of hyperinsulinemia with obesity, dyslipidemia, arterial hypertension. Renal symptoms occurred in almost half of the patients with hyperuricemia. Disturbed 24-h rhythm and variability of arterial pressure were encountered more frequently in patients with hyperuricemia and hyperinsulinemia than in patients with normal purin metabolism and no other metabolic shifts.


CONCLUSIONS
Renal abnormalities were found more frequently in hypertensive patients with hyperuricemia and those free of urate disturbances and metabolic changes. A positive correlation exists between body mass index and insulinemia (r = 0.58, p < 0.01), body mass index and uricemia (r = 0.37, p < 0.01), insulinemia and uricemia (r = 0.32, p < 0.01).
Donskov
A S
AS
Balkarov
I M
IM
Fadina
Z M
ZM
Golub'
G V
GV
Anikina
S A
SA
Saltykova
N G
NG
Goncharov
V S
VS
Feofanova
I D
ID
D015415:Biomarkers / Q000097:blood / Q000652:urine; D001794:Blood Pressure / Q000502:physiology; D018660:Blood Pressure Monitoring, Ambulatory; D002940:Circadian Rhythm / Q000502:physiology; D005260:Female; D006801:Humans; D006946:Hyperinsulinism / Q000097:blood / Q000150:complications / Q000652:urine; D006949:Hyperlipidemias / Q000097:blood / Q000150:complications / Q000652:urine; D006973:Hypertension / Q000150:complications / Q000378:metabolism* / Q000503:physiopathology; D007668:Kidney / Q000000981:diagnostic imaging / Q000378:metabolism*; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000097:blood / Q000150:complications / Q000652:urine; D012720:Severity of Illness Index; D014463:Ultrasonography; D014527:Uric Acid / Q000378:metabolism*
D015415:Biomarkers; D014527:Uric Acid
Uratnoe porazhenie pochek i metabolicheskie sdvigi u patsientov s arterial'noĭ gipertonieĭ.