[Clinicofunctional features of arterial hypertension in chronic broncho-obstructive syndrome].
OBJECTIVE
To describe clinicofunctional features of essential and pulmogenic hypertension in chronic bronchoobstructive syndrome, 24-h profile of arterial pressure (AP), intracardiac hemodynamics and to propose differential diagnostic criteria for these hypertension forms.


METHODS
24-h monitoring of arterial pressure (MAP), cardiohemodynamics, external respiration function (ERF) and blood gases examinations were made in 100 hypertensive subjects with chronic obstructive bronchitis and bronchial asthma.


RESULTS
Significant differences were found between the groups of essential and pulmogenic hypertension by major values of MAP, echo-CG and ERF. Early disturbances in diastolic function of both the ventricles in essential and pulmonary hypertension in chronic bronchial obstruction arise long before clinical, x-ray and ECG signs of chronic pulmonary heart.


CONCLUSIONS
The findings enable formulation of criteria of differential diagnosis of essential and pulmogenic hypertension and identify the latter as an independent nosological entity.
Zadionchenko
V S
VS
Kuz'micheva
N V
NV
Sviridov
A A
AA
Ol'kha
R P
RP
Kashcheeva
E V
EV
D001794:Blood Pressure / Q000502:physiology; D018660:Blood Pressure Monitoring, Ambulatory; D002940:Circadian Rhythm; D003937:Diagnosis, Differential; D004452:Echocardiography; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*; D006976:Hypertension, Pulmonary / Q000175:diagnosis; D008173:Lung Diseases, Obstructive / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*; D012129:Respiratory Function Tests; D013577:Syndrome; D016277:Ventricular Function, Left