Pathogenesis, treatment, and prevention of arterial hypertension in Type 2 diabetes mellitus patients

Aim. To study arteriolar blood flow velocity and salt consumption in patients with Type 2 diabetes mellitus (DM-2) and arterial hypertension (AH); to clarify the causes and pathogenetic mechanisms of the latter.Material and methods. In total, 258 patients with DM-2 and AH were examined (mean age 54+...

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Main Authors: V. S. Volkov, E. V. E.V. Rudenko, S. A. Rokkina
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2008-06-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/1345
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author V. S. Volkov
E. V. E.V. Rudenko
S. A. Rokkina
author_facet V. S. Volkov
E. V. E.V. Rudenko
S. A. Rokkina
author_sort V. S. Volkov
collection DOAJ
description Aim. To study arteriolar blood flow velocity and salt consumption in patients with Type 2 diabetes mellitus (DM-2) and arterial hypertension (AH); to clarify the causes and pathogenetic mechanisms of the latter.Material and methods. In total, 258 patients with DM-2 and AH were examined (mean age 54+1,16 years, disease duration 9,8+0,91 years). The control group (CG) included 110 age-matched healthy people. Taste sensitivity to salt (TSS), 24-hour urinary sodium excretion, and microcirculatory Doppler ultrasound were performed.Results. In patients with DM-2 and AH, decreased TSS resulted in involuntary increase of salt intake with food, which was confirmed by increased urinary sodium excretion. Arteriolar blood flow was significantly decreased in DM-2 participants, which indirectly pointed to arteriolar vasodilatation in AH.Conclusion. Volume-dependent mechanism (hypervolemia) plays a leading role in AH genesis among DM-2 patients. This should be taken into consideration while planning treatment and prevention strategies in individuals with DM-2 and AH.
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spelling doaj-art-0e1cdae180fe4e3cb771c05a5b4c409c2025-08-20T02:59:56Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252008-06-017314171055Pathogenesis, treatment, and prevention of arterial hypertension in Type 2 diabetes mellitus patientsV. S. Volkov0E. V. E.V. Rudenko1S. A. Rokkina2Tver State Medical Academy. TverTver State Medical Academy. TverTver State Medical Academy. TverAim. To study arteriolar blood flow velocity and salt consumption in patients with Type 2 diabetes mellitus (DM-2) and arterial hypertension (AH); to clarify the causes and pathogenetic mechanisms of the latter.Material and methods. In total, 258 patients with DM-2 and AH were examined (mean age 54+1,16 years, disease duration 9,8+0,91 years). The control group (CG) included 110 age-matched healthy people. Taste sensitivity to salt (TSS), 24-hour urinary sodium excretion, and microcirculatory Doppler ultrasound were performed.Results. In patients with DM-2 and AH, decreased TSS resulted in involuntary increase of salt intake with food, which was confirmed by increased urinary sodium excretion. Arteriolar blood flow was significantly decreased in DM-2 participants, which indirectly pointed to arteriolar vasodilatation in AH.Conclusion. Volume-dependent mechanism (hypervolemia) plays a leading role in AH genesis among DM-2 patients. This should be taken into consideration while planning treatment and prevention strategies in individuals with DM-2 and AH.https://cardiovascular.elpub.ru/jour/article/view/1345type 2 diabetes mellitusarterial hypertensionsaltarteriolar blood flow
spellingShingle V. S. Volkov
E. V. E.V. Rudenko
S. A. Rokkina
Pathogenesis, treatment, and prevention of arterial hypertension in Type 2 diabetes mellitus patients
Кардиоваскулярная терапия и профилактика
type 2 diabetes mellitus
arterial hypertension
salt
arteriolar blood flow
title Pathogenesis, treatment, and prevention of arterial hypertension in Type 2 diabetes mellitus patients
title_full Pathogenesis, treatment, and prevention of arterial hypertension in Type 2 diabetes mellitus patients
title_fullStr Pathogenesis, treatment, and prevention of arterial hypertension in Type 2 diabetes mellitus patients
title_full_unstemmed Pathogenesis, treatment, and prevention of arterial hypertension in Type 2 diabetes mellitus patients
title_short Pathogenesis, treatment, and prevention of arterial hypertension in Type 2 diabetes mellitus patients
title_sort pathogenesis treatment and prevention of arterial hypertension in type 2 diabetes mellitus patients
topic type 2 diabetes mellitus
arterial hypertension
salt
arteriolar blood flow
url https://cardiovascular.elpub.ru/jour/article/view/1345
work_keys_str_mv AT vsvolkov pathogenesistreatmentandpreventionofarterialhypertensionintype2diabetesmellituspatients
AT evevrudenko pathogenesistreatmentandpreventionofarterialhypertensionintype2diabetesmellituspatients
AT sarokkina pathogenesistreatmentandpreventionofarterialhypertensionintype2diabetesmellituspatients