Skin microcirculation reaction to acute hypotensive effects of various antihypertensive medications in hypertensive patients

Aim. To assess the dynamics of skin microcirculation (MC) in response to medications with different mechanisms of hypotensive action in patients with arterial hypertension (AH). Material and methods. In patients with Stage 2–3 AH, MC was assessed by laser Doppler flowmetry at baseline and after a si...

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Main Authors: A. P. Vasilyev, N. N. Streltsova
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2013-06-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/387
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author A. P. Vasilyev
N. N. Streltsova
author_facet A. P. Vasilyev
N. N. Streltsova
author_sort A. P. Vasilyev
collection DOAJ
description Aim. To assess the dynamics of skin microcirculation (MC) in response to medications with different mechanisms of hypotensive action in patients with arterial hypertension (AH). Material and methods. In patients with Stage 2–3 AH, MC was assessed by laser Doppler flowmetry at baseline and after a single administration of corinfar (n=38), capoten (n=37), and concor (n=37). Results. In patients with a clear hypotensive effect of the examined medications, the dynamics of skin MC parameters was similar. The reorganisation of peripheral hemodynamics was characterised by dysbalanced and insufficiently effective regulatory processes and restricted reserves of capillary blood flow. The increase in tissue perfusion was due to the increased pulse filling of MC vessels. Conclusion. Similar dynamics of MC parameters in response to the administration of medications with different hypotensive mechanisms suggests that an acute drop in peripheral vascular resistance leads to an urgent adaptive reaction aimed at the maintenance of adequate capillary-tissue metabolism.
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language Russian
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publisher «FIRMA «SILICEA» LLC
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series Российский кардиологический журнал
spelling doaj-art-ed3d8ae58d494cbd8555e91d700584292025-08-20T03:21:51Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202013-06-0103566110.15829/1560-4071-2013-3-56-61387Skin microcirculation reaction to acute hypotensive effects of various antihypertensive medications in hypertensive patientsA. P. Vasilyev0N. N. Streltsova1Tumen Cardiology Centre, Research Institute of Cardiology, Siberian Branch, Russian Academy of Medical Sciences, Tumen, RussiaTumen Cardiology Centre, Research Institute of Cardiology, Siberian Branch, Russian Academy of Medical Sciences, Tumen, RussiaAim. To assess the dynamics of skin microcirculation (MC) in response to medications with different mechanisms of hypotensive action in patients with arterial hypertension (AH). Material and methods. In patients with Stage 2–3 AH, MC was assessed by laser Doppler flowmetry at baseline and after a single administration of corinfar (n=38), capoten (n=37), and concor (n=37). Results. In patients with a clear hypotensive effect of the examined medications, the dynamics of skin MC parameters was similar. The reorganisation of peripheral hemodynamics was characterised by dysbalanced and insufficiently effective regulatory processes and restricted reserves of capillary blood flow. The increase in tissue perfusion was due to the increased pulse filling of MC vessels. Conclusion. Similar dynamics of MC parameters in response to the administration of medications with different hypotensive mechanisms suggests that an acute drop in peripheral vascular resistance leads to an urgent adaptive reaction aimed at the maintenance of adequate capillary-tissue metabolism.https://russjcardiol.elpub.ru/jour/article/view/387arterial hypertensionhypotensive medicationsskin microcirculation
spellingShingle A. P. Vasilyev
N. N. Streltsova
Skin microcirculation reaction to acute hypotensive effects of various antihypertensive medications in hypertensive patients
Российский кардиологический журнал
arterial hypertension
hypotensive medications
skin microcirculation
title Skin microcirculation reaction to acute hypotensive effects of various antihypertensive medications in hypertensive patients
title_full Skin microcirculation reaction to acute hypotensive effects of various antihypertensive medications in hypertensive patients
title_fullStr Skin microcirculation reaction to acute hypotensive effects of various antihypertensive medications in hypertensive patients
title_full_unstemmed Skin microcirculation reaction to acute hypotensive effects of various antihypertensive medications in hypertensive patients
title_short Skin microcirculation reaction to acute hypotensive effects of various antihypertensive medications in hypertensive patients
title_sort skin microcirculation reaction to acute hypotensive effects of various antihypertensive medications in hypertensive patients
topic arterial hypertension
hypotensive medications
skin microcirculation
url https://russjcardiol.elpub.ru/jour/article/view/387
work_keys_str_mv AT apvasilyev skinmicrocirculationreactiontoacutehypotensiveeffectsofvariousantihypertensivemedicationsinhypertensivepatients
AT nnstreltsova skinmicrocirculationreactiontoacutehypotensiveeffectsofvariousantihypertensivemedicationsinhypertensivepatients