Keywords
hypertension
ultrasound
portal hemodynamics
How to Cite
Abstract
The aim of the study was to study the ultrasound parameters of the liver and portal blood flow parameters in patients with comorbidity of NAFLD with essential hypertension or renoparenchymal hypertension, as well as assess the main factors that affect these parameters. The object of the study was 269 patients, which were divided into three groups: group I – patients with comorbidity of NAFLD and stage II, 2 degrees EH (121 patients), group II – patients with comorbidity of NAFLD and stage II, 2 degrees RPAH (88 patients), group III – patients with NAFLD (60 patients). The age of the patients was 18-66 years. The mean age of the patients was (48.07±10.81) years. The control group included 20 healthy individuals. To assess the condition of the liver an ultrasound method was used. According to our data, the blood flow in the portal vein is deteriorating in both groups of patients with NAFLD and its comorbidity with EH or RPAH. The resistance index of the common hepatic artery is reduced to a greater extent in patients with NAFLD and its comorbidity with EH or RPAH compared with both groups of patients with isolated NAFLD and the control group. The pulsation index of the common hepatic artery does not significantly differ in patients with comorbidity and isolated NAFLD, but significantly exceeds the figure in the control group. This also indicates the presence of violations in the system of arterial hepatic blood flow in the examined patients. There is no difference between portal hemodynamics with NAFLD comorbidity with EH and NAFLD comorbidity with RPAH. The data obtained indicate that the presence of comorbidity with EH or RPAH in patients with NAFLD worsens the state of portal blood flow, which can affect the course of the diseaseReferences
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