Structural and functional state of various parts of skin microcirculation at an early stage of hypertension in working-age men.

STUDY PURPOSE: To conduct a cross-sectional study on the structural and functional characteristics of various parts of skin microcirculation in working-age men with newly diagnosed hypertension (HTN). MATERIALS AND METHODS: The study included 118 male participants (ages 30 to 60) who were not regularly taking any medicine, had no medical complaints, and subjectively considered themselves healthy at the time of study. All participants underwent a cross-sectional comprehensive medical examination. The following tests were performed: complete blood count, biochemical blood tests, video capillaroscopy (VCS), laser Doppler flowmetry (LDF) and photoplethysmography (PPG) on the left hand fingers, determination of flow-mediated vasodilation of the brachial artery, echocardiography, ultrasound of extracranial and femoral arteries, 24-h ambulatory blood pressure monitoring (ABPM). According to ABPM data, the participants were divided into two equal groups called a control group(CG) and a hypertension group(HG). There were 59 participants with normal BP in CG, and 59 participants with newly diagnosed HTN in HG. RESULTS: Nailfold VCS of the ring finger revealed no significant differences between the groups at the level of exchange microvessels. According to LDF data, there was no decrease in tissue perfusion and signs of an increase in the activity of endothelial, neurogenic, and myogenic regulation of the tone of precapillary arterioles in the HTN group. According to PPG of the index finger, in contrast to CG, HTN participants had significantly higher values of the following parameters: normalized augmentation index (Alp75) - 3.8 % and - 5.25 % (p < 0.005), stiffness index (SI) - 7.6 m/s and 7.35 m/s (p < 0.05), reflection index (RI) - 36.5 % and 28.4 % (p < 0.005), respectively. DISCUSSION: Working-age men in the early stage of HTN have neither capillary rarefaction nor an increase in the tone of skin precapillary arterioles. The largest contribution to peripheral vascular resistance in the onset of HTN is most likely made by large muscular arterioles, in which the neurogenic regulation of vascular tone predominates.

Parameters of cutaneous microvasculature in men of working age with newly diagnosed arterial hypertension.

OBJECTIVE: To investigate structural and functional features of cutaneous microvasculature in men of working age with newly diagnosed arterial hypertension (AH). MATERIALS AND METHODS: The study included 161 apparently healthy men from 30 to 60 years, who underwent a comprehensive examination of cardiovascular system "from the heart to the capillaries". Control group (CG) included 60 normotensive men. AH group included 101 men with elevated BP. RESULTS: There is no rarefaction of the capillary bed and latent fluid retention in the interstitial space in the skin in men with AH. No data were obtained for increased endothelial, neurogenic and myogenic tone of resistive cutaneous precapillary arterioles in AH group, but a decrease in the perfusion efficiency of the endothelial and myogenic mechanisms of tissue perfusion modulation was noted. CONCLUSION: Obtained results allow making the assumption that metabolic disorders at the level of capillaries that are of a systemic nature prevail in men with the onset of AH.

[A set of equipment for rapid roentgenography based on diffusion photographic materials]. / Komplekt apparatury dlia ékspressnoi rentgenografii na osnove diffuzionnykh fotomaterialov.

The authors describe a set of equipment for x-ray diagnosis based on diffusion photographic material, including an exposure cassette, an outfit for image processing and a portable impulse x-ray device. That the use of the roentgenographic set under outpatient or field conditions holds promise is determined by rapid production of an image, small size and weight of the set, convenience in operation and by the information content of the image obtained.

[Roentgenologic converters for medical radioscopy]. / Rentgenovskie preobrazovateli dlia meditsinskoi introskopii.

Peculiarities of use of luminescent and semiconductor converters of X-radiation in radioscopy are examined. Characteristic features of X-ray devices (electro-optical transducers, X-ray vidicons, gas discharge and luminescent converters), based on the use of luminescent and semiconductor converters are comparatively analyzed. Estimation of X-ray image quality is given. Use of gas discharge and luminescent converters is found to be the most prospective for medical radioscopy. The aforementioned converters are distinguished by high dose sensitivity, simplicity of the construction and greater size of working field.