[INDICATORS OF SYSTEMIC INFLAMMATORY RESPONSE AMONG PATIENTS WITH URGENCY HYPERTENSIVE CRISES]

B Goldovsky1, D Leliuk1, K Otarashvili1

  • 1State Institute «Zaporizhzhia Medical Academy of Postgraduate Education of Ministry of Health of Ukraine».

Georgian Medical News
|June 15, 2020
PubMed

Insights

Hypertensive crises show increased inflammatory markers like IL-6 and TNF-б, linked to higher blood pressure. This suggests inflammation plays a key role in managing hypertension emergencies.

Area of Science:

  • Cardiology
  • Internal Medicine
  • Emergency Medicine

Background:

  • Uncomplicated hypertensive crises require optimized prehospital treatment.
  • Understanding systemic hemodynamics and autonomic nervous system balance is crucial.

Purpose of the Study:

  • To improve prehospital treatment of hypertensive crises.
  • To investigate systemic hemodynamics, autonomic nervous system balance, and inflammatory markers in hypertensive patients.

Main Methods:

  • Prospective, comparative study of 206 patients with stage II hypertension.
  • Analysis of systemic inflammatory response markers (e.g., IL-6, TNF-б, CRP, IL-1в).
  • Comparison between emergency medical services patients, outpatients, and healthy individuals.

Main Results:

  • Increased serum proinflammatory markers correlate with elevated blood pressure.
  • Elevated catecholamines are associated with increased levels of IL-6 and TNF-б.
  • C-reactive protein (CRP) may indicate vascular inflammation; IL-1в is an early inflammatory response factor.

Conclusions:

  • Inflammatory processes are significantly involved in uncomplicated hypertensive crises.
  • Systemic inflammation markers offer insights into managing hypertensive emergencies.
  • Further research into inflammatory pathways could refine prehospital hypertension treatment.

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