[The mechanisms of the development of arterial hypertension in patients with chronic kidney failure treated by hemodialysis]

Abstract

Hypertensive patients out of 50 with chronic renal failure degree IIIA on programmed hemodialysis were divided into those with uncontrolled (group 1) and controlled (group 2) arterial hypertension. Group 1 was found to have hyperactive renin-angiotensin aldosterone system and marked unbalance in the system of cyclic nucleotides. In group 2 the activity of renin and plasma aldosterone levels were not so high. In both groups the above hormonal abnormalities followed the pattern of progressive hyperkinetic syndrome running with an inadequate fall in peripheral vascular resistance responsible for arterial hypertension in these patients.