FIELD: medicine.
SUBSTANCE: invention relates to cardiology and functional diagnostics. Number of heart rate (HR), minute volume of blood circulation (MBC), total peripheral vascular resistance (TPVR) are determined at patient; arterial system volume elasticity (K) is defined by original formula. Then, ratio of volume elasticity arterial system (k) to total peripheral vascular resistance (TPVR) is determined. Deviation of measured minute volume of blood circulation (MBC) is calculated from average value of appropriate minute volume of blood circulation (avAMBC) in percentage. At deviation of MBC from avAMBC for more than 30 % presence of hyperkinetic type of central haemodynamics is determined; less than 30 % is of hypokinetic type, with values from -30 % to +30 % is of eukinetic type. Haemodynamic subtypes are determined by value of HR: at HR>90 per minute tachysystole subtype is determined, with HR from 60 to 90 per min is -normosystole and with HR<60 per min is bradycardic. Subtype is then determined by relation K/TPVR: at ratio of >1 is haemodynamic subtype with prevailing rigidity of arterial system, with ratio of <1 is with predominance of peripheral vascular resistance, combination of subtypes. By obtained criteria, differentiated haemodynamics subtype is determined: eukinetic tachysystole type with predominance of peripheral vascular resistance; eukinetic tachysystole type with prevailing rigidity of arterial system; eukinetic normsystole type with predominance of peripheral vascular resistance; eukinetic normsystole type with prevailing rigidity of arterial system; eukinetic bradycardic type with predominance of peripheral vascular resistance; eukinetic bradycardic type with prevailing rigidity of arterial system; hyperkinetic tachysystole type with predominance of peripheral vascular resistance; hyperkinetic tachysystole type with prevailing rigidity of arterial system; hyperkinetic normsystole type with predominance of peripheral vascular resistance; hyperkinetic normsystole type with prevailing rigidity of arterial system; hyperkinetic bradycardic type with predominance of peripheral vascular resistance; hyperkinetic bradycardic type with prevailing rigidity of arterial system; hypodynamic tachysystole type with predominance of peripheral vascular resistance; hypodynamic tachysystole type with prevailing rigidity of arterial system; hypodynamic normsystole type with predominance of peripheral vascular resistance; hypodynamic normsystole type with prevailing rigidity of arterial system; hypodynamic bradycardic type with predominance of peripheral vascular resistance; hypodynamic bradycardic type with prevailing rigidity of arterial system.
EFFECT: method enables determining main link in haemodynamics, responsible for high blood pressure that enables to develop differentiated approach to prescribing hypertensive therapy.
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Authors
Dates
2016-05-20—Published
2015-01-12—Filed