CLINICAL AND HEMODYNAMIC SPECIFICS OF LOWER EXTREMITIES VENOUS CIRCULATION IN YOUNG WOMEN WITH IDIOPATHIC SYSTEMIC HYPOTENSION

Abstract

Aim. To assess clinical signs and characteristics of venous circulation disorders in lower extremities in young women with idiopathic arterial hypotension (IAH). Material and methods. The comparison was performed, of the prevalence of subjective and objective signs of the chronic vein disease (CVD), and parameters of ultrasound vessel imaging of lower extremities circulation in 105 women with IAH (SBP 98 mmHg and below) and 48 women with normal arterial pressure (SBP 120- 129 mmHg). Mean age in both groups 19 (18-22) y.o. Results. Young hypotensive women present with complaints associated with CVD: leg pain in 31%, cramps at night in 27%, knee and feet edema by the end of the day — in 12%, trophic disorder of the skin — in 4%. CVD is characterized by a high prevalence of objective early signs of chronic veins diseases — teleangioectasia/reticular varicose (30%) that 2 times more common in low blood pressure. In IAH there is a decline found of structural and functional parameters of the low extremities veins comparing to normal blood pressure: lower diameter and the area of the lumen of the veins; lower thickness of walls and lower the tone; lower velocity of flow and lower the duration and velocity of venous reflux. In IAH there are ultrasound signs of CVD: in 45% — venous failure, varicose veins in 4%. In 78% young women with hypotension and venous reflux with low tone, there are complaints on leg pain 5 times more common than in normal pressure. Conclusion. In IAH young women more commonly present with CVD that show more prominent clinical picture and venous hemodynamics disorder than in normal blood pressure.