Abstract
Introduction: The stable level of morbidity in the Russian Federation of pregnant women with gestational arterial hypertension (GAH) and as a consequence of the disability of women of working age and their offspring actualizes the search for early ultrasound markers of kidney damage as a target organ urgent. Objectives: Despite the variety of publications on ultrasound semiotics of the kidneys, there are no specific biometric parameters of the kidneys in pregnant women without somatic pathology, which actualizes this study. Patients and Methods: A comprehensive clinical examination of 183 outpatients and inpatients (mean age 27.9 ± 4.7 years) with gestational hypertension performed. Results: There is a significant increase in the volume of the right kidney, the left kidney shape index, the diameter of the renal calyces and pelvis, the coefficient of asymmetry, the ratio of the diameter of the renal calyces to the volume of the right kidney with an increase in the degree of gestational hypertension. Conclusion: Structural changes of kidneys are interconnected with hemodynamic parameters observed and can be expressed by mathematical model.
Highlights
The stable level of morbidity in the Russian Federation of pregnant women with gestational arterial hypertension (GAH) and as a consequence of the disability of women of working age and their offspring actualizes the search for early ultrasound markers of this pathology
We analyzed the ultrasound changes of the kidneys in the main and control groups in order to detect kidney remodeling in pregnant women with gestational hypertension against the background of physiologically proceeding gestation
The speed of venous blood flow is much greater in the right kidney, which is due to anatomical differences: with a large diameter of the right renal vessel and the frequent presence of additional renal veins on the right
Summary
The stable level of morbidity in the Russian Federation of pregnant women with gestational arterial hypertension (GAH) and as a consequence of the disability of women of working age and their offspring actualizes the search for early ultrasound markers of kidney damage as a target organ urgent. Implication for health policy/practice/research/medical education: The development and application in clinical practice of adequate safe and accurate methods for assessing the biometric parameters of internal organs in normal conditions in pregnant women will make it possible to increase the effectiveness of diagnostic measures and allow purposefully and timely correction of the detection of pathological processes and reduce the likelihood of their over-diagnosis. The development and application in clinical practice of adequate safe and accurate methods for assessing the biometric parameters of internal organs in normal conditions in pregnant women will make it possible to increase the effectiveness of diagnostic measures and allow purposefully and timely correction of the detection of pathological processes and reduce the likelihood of their over-diagnosis. Highly informative, and practically safe for staff and pregnant women, ultrasonography is recognized as a diagnostic search method that is very informative for most conditions of organs and systems of the human body [1,2]
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