The diagnosis of aterosclerosis of mesenteric vessels clinically occurs under the guise of gastropathy

Introduction. Russian indicators of mortality from cardiovascular disease are significantly higher than the death rate in Western and Central Europe, USA and Japan. A strong and independent predictor of cardiovascular events is the rigidity of the vascular wall according to new revision of the European recommendations of 2013. The volume sphygmography and interpretation of the results are relevant instrumental methods of evaluating structural and functional properties of the vascular wall. Materials and Methods. A set of patients was carried out on the basis of gastroenterological department GBUZ RM "Mordovia Republican Clinical Hospital" for the years 2009-2011. The study involved 86 patients with pathology of the gastrointestinal tract (GIT) and different levels of blood pressure, as well as low or unstable response to receive specific therapy for gastropathies. The average age of men was 48,3 ± 12,5 years and the average age of the women surveyed 44,2 ± 13,4 years, BMI = 30,4 ± 4,1 kg/m2 and a heart rate = 79,0 ± 11,4 beats/min. It was conducted a physical examination of hypertensive patients and normotensive. In the process, applied laboratory and instrumental methods of research with the registration of cardio-ankle vascular index (CAVI) and ankle-brachial index (AVI), blood pressure (BP) in the basins of the upper and lower extremities with volume sphygmography on VaSera VS-1000 apparatus (Fukuda Denschi, Japan). Results. Rigidity index CAVI gastropathies with patients with hypertension compared to "normal", it was more than 2,44 (24 %). Maximum current biological age of arteries in 10 % of patients was 59,0 ± 9,3 years, having high blood pressure, significantly (from 8 to 24 years) is higher chronological age surveyed. In this group of patients is determined by a significant increase in stiffness index (42,1 % among patients with hypertension 1 and 3 degrees). For early detection of atherosclerosis of mesenteric vessels and developed an algorithm for examination of patients, particularly with gastropathies to hypertension, with low response to a specific therapy with volume sphygmography method on the unit VaSera VS-1000. Discussion and Conclusions. Application of the proposed algorithm examinations in patients with gastropathies to hypertension and low response to the complex therapy allows timely detection of atherosclerotic vascular lesions (particularly mesenteric), to carry out choosing the right tactics, prognosis, and take measures to prevent the development of early and late complications.