ULTRASOUND ESTIMATION OF BLOOD FLOW VELOCITY IN THE VERTEBRAL AND INTERNAL CAROTID ARTERIES IN HYPERTENSIVES

E.V. Oschepkova, G.A.Denisova, T.V. Balahonova, O.Yu. Atkov

Cardiology Research  Center, Moscow, Russia

Objective: The aim of our study is to evaluate the blood flow velocity in the vertebral and internal carotid arteries in hypertensives.

Method: We investigated the blood flow velocity (Q) in 34 hypertensive patients (pts), male and female, aged 56±2 years: group A - 21 pts with  haemodynamically insignificant atherosclerotic lesions and kinking in carotid arteries only,  group B - 13 pts with  above pathology in carotid and vertebral arteries. Q was estimated in the internal carotid and vertebral arteries from both sides with two-dimensional ultrasound images, with 7.0 MHz linear array transducer and ACUSON 128XP/10 system.

Results:

Parameter

 A

 B

BP syst, mm Hg

172±6

156±5

BP diast, mm Hg

104±3

100±2

HR

70±3

66±3

Q, ml/min

635,6±21,9

554,8±32,7*

 * p <0.05; all data are expressed as  M±SE.

Conclusion: Q was significantly lower in the group B. The hypertensives with  haemodynamically insignificant pathology in carotid and vertebral arteries have a higher risk of cerebrovascular complications.