Zadionchenko V S, Kuz'micheva N V, Sviridov A A, Ol'kha R P, Kashcheeva E V
Ter Arkh. 2000;72(1):51-5.
To describe clinicofunctional features of essential and pulmogenic hypertension in chronic bronchoobstructive syndrome, 24-h profile of arterial pressure (AP), intracardiac hemodynamics and to propose differential diagnostic criteria for these hypertension forms.
24-h monitoring of arterial pressure (MAP), cardiohemodynamics, external respiration function (ERF) and blood gases examinations were made in 100 hypertensive subjects with chronic obstructive bronchitis and bronchial asthma.
Significant differences were found between the groups of essential and pulmogenic hypertension by major values of MAP, echo-CG and ERF. Early disturbances in diastolic function of both the ventricles in essential and pulmonary hypertension in chronic bronchial obstruction arise long before clinical, x-ray and ECG signs of chronic pulmonary heart.
The findings enable formulation of criteria of differential diagnosis of essential and pulmogenic hypertension and identify the latter as an independent nosological entity.
描述慢性支气管阻塞综合征中原发性高血压和肺源性高血压的临床功能特征、24小时动脉血压（AP）变化、心内血流动力学，并提出这些高血压类型的鉴别诊断标准。
对100例患有慢性阻塞性支气管炎和支气管哮喘的高血压患者进行了24小时动脉血压（MAP）、心脏血流动力学、肺通气功能（ERF）和血气检查。
原发性高血压组和肺源性高血压组在MAP、超声心动图和ERF的主要指标上存在显著差异。慢性支气管阻塞患者原发性高血压和肺源性高血压时，两心室舒张功能的早期紊乱早在慢性肺心病的临床、X线和心电图表现出现之前就已出现。
这些发现有助于制定原发性高血压和肺源性高血压的鉴别诊断标准，并将后者确定为一个独立的病种。
