Gurgenian S V, Pogosova G V, Vartanian Zh G, Vatinian S Kh, Nikogosian K G
Ter Arkh. 1995;67(12):21-5.
Psychosomatic status was investigated in 104 patients with essential hypertension (EH) and 111 patients with secondary arterial hypertension (AH) of renal origin in the presence of chronic pyelonephritis. A significant heterogeneity of psychological characteristics was established in patients with these two clinical forms of AH. In EH patients psychological deviations were detected since very early stages of the disease, but they did not become more profound with stabilisation of blood pressure. At the same time the progress of secondary AH was accompanied by obvious deterioration of initially little-changed psychological status, which correlated with the gravity of somatic status, in particular, with the severity of left ventricular hypertrophy.
对104例原发性高血压（EH）患者和111例肾源性继发性动脉高血压（AH）合并慢性肾盂肾炎的患者进行了心身状态调查。发现这两种临床类型的AH患者存在明显的心理特征异质性。在EH患者中，疾病早期就检测到心理偏差，但随着血压稳定，这些偏差并未变得更加严重。与此同时，继发性AH的进展伴随着最初变化不大的心理状态明显恶化，这与躯体状态的严重程度相关，尤其是与左心室肥厚的严重程度相关。
