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J Nephropathol. 2021;10(4): e40.
doi: 10.34172/jnp.2021.40
  Abstract View: 170
  PDF Download: 88

Original Article

Kidney ultrasound biometric data dynamics in women with gestational hypertension

Tatiana Evgenievna Morozova 1 ORCID logo, Natalya Aleksandrovna Konyshko 1 * ORCID logo, Elena Olegovna Samokhina 1 ORCID logo, Artem Sergeevich Konyshko 2 ORCID logo

1 Department of General Medical Practice, I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
2 Smolensk State Medical University, Smolensk, Russian Federation
*Corresponding author: Natalya Aleksandrovna Konyshko, Email: Nkonyshko@yandex.ru

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.

Keywords: Gestational hypertension, Kidney remodeling, Ultrasound examination

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.

Please cite this paper as: Morozova TE, Konyshko NA, Samokhina EO, Konyshko AS. Kidney ultrasound biometric data dynamics in women with gestational hypertension. J Nephropathol. 2021;10(4):e40. DOI: 10.34172/jnp.2021.40.

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Submitted: 16 Nov 2020
Accepted: 04 Feb 2021
ePublished: 23 Mar 2021
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