[Tissue oxygen metabolism, hemodynamics and microcirculation in vasorenal hypertension in patients with different types of blood circulation].

The authors examined 68 patients with vasorenal hypertension (VRH). In hyperkinetic type of VRH, the tissue hypoxia is caused by the increase in the cardiac index and rate of blood flow, changes in the microcirculation; in hypokinetic type--by decrease in the cardiac index, sharp increase in the specific peripheral vascular resistance and pronounced changes in all the links of microcirculatory channel as well is observed. Timely correction of the hyperkinetic type of VRH in patients leads to normalization of hemodynamics and elimination of tissue hypoxia. After correction of the hypokinetic type of VRH in patients, neither hemodynamics, nor impairment in the oxygen regimen of the tissues normalizes, even if the positive effect of treatment is noted.