THE ADRENAL MASSES AND THEIR ASSOCIATION WITH ARTERIAL HYPERTENSION

Alimoukhamedova G. A.* and Khalimova Z. Yu.

ABSTRACT

The work was initiated to study peculiarities of arterial hypertension (AH) in patients with adrenal masses. Data on 282 patients, 169 women (59.9%) and 113 (40.1%) men among them, with adrenal masses were analyzed. All patients underwent general clinical, biochemical, hormonal and instrumental tests. Arterial hypertension was the main clinical manifestation with various intensities registered in 218 patients (77.3%). Mean systolic and diastolic arterial pressures were significantly higher in the index group (p=0.0001). In this group, the proportion of persons with III-degree AH was significantly higher than in the controls (26.6% versus 10.3%; χ 2=4.09; р=0.04), while in the control group the proportion of persons with II-degree AH was higher than in the index one ((38.5% versus 17.4%; χ 2=8.27; р=0.004). Arterial hypertension in patients with adrenal masses can be continuous (29.2%) or regular (20.2%) or with sharp rises of blood pressure.

Keywords: adrenal masses, arterial hypertension, cardiovascular disease.