[Aspects of the state of the cardiovascular system in adrenal diseases].
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An experience with the surgical treatment of 87 patients with different forms of stable arterial hypertension--vasorenal, nephrogenic, endocrinous-adrenal--has shown that every 5th patient has associated lesions. For the period from 1982 till 1983 the authors diagnosed hyperplasia of the adrenal in 5 of 22 patients having a stable arterial hypertension. When detecting pathological changes of adrenals in arterial hypertension against the background of nephroptosis it is expedient to perform an appropriate intervention on adrenals in addition to correction of the vasorenal component.
Altogether 23 patients were examined to assess the value of echography in the diagnosis of aldosteromas. Tumors were diagnosed at operation in 21 (2 malignant tumors) and adrenal hyperplasia in 2. The accuracy of diagnosis with regard to the presence or absence of aldosteromas was 82.6%. An analysis of the causes of erroneous results showed that they were noted in small size formations less than 2 cm in diameter, in corpulent patients and in the left-side tumor site due to more complicated anatomotopographic interrelationships of the organs in this area.
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