scholarly journals Assessment of the degree of violations of hemostasis parameters, rheology, markers of inflammation in patients with arterial hypertension and different risks of venous thromboembolic complications

2021 ◽  
Vol 17 (3) ◽  
pp. 85-96
Author(s):  
M. V. Kruchinina ◽  
E. V. Kashtanova ◽  
Ya. V. Polonskaya ◽  
A. A. Gromov ◽  
V. A. Baum
Keyword(s):  
Arterial Hypertension ◽  
Red Blood Cells ◽  
Blood Cells ◽  
Thromboembolic Complications ◽  
Deformation Degree ◽  
Viscoelastic Parameters ◽  
Markers Of Inflammation ◽  
Venous Thromboembolic ◽  
Key Indicators ◽  
Conductivity Cell

The aim of the work is to investigate the parameters of hemostasis, electrical and viscoelastic parameters of red blood cells and markers of inflammation in persons suffering from arterial hypertension to determine the possibility of assessing the severity of hemorheological disorders.Material and methods. The study included 203 patients (156 patients with arterial hypertension and 47 patients without hypertension). The parameters of hemostasis, markers of inflammation and red blood cells were studied.Results. The possibilities of assessing the severity of hemorheological disorders in patients with arterial hypertension, based on the study of parameters: hemostasis, erythrocytes (by dielectrophoresis). In patients with hypertension, as the risk of venous thromboembolic complications increased, acceleration of leukocyte-platelet aggregation, increased fibrinogen level and decreased activity of XII-dependent fibrinolysis, which creates prerequisites for rheological disturbances, were revealed. The most accurate prediction of result according to severity of hemorheological disorders (differentiation moderate and expressed disorders from the lungs) is provided by such indicators of electric and viscoelastic parameters of erythrocytes, as the polarizability of red blood cells at a frequency of 106 Hz (AUC = 0,750 in), the speed of movement of cells to the electrodes (AUC = 0,746), deformation degree at a frequency of 5 × 105 Hz (AUC = 0,733), conductivity cell (AUC = 0,730), the generalized viscosity (AUC = 0,729), the index of aggregation of erythrocytes (AUC = 0,716), graduation according to the degree of strain at all frequencies (AUC = 0,716), generalized stiffness (AUC = 0,714), the deformation amplitude at frequency of 106 Hz (AUC = 0,711), the capacity of the cells (AUC = 0,693). The measure of specificity for different indices of erythrocytes is 75.4–99,3 % and a sensitivity of 84.1–98.6 %.Conclusions. The study of the parameters of hemostasis, markers of inflammation, red blood cells allowed us to determine the key indicators for assessing the severity of hemorheological disorders in patients with arterial hypertension. The work was carried out within the framework of the budgetary theme under the State Assignment No. 121090800102-4.

scholarly journals Electrical and viscoelastic parameters of erythrocytes in patients with different degrees of arterial hypertension

2012 ◽  
Vol 9 (4) ◽  
pp. 59-64
Author(s):  
A A Gromov ◽  
M V Kruchinina ◽  
A V Rabko ◽  
V A Baum ◽  
V M Generalov
Keyword(s):  
Dipole Moment ◽  
Endothelial Dysfunction ◽  
Arterial Hypertension ◽  
Red Blood Cells ◽  
Surface Charge ◽  
Blood Cells ◽  
Biochemical Indicators ◽  
Viscoelastic Parameters ◽  
Deformability Surface

We investigated the electrical and viscoelastic parameters of red blood cells in patients with hypertension of 1 and 2 degree. We marked the increase of variations in the characteristics of red blood cells with an increase in the degree of hypertension. We identified the correlations of erythrocytes parameters with biochemical indicators reflecting hyperlipidemia, microalbuminuria and the presence of inflammation. It was noted that the velocity of red blood cells to the electrodes, the dipole moment can be the markers of initial stages of endothelial dysfunction. It was suggested that the decrease of deformability, surface charge of red blood cells are the important pathogenetic factors in the progression of hypertension, therefore, requires additional emphasis in the treatment of this disease.

scholarly journals Features of electric and viscoelastic parameters of erythrocytes in patients with inflammatory intestinal diseases

2021 ◽  
Vol 1 (5) ◽  
pp. 19-30
Author(s):  
M. V. Kruchinina ◽  
I. O. Svetlova ◽  
A. V. Azgaldyan ◽  
M. F. Osipenko ◽  
E. Yu. Valuiskikh ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Differential Diagnosis ◽  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Red Blood Cells ◽  
Blood Cells ◽  
Average Diameter ◽  
Acute Stage ◽  
Viscoelastic Parameters ◽  
Surface Character

The aim of this work is to study the features of the electrical and viscoelastic parameters of erythrocytes in patients with inflammatory bowel diseases (ulcerative colitis, Crohn’s disease, unclassified colitis), taking into account the stage of the disease for possible use in differential diagnosis.The electrical and viscoelastic parameters of erythrocytes were studied using dielectrophoresis in 109 patients with IBD, mean age 37,7 + 11,7 years (50 patients with ulcerative colitis (UC), 41 with Crohn’s disease (CD), 18 with unclassified colitis (UCC) and 53 conditionally healthy, comparable in age and sex with the main groups.Red blood cells of individuals with IBD differed from those in the comparison group by a smaller average diameter, an increased proportion of deformed, spherocytic cells with a changed surface character with a reduced ability to deform, a lower level of surface charge of cells, an altered membrane structure with an increased ability to conduct electric current, prone to destruction and the formation of aggregates (p <0,0001–0,05).Analysis in individual groups with IBD in the acute stage, taking into account the therapy, revealed significant differences between the forms of IBD: in patients with Crohn’s disease, in contrast to patients with UC, red blood cells had lower values of the amplitude of deformation, capacity, dipole moment, and velocity of movement of cells towards electrodes, the proportion of discocytes, polarizability at most of the frequencies of the electric field (p <0,00001–0,05). On the contrary, the summarized indicators of rigidity, viscosity, electrical conductivity, aggregation and destruction indices were higher in CD than in UC (p <0,0001–0,05). CD patients had a greater number of deformed cells with altered surface character (p <0,00001).The features of the electrical and viscoelastic parameters of erythrocytes in patients with differentnosological forms of IBD can be used for the differential diagnosis of ulcerative colitis and Crohn’s disease in case of colon lesions, in the long term — for verification of the diagnosis in unclassified colitis.

Hemoglobin crystals of the red blood cells in the human renal cortex: electron microscopic observations of the renal lithiasis

1978 ◽  
Vol 36 (2) ◽  
pp. 480-481
Author(s):  
Kosuke Ueda ◽  
Hiroto Washida ◽  
Nakazo Watari
Keyword(s):  
Red Blood Cells ◽  
Blood Cells ◽  
Renal Cortex ◽  
Uranyl Acetate ◽  
Osmic Acid ◽  
Renal Lithiasis ◽  
Electron Microscopic ◽  
Hemoglobin C ◽  
First Case ◽  
Ultrathin Sections

IntroductionHemoglobin crystals in the red blood cells were electronmicroscopically reported by Fawcett in the cat myocardium. In the human, Lessin revealed crystal-containing cells in the periphral blood of hemoglobin C disease patients. We found the hemoglobin crystals and its agglutination in the erythrocytes in the renal cortex of the human renal lithiasis, and these patients had no hematological abnormalities or other diseases out of the renal lithiasis. Hemoglobin crystals in the human erythrocytes were confirmed to be the first case in the kidney.Material and MethodsTen cases of the human renal biopsies were performed on the operations of the seven pyelolithotomies and three ureterolithotomies. The each specimens were primarily fixed in cacodylate buffered 3. 0% glutaraldehyde and post fixed in osmic acid, dehydrated in graded concentrations of ethanol, and then embedded in Epon 812. Ultrathin sections, cut on LKB microtome, were doubly stained with uranyl acetate and lead citrate.

Densitometric Identification of Primitive Erythroblasts After Reaction With Diaminobenzidine

1973 ◽  
Vol 31 ◽  
pp. 328-329
Author(s):  
John A. Trotter
Keyword(s):  
Red Blood Cells ◽  
Analytical Method ◽  
Blood Cells ◽  
Guinea Pigs ◽  
Specific Protein ◽  
Visual Examination ◽  
Hemoglobin Synthesis ◽  
Peroxidatic Activity ◽  
Small Density

Hemoglobin is the specific protein of red blood cells. Those cells in which hemoglobin synthesis is initiated are the earliest cells that can presently be considered to be committed to erythropoiesis. In order to identify such early cells electron microscopically, we have made use of the peroxidatic activity of hemoglobin by reacting the marrow of erythropoietically stimulated guinea pigs with diaminobenzidine (DAB). The reaction product appeared as a diffuse and amorphous electron opacity throughout the cytoplasm of reactive cells. The detection of small density increases of such a diffuse nature required an analytical method more sensitive and reliable than the visual examination of micrographs. A procedure was therefore devised for the evaluation of micrographs (negatives) with a densitometer (Weston Photographic Analyzer).

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