Association between renal morphology on ultrasound and estimated glomerular filtration rate in patients with primary hypertension at Hai Phong Medical University Hospital

Abstract

Objectives: To describe the changes in renal morphology on ultrasound, changes in eGFR, and to investigate the association between morphological changes and eGFR in hypertensive patients. Subjects: Describe and cross 62 patients with primary hypertension (THA). Results and Conclusions: The right kidney has an irregular renal margin accounting for 17.7%, the muzzle margin accounts for 6.5%, the cortical medullary differentiation decreases by 30.6%, and the cortical medullary differentiation is 9.7%. The left kidney had an irregular renal margin of 22.6%, the citrus renal margin accounted for 4.8%, the cortical medullary differentiation decreased by 30.6%, and the cortical medullary differentiation was 8.1%. Thus, in THA, there is an earlier transformation in the kidneys in the differentiation of the renal cortical marrow compared to the size and renal borderline. There is a moderate inverse correlation of birenal cortical medullary differentiation with glomerular filtration level (MLCT) with r = - 0.44; - 0,45; p < 0.001. The glomerular filtration level (MCLT) in the group of patients with THA detection time of less than 5 years was 81.52 ± 10.79ml/p/1.73m2da, the group with THA detection time of more than 10 years was 67.04 ± 18.59ml/p/1.73m2da, the uncontrolled group of blood pressure was 68.71ml/p/1.73m2da, and the group with controlled blood pressure was 80.41ml/p/1.73m2da. 89% of patients have decreased MLCT. MLCT decreases when the number of years of THA detection increases, and MLCT in patients with uncontrolled blood pressure is lower than in patients with controlled blood pressure.