1. Hypertensive illness V. Voloshyn (By Ya.Ya. Bodnar et al.,
Rubin & Farber,
Serov et al.)

2. Hypertensive illness
Hypertensive illness is one of the most widespread diseases of vessels& heart system, which is characterized by stable essence hyperpressure (systole – higher 140 mm.Hg, and diastole – higher 90 mm.Hg) with the defeat of organs-targets. 2

3. Glossary
Arterial Hyperpressure (according to definition of Committee of experts of WHPO, is constantly enhanceable systole and/or diastole arterial pressure.
essence hypertension is enhanceable arterial pressure in default of reliable cause of its increasing
Secondary hypertension (symptomatic) is the hypertension, reason of which can be found out. 2

4. Etiology of hypertensive illness
Etiology of hypertensive illness exactly is not found out.
Sympatic hyperactivity is one of the strongest factors of development of essence hypertension. This state is reflected on the function of some organs which can be considered the targets of the sympatic influencings. Except for a heart, arterioles, veins and kidneys belongs here . 2

5. Causes of Hypertension

6. Character of passing Malignant (domination of hypertonic crises)
Benign

7. Malignant hypertensive illness
Hyaline arteriolosclerosis fibrinoid necrosis
Corrugated and destruction of basal membrane
Thrombosis and sludge-phenomenon

8. Stages of development of hypertensive illness
Flowing of hypertensive illness can be of benign and malignant. In first case select three clinic-morphological stages:
till clinical, or transitory;
stage of widespread changes of arteries, or organic;
stage of the secondary changes, or organ . 2

9. Defeat of vessels at hypertensive illness2

10. The Heart in Hypertension: Concentric Hypertrophy

11. Defeat of heart at hypertensive illness2

12. Hypertensive illness types
Cardiac;
Brain;
Kidney.

14. Hypertonic atherosclerosis

16. The Kidneys in Hypertension: Benign and Malignant

17. Primary wrinkled kidney2

18. 35

19. Cerebro-vascular illness36

20. Ischemic heart trouble
Ischemic heart trouble is acute or chronic disfunction of cardiac muscle which arises up as a result of the relative or absolute diminishing of coronal blood supplying of myocardium by arterial blood.
(The experts committee of WHPO) 2

21. Classification of ischemic heart trouble (WHPO, 1979)
Coronal oxymortia.
Stenocardia
Infarct of myocardium
Post-infarctic cardiosclerosis
Violation of cardiac rhythm
Cardiac insufficiency 2

22. Ischemic heart trouble

23. Heart attack of myocardium2

24. Acute heart attack 40

25. Infarct of myocardium classification
According to time of origin
According to localization
According to spread
According to passing
Subendocardial
Intramuralic
Intrawall
Subepicardial
Transmuralic
Transwall
Stage of ischemic dystrophy
Primary
Small-nidus
Large-nidus
Stage of necrosis
Repeated
(in 8 weeks after first)
Extensive
Stage of organization
Recurrent
(to 8 weeks after first)
Cardiosclerosis 2

27. Cardiosclerosis 42

28. The end 2