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In arterial hypertension, Doppler ultrasound of cerebral arteries provides three major informations. First, this technique can document an increase in cerebral artery resistivity index in hypertensive patients. This increase in the resistivity index seems to be tightly related to degree of hypertension and thickness of basal cerebral artery layers. The finding of such an increase in the resistivity index of middle cerebral artery during the acute phase of hypertensive crises, suggests the presence of microvascular lesions. The second, diagnostic informations concerns the localisation of an increase in arterial resistivity in the circle of Willis. The detection of such an increase requires the use of specific abnormalities in different segments of the aortic arch and the common carotid artery. During acute crises of severe hypertension, this localisation may favour the detection of premonitory lesions. Finally, the Doppler examination of the pial arterial arteries allows the detection of new focal lesions in the arterial wall which are responsible for localised abnormalities of pulsatile blood flow. This finding may suggest a precerebral vascular hypertension in hypertensive patients. These different types of information may help in providing diagnosis, to predict the course of hypertension and to assess the efficacy of antihypertensive drugs.The U.S. State Department recently decided to authorize the sale of the Raytheon Co. (RTN) Patriot Advanced Capability-3 (PAC-3) missile defense system to the government of Hungary. The PAC-3 missile system provides air defense capabilities, including medium- and high-altitude intercept and has effectively served Hungarian troops for more than 20 years.
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