Аim. To investigate the clinical characteristics and quality of treatment (according to the natio... more Аim. To investigate the clinical characteristics and quality of treatment (according to the national guidelines) of patients with arterial hypertension (AH) and chronic kidney disease observed in primary health care. Materials and methods. The study was carried out on the basis of the AH registry data (n=43 133; 20052019 years). Glomerular filtration rate (eGFR) was calculated using the CKD-EPI formula; renal structure and albuminuria were not evaluated. The analysis was performed using the SPSS software (version 22; SPSS Inc). Results. The creatinine level was assessed in 60% of patients, 23.6% of them had decreased eGFR60 ml/ min/1.73 m2. The incidence of co-morbid CVD and type 2 diabetes in patients with hypertension increased markedly with a decrease in eGFR (14 groups): the incidence of coronary artery disease increased 1.8 times (up to 72.5%), myocardial infarction 1.7 times (up to 20.6%), chronic heart failure 2 times (up to 84.0%), atrial fibrillation 10 times (up to 18.3%),...
Статья посвящена вопросам взаимосвязи синдрома обструктивного апноэ сна (СОАС) и сердечно-сосудис... more Статья посвящена вопросам взаимосвязи синдрома обструктивного апноэ сна (СОАС) и сердечно-сосудистых заболеваний. Более подробно описан вопрос взаимодействия дисфункции эндотелия (ДЭ) и СОАС. Обсуждены современные представления о механизмах развития артериальной гипертензии при СОАС. Приводятся как доказательные данные, так и мнения экспертов. Рассмотрены вопросы влияния постоянного положительного давления в дыхательных путях на ДЭ.
The diagnosis of resistant arterial hypertension allows us to single out a separate group of pati... more The diagnosis of resistant arterial hypertension allows us to single out a separate group of patients in whom it is necessary to use special diagnostic methods and approaches to treatment. Elimination of reversible factors leading to the development of resistant arterial hypertension, such as non-adherence to therapy, inappropriate therapy, secondary forms of arterial hypertension, leads to an improvement in the patient's prognosis. Most patients with resistant hypertension should be evaluated to rule out primary aldosteronism, renal artery stenosis, chronic kidney disease, and obstructive sleep apnea. The algorithm for examining patients, recommendations for lifestyle changes and a step-by-step therapy plan can improve blood pressure control. It is optative to use the most simplified treatment regimen and long-acting combined drugs. For a separate category of patients, it is advisable to perform radiofrequency denervation of the renal arteries.
Arterial hypertension (AH), smoking and type 2 diabetes mellitus (T2DM) are the risk factors for ... more Arterial hypertension (AH), smoking and type 2 diabetes mellitus (T2DM) are the risk factors for the development of myocardial infarction (MI). Their age and gender peculiarities of AH have been studied only in a small number of epidemiological studies. Aim. To study the effect of smoking status and type 2 diabetes on the incidence of MI in men and women with hypertension. Materials and methods. The frequency of MI in men and women with hypertension confirmed by ECG criteria was analyzed depending on age, smoking status and type 2 diabetes. 28 899 hypertensive patients of primary health care in 2010–2016 were included in the registry of hypertension. Results. In the age of 25–44 the number of visits of men and women with hypertension in primary health care was the same, thereafter the ratio of men progressively had been decreasing with the age. The incidence of MI in men with hypertension is significantly higher at all ages than in women (it is 18.3 times higher at the age of 25–44)...
Аim. To investigate the clinical characteristics and quality of treatment (according to the natio... more Аim. To investigate the clinical characteristics and quality of treatment (according to the national guidelines) of patients with arterial hypertension (AH) and chronic kidney disease observed in primary health care. Materials and methods. The study was carried out on the basis of the AH registry data (n=43 133; 20052019 years). Glomerular filtration rate (eGFR) was calculated using the CKD-EPI formula; renal structure and albuminuria were not evaluated. The analysis was performed using the SPSS software (version 22; SPSS Inc). Results. The creatinine level was assessed in 60% of patients, 23.6% of them had decreased eGFR60 ml/ min/1.73 m2. The incidence of co-morbid CVD and type 2 diabetes in patients with hypertension increased markedly with a decrease in eGFR (14 groups): the incidence of coronary artery disease increased 1.8 times (up to 72.5%), myocardial infarction 1.7 times (up to 20.6%), chronic heart failure 2 times (up to 84.0%), atrial fibrillation 10 times (up to 18.3%),...
Статья посвящена вопросам взаимосвязи синдрома обструктивного апноэ сна (СОАС) и сердечно-сосудис... more Статья посвящена вопросам взаимосвязи синдрома обструктивного апноэ сна (СОАС) и сердечно-сосудистых заболеваний. Более подробно описан вопрос взаимодействия дисфункции эндотелия (ДЭ) и СОАС. Обсуждены современные представления о механизмах развития артериальной гипертензии при СОАС. Приводятся как доказательные данные, так и мнения экспертов. Рассмотрены вопросы влияния постоянного положительного давления в дыхательных путях на ДЭ.
The diagnosis of resistant arterial hypertension allows us to single out a separate group of pati... more The diagnosis of resistant arterial hypertension allows us to single out a separate group of patients in whom it is necessary to use special diagnostic methods and approaches to treatment. Elimination of reversible factors leading to the development of resistant arterial hypertension, such as non-adherence to therapy, inappropriate therapy, secondary forms of arterial hypertension, leads to an improvement in the patient's prognosis. Most patients with resistant hypertension should be evaluated to rule out primary aldosteronism, renal artery stenosis, chronic kidney disease, and obstructive sleep apnea. The algorithm for examining patients, recommendations for lifestyle changes and a step-by-step therapy plan can improve blood pressure control. It is optative to use the most simplified treatment regimen and long-acting combined drugs. For a separate category of patients, it is advisable to perform radiofrequency denervation of the renal arteries.
Arterial hypertension (AH), smoking and type 2 diabetes mellitus (T2DM) are the risk factors for ... more Arterial hypertension (AH), smoking and type 2 diabetes mellitus (T2DM) are the risk factors for the development of myocardial infarction (MI). Their age and gender peculiarities of AH have been studied only in a small number of epidemiological studies. Aim. To study the effect of smoking status and type 2 diabetes on the incidence of MI in men and women with hypertension. Materials and methods. The frequency of MI in men and women with hypertension confirmed by ECG criteria was analyzed depending on age, smoking status and type 2 diabetes. 28 899 hypertensive patients of primary health care in 2010–2016 were included in the registry of hypertension. Results. In the age of 25–44 the number of visits of men and women with hypertension in primary health care was the same, thereafter the ratio of men progressively had been decreasing with the age. The incidence of MI in men with hypertension is significantly higher at all ages than in women (it is 18.3 times higher at the age of 25–44)...
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