Новый вектор в лечении артериальной гипертонии: американские рекомендации

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Новый вектор в лечении артериальной гипертонии: американские рекомендации

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Новый вектор в лечении артериальной гипертонии: американские рекомендации

Журнал "Медицинский совет. Кардиология" № 5, 2018



Ю.А. Карпов, д.м.н., профессор, Национальный медицинский исследовательский центр кардиологии Минздрава России 

Основной задачей лечения пациентов с АГ является снижение риска развития сердечно-сосудистых осложнений через достижение целевого уровня артериального давления (АД) и органопротекции, лечение сопутствующих заболеваний и коррекцию факторов риска. В недавно представленных новых американских рекомендациях по ведению пациентов АГ указывается, что целевым уровнем АД для всех пациентов стало меньше 130/80 мм рт. ст. Это связано в т. ч. с изменением классификации уровней АД и признания пациентами АГ всех взрослых лиц с АД 130/80 мм рт. ст. и выше. Необходимость не только более широкого проведения комбинированной терапии в лечении пациентов АГ, но и более раннего ее применения нашла весьма яркое подтверждение в этих новых рекомендациях по ведению пациентов АГ. Более широкое применение комбинаций, особенно в фиксированных дозах, как блокатора кальциевых каналов амлодипина, так и блокатора рецепторов ангиотензина II олмесартана в лечении АГ будет способствовать улучшению контроля АД, снижению риска осложнений и увеличению продолжительности жизни больных АГ.

Yu.A. Karpov, MD.Prof., National Medical Research Centre of Cardiology of the Ministry of Health of Russia, Moscow 

New perspectives for the treatment of arterial hypertension: 2017 american guidelines 

The key goal in the treatment for patients with AH is to reduce the risk of cardiovascular complications through reaching the target level of arterial pressure (AP) and organ protection, treatment of concomitant diseases and correction of risk factors. The new US guidelines for the management of hypertension indicate that the target blood pressure level for all patients was less than 130/80 mm Hg. This is due, among other things, to changing the blood pressure levels classification and categorizing all adults with blood pressure of 130/80 mm Hg. and higher as having hypertension. The need for not only wider combination therapy for the treatment of hypertensive patients, but also its earlier commencement has been strongly confirmed by these new guidelines for the management of AH. The wider use of combinations, especially in fixed doses, such as the calcium channel blocker amlodipine, and the angiotensin II receptor antagonist olmesartan for the treatment of hypertension, will help improve blood pressure monitoring, reduce the risk of complications and increase the AH patients’ life expectancy. 

Новый вектор в лечении артериальной гипертонии: американские рекомендации

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