References

systhiper

Системные гипертензии

Systemic Hypertension

2075-082X2542-2189

LLC «ИнтерМедсервис»

10.38109/2075-082X-2022-1-5-22

systhiper-3

Research Article

КОНСЕНСУС

CONSENSUS

Консенсус по ведению пациентов с гиперурикемией и высоким сердечно-сосудистым риском: 2022

Consensus on patients with hyperuricemia and high cardiovascular risk treatment: 2022

https://orcid.org/0000-0002-9822-4357

Чазова

И. Е.

Chazova

I. E.

Чазова Ирина Евгеньевна, д-р мед. наук, проф., акад. РАН, зам. ген. дир. по научно-экспертной работе, рук. отдела гипертонии, НИИ клинической кардиологии им. А.Л. Мясникова

ул. 3-я Черепковская, д. 15а, г. Москва 121552

тел.: +7(495) 415-52-05

Irina E. Chazova (chairman), Prof., Dr. of Sci. (Med.), Academician of RAS, Deputy General Director for Scientific and Expert Work, Head of Hypertension Department

3rd Cherepkovskaya str., 15a, Moscow 121552

Phone: +7(495) 415-52-05

c34h@yandex.ru

https://orcid.org/0000-0001-7895-9068

Жернакова

Ю. В.

Zhernakova

Yu. V.

Жернакова Юлия Валерьевна, д-р мед. наук, проф., ученый секретарь НИИ клинической кардиологии им. А.Л. Мясникова

ул. 3-я Черепковская, д. 15а, г. Москва 121552

тел.: +7(495) 414-63-00

Yuliya V. Zhernakova, Prof., Dr. of Sci. (Med.), Scientific Secretary of the Institute of Clinical Cardiology named after A.L. Myasnikov

3rd Cherepkovskaya str., 15a, Moscow 121552

Phone: +7(495) 495-414-63-00

juli001@mail.ru

https://orcid.org/0000-0002-2028-8748

Кисляк

О. А.

Kislyak

O. A.

Кисляк Оксана Андреевна, д-р мед. наук, проф., зав. каф. факультетской терапии лечебного факультета

ул. Островитянова д. 1, г. Москва 117997

Oksana A. Kislyak, Prof., Dr. of Sci. (Med.), Head of the Department of Faculty Therapy

Ostrovitianov str. 1, Moscow 117997

kisliakoa@mail.ru

https://orcid.org/0000-0002-0758-5609

Подзолков

В. И.

Podzolkov

V. I.

Подзолков Валерий Иванович, проф., д-р мед. наук, зав. каф. факультетской терапии №2

ул. Трубецкая, 8 стр. 2, г. Москва 119991

Valerij I. Podzolkov, Prof., Dr. of Sci. (Med.), Head of the Department of Faculty Therapy No. 2

st. Trubetskaya, 8 building 2, Moscow 119991

podzolkov@list.ru

https://orcid.org/0000-0003-4534-9890

Ощепкова

Е. В.

Oshchepkova

E. V.

Ощепкова Елена Владимировна, проф., д-р мед. наук, гл. науч. сотр. отдела гипертонии НИИ клинической кардиологии им.А.Л.Мясникова

ул. 3-я Черепковская, д. 15а, г. Москва 121552

тел.: +7 (495) 414-66-63

Elena V. Oshchepkova, Prof., Dr. of Sci. (Med.), Chief Researcher, Department of Hypertension, A.L. Myasnikov Research Institute of Clinical Cardiology

3rd Cherepkovskaya str., 15a, Moscow 121552

Phone: +7 (495) 414-66-63

arthyplab@list.ru

https://orcid.org/0000-0002-5820-1759

Миронова

О. Ю.

Mironova

O. Yu.

Миронова Ольга Юрьевна, д-р мед. наук, проф. каф. факультетской терапии №1 Института клинической медицины им. Н.В. Склифосовского

ул. Трубецкая, 8 стр. 2, г. Москва 119991

тел.: +7(499) 248-05-53

Olga Iu. Mironova, Prof., Dr. of Sci. (Med.), Associate Professor of the Department of Faculty Therapy No. 1, N.V. Sklifosovsky Institute of Clinical Medicine

st. Trubetskaya, 8 building 2, Moscow 119991

Phone: +7(499) 248-05-53

mironova_o_yu@staff.sechenov.ru

https://orcid.org/0000-0001-5215-4894

Блинова

Н. В.

Blinova

N. V.

Блинова Наталия Владимировна, канд. мед. наук, ст. науч. сотр. отдела гипертонии НИИ клинической кардиологии им. А.Л. Мясникова

ул. 3-я Черепковская, д. 15а, г. Москва 121552

тел.: +7(495)414-61-86

Nataliya V. Blinova, Cand. of Sci. (Med.), Senior Researcher, Department of Hypertension, A.L. Myasnikov Research Institute of Clinical Cardiology

3rd Cherepkovskaya str., 15a, Moscow 121552

Phone: +7 (495) 414-61-86

nat-cardio1@yandex.ru

ФГБУ «Национальный медицинский исследовательский центр кардиологии имени академика Е.И. Чазова» Минздрава РоссииРоссияE.I. Chazov National Medical Research Center of CardiologyRussian Federation

Российский Национальный Исследовательский Медицинский Университет им. Н.И. ПироговаРоссияPirogov Russian National Research Medical UniversityRussian Federation

ФГАОУ Первый МГМУ им. И. М. Сеченова (Сеченовский Университет) МЗ РФРоссияSechenov First Moscow State Medical University (Sechenov University)Russian Federation

2022

16102022

191522

2022

Чазова И.Е., Жернакова Ю.В., Кисляк О.А., Подзолков В.И., Ощепкова Е.В., Миронова О.Ю., Блинова Н.В.

Chazova I.E., Zhernakova Y.V., Kislyak O.A., Podzolkov V.I., Oshchepkova E.V., Mironova O.Y., Blinova N.V.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.syst-hypertension.ru/jour/article/view/3

Со времени выхода первого консенсуса по ведению пациентов с гиперурикемией и высоким сердечно-сосудистым риском прошло 3 года. За это время появились новые данные, которые подтверждают важность контроля мочевой кислоты как фактора риска сердечно-сосудистых осложнений и позволяют оптимизировать алгоритм ведения таких пациентов. Исследования, проведенные после выхода первого консенсуса, позволили определить новые пороговые значения гиперурикемии в отношении сердечно-сосудистого риска. Настоящий консенсус регламентирует назначение уратснижающей терапии в зависимости от тяжести выявленной гиперурикемии. Однако несмотря на то, что большая совокупность данных демонстрирует положительное влияние уратснижающей терапии на сердечно-сосудистый прогноз, есть необходимость в дополнительных доказательствах в поддержку лечения бессимптомной гиперурикемии.

After 3 years since the release of the first consensus on the management of patients with hyperuricemia and high cardiovascular risk. During this time, new data appeared that confirm the importance of uric acid control as a risk factor for cardiovascular complications and allow optimizing the algorithm for managing such patients. Studies since the first consensus emerged have identified new hyperuricemia thresholds for cardiovascular risk. The present consensus regulates the prescription of urate-lowering therapy depending on the severity of the detected hyperuricemia. However, although a large body of data demonstrates a positive effect of urate-lowering therapy on the cardiovascular prognosis, there is a need for additional evidence to support the treatment of asymptomatic hyperuricemia.

гиперурикемиямочевая кислотафактор рискасердечно-сосудистый рискартериальная гипертонияингибитор ксантиноксидазыаллопуринол

hyperuricemiauric acidrisk factorcardiovascular riskarterial hypertensionxanthine oxidase inhibitorallopurinol

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The authors declare that there are no conflicts of interest present.