systhiperСистемные гипертензииSystemic Hypertension2075-082X2542-2189LLC «ИнтерМедсервис»10.26442/2075082X.2019.1.190179systhiper-576Research ArticleКЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИCLINICAL GUIDELINESДиагностика и лечение артериальной гипертонииDiagnosis and treatment of arterial hypertension [Guidelines]ЧазоваИ. Е.ChazovaI. E.noemail@neicon.ruЖернаковаЮ. В.ZhernakovaYu. V.noemail@neicon.ru201923122022161631Copyright © Чазова И.Е., Жернакова Ю.В., 20222022Чазова И.Е., Жернакова Ю.В.Chazova I.E., Zhernakova Y.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/576

Представленные Рекомендации являются обновленной версией Российских рекомендаций по диагностике и лечению артериальной гипертонии от 2016 г. и зарубежных рекомендаций по лечению артериальной гипертонии Европейского общества гипертонии и Европейского общества кардиологов от 2018 г., которые, в свою очередь, были созданы на основе анализа имеющегося более чем 20-летнего опыта разных по целям, протоколам и объемам крупных исследований, проведенных по различным аспектам диагностики и лечения артериальной гипертонии (АГ). Кроме того, в разделах Рекомендаций, посвященных методам контроля артериального давления (АД), диагностике и лечению АГ, учтен опыт отечественных исследований. В Рекомендациях изложены основные принципы лечения пациентов с АГ, в том числе и в ряде клинических ситуаций, которые были получены в рандомизированных контролируемых исследованиях (РКИ), вместе с тем важен учет индивидуальных особенностей механизмов развития и течения заболевания, например, солечувствительности, вторичного гиперальдостеронизма при гипертонической болезни (ГБ), индивидуальной чувствительности к антигипертензивным препаратам (АГП), что оставляет право и целесообразность осуществлять подбор антигипертензивной терапии (АГТ) у пациента с учетом его индивидуальных особенностей.

The presented Recommendations are an updated version of the Russian recommendations for the diagnosis and treatment of arterial hypertension from 2016 and foreign recommendations for the treatment of arterial hypertension of the European Society of Hypertension and the European Society of Cardiology from 2018, which, in turn, were created based on the analysis of more than 20 years of experience in large studies of different goals, protocols and volumes conducted on various aspects of the diagnosis and treatment of arterial hypertension. In addition, the sections of the Recommendations devoted to methods of blood pressure control, diagnosis and treatment of AH take into account the experience of domestic studies. The Guidelines set out the basic principles of treatment of patients with hypertension, including in a number of clinical situations that were obtained in randomized controlled trials, at the same time it is important to take into account the individual characteristics of the mechanisms of development and course of the disease, for example, salt sensitivity, secondary hyperaldosteronism in hypertension, individual sensitivity to antihypertensive drugs, which leaves the right and expediency to select antihypertensive therapy in a patient taking into account his individual characteristics.

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