systhiperСистемные гипертензииSystemic Hypertension2075-082X2542-2189LLC «ИнтерМедсервис»10.26442/2075082X.2020.4.200338systhiper-611Research ArticleСТАТЬИARTICLESПервичный гиперальдостеронизм как возможная причина резистентного течения артериальной гипертонииPrimary hyperaldosteronism as a possible cause of resistant arterial hypertensionЧихладзеН. М.ChikhladzeN. M.novella.cardio@mail.ruИнститут клинической кардиологии им. А.Л. Мясникова ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава РоссииРоссияMyasnikov Institute of Clinical Cardiology, National Medical Research Center of CardiologyRussian Federation2020231220221742023Copyright © Чихладзе Н.М., 20222022Чихладзе Н.М.Chikhladze N.M.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/611

В обзоре рассматривается распространенность резистентного течения артериальной гипертонии (АГ) при низкорениновых формах гиперальдостеронизма. Проанализированы возможные причины существующих различий в данных по распространенности гетерогенной группы первичного гиперальдостеронизма (ПГА) при резистентном течении АГ. Рассмотрены категории пациентов высокого риска развития ПГА в зависимости от тяжести течения АГ. По результатам проведенных исследований, включая собственные данные, показано, что в большинстве случаев опухолевые и гиперпластические формы ПГА ассоциированы с тяжелым и резистентным течением АГ, обосновывается важность проведения диагностического скрининга у этой категории пациентов.

The review examines the prevalence of resistant arterial hypertension in low-renin forms of hyperaldosteronism. Possible reasons for existing differences in data on the prevalence of a heterogeneous group of primary hyperaldosteronism in the resistant course of hypertension are analyzed. Categories of patients at high risk of primary hyperaldosteronism depending on the severity of hypertension are considered. Based on the results of research, including our own data, it is shown that in most cases, tumor and hyperplastic forms of primary hyperaldosteronism are associated with severe and resistant hypertension, and the importance of diagnostic screening in this category of patients is justified.

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