systhiperСистемные гипертензииSystemic Hypertension2075-082X2542-2189LLC «ИнтерМедсервис»10.26442/2075082X.2021.3.201077systhiper-635Research ArticleМНЕНИЕ ЭКСПЕРТОВEXPERT OPINIONВедение пациентов с артериальной гипертонией и фибрилляцией предсердийManagement of patients with arterial hypertension and atrial fibrillationhttps://orcid.org/0000-0002-9822-4357ЧазоваИ. Е.ChazovaI. E.juli001@mail.ruГолицынС. П.GolitsynS. P.juli001@mail.ruhttps://orcid.org/0000-0001-7895-9068ЖернаковаЮ. В.ZhernakovaJ. V.juli001@mail.ruhttps://orcid.org/0000-0001-9163-0582ЖелезноваЕ. А.ZheleznovaE. A.katia.zheleznova@yandex.ruhttps://orcid.org/0000-0002-3092-8593КропачеваЕ. С.KropachevaE. S.juli001@mail.ruМироновН. Ю.MironovN. Iu.juli001@mail.ruКостюкевичМ. В.KostiukevichM. V.juli001@mail.ruЛайовичЛ. Ю.LaiovichL. Iu.juli001@mail.ruУцумуеваМ. Д.UtsumuevaM. D.juli001@mail.ruЮричеваЮ. А.IurichevaI. A.juli001@mail.ruhttps://orcid.org/0000-0001-5918-9969ЛитвинА. Ю.LitvinA. Yu.juli001@mail.ruhttps://orcid.org/0000-0002-3140-5030ЕлфимоваЕ. М.ElfimovaE. M.juli001@mail.ruhttps://orcid.org/0000-0002-0543-3089РогозаА. Н.RogozaA. N.juli001@mail.ruhttps://orcid.org/0000-0002-1174-2574ПанченкоЕ. П.PanchenkoE. P.juli001@mail.ruФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава РоссииРоссияNational Medical Research Center of CardiologyRussian FederationФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России; ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияNational Medical Research Center of Cardiology; Pirogov Russian National Research Medical UniversityRussian Federation202123122022183105128Copyright © Чазова И.Е., Голицын С.П., Жернакова Ю.В., Железнова Е.А., Кропачева Е.С., Миронов Н.Ю., Костюкевич М.В., Лайович Л.Ю., Уцумуева М.Д., Юричева Ю.А., Литвин А.Ю., Елфимова Е.М., Рогоза А.Н., Панченко Е.П., 20222022Чазова И.Е., Голицын С.П., Жернакова Ю.В., Железнова Е.А., Кропачева Е.С., Миронов Н.Ю., Костюкевич М.В., Лайович Л.Ю., Уцумуева М.Д., Юричева Ю.А., Литвин А.Ю., Елфимова Е.М., Рогоза А.Н., Панченко Е.П.Chazova I.E., Golitsyn S.P., Zhernakova J.V., Zheleznova E.A., Kropacheva E.S., Mironov N.I., Kostiukevich M.V., Laiovich L.I., Utsumueva M.D., Iuricheva I.A., Litvin A.Y., Elfimova E.M., Rogoza A.N., Panchenko E.P.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.syst-hypertension.ru/jour/article/view/635

Артериальная гипертония (АГ) является ведущим фактором риска сердечно-сосудистых заболеваний и наиболее распространенным, независимым и потенциально обратимым фактором риска развития фибрилляции предсердий (ФП). АГ предрасполагает к возникновению и поддержанию ФП вследствие неблагоприятного гемодинамического воздействия, изменения электрофизиологических свойств кардиомиоцитов и структурного ремоделирования предсердий. ФП, которая также связана с повышенным риском сердечно-сосудистых событий, является самой частой аритмией. АГ и ФП нередко сосуществуют, и их частота увеличивается с возрастом. В настоящем консенсусе отражены ключевые особенности ведения пациентов с данными нозологиями. Детально описаны патогенез, стратификация риска, особенности выбора антигипертензивной, антиаритмической и антитромботической терапии.

Arterial hypertension (AH) is a leading risk factor for cardiovascular disease as well as it is the most common, independent and potentially reversible risk factor for atrial fibrillation (AF). AH contributes to the occurrence and maintenance of AF due to hemodynamic disorders, alterations in cardiomyocyte electrophysiological properties and structural remodeling in the atria. AF, which is also associated with an increased risk of cardiovascular events, is the most common arrhythmia. AH and AF often coexist, and their prevalence increases with age. This consensus provides the key features of the management of patients with these nosological units. The pathogenesis, risk stratification, and features of the selection of antihypertensive, antiarrhythmic and antithrombotic therapy are described in detail.

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