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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">systhiper</journal-id><journal-title-group><journal-title xml:lang="ru">Системные гипертензии</journal-title><trans-title-group xml:lang="en"><trans-title>Systemic Hypertension</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2075-082X</issn><issn pub-type="epub">2542-2189</issn><publisher><publisher-name>LLC «ИнтерМедсервис»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.38109/2075-082X-2024-2-49-55</article-id><article-id custom-type="elpub" pub-id-type="custom">systhiper-819</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРНАЯ СТАТЬЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Влияние тревожно-депрессивных расстройств на развитие резистентной артериальной гипертензии</article-title><trans-title-group xml:lang="en"><trans-title>The influence of anxiety and depressive disorders on the development of resistant arterial hypertension</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0009-9236-9019</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пчеленок</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pchelenok</surname><given-names>Ju. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юлия Владимировна Пчеленок, врач-терапевт, клинический ординатор</p><p>Институт клинической медицины им. Н.В. Склифосовского</p><p>кафедра факультетской терапии № 1</p><p>119435; ул. Большая Пироговская, д. 6, стр. 1; Москва</p></bio><bio xml:lang="en"><p>Julia V. Pchelenok, therapist, clinical resident</p><p>the Faculty of Medicine; Department of faculty therapy number 1</p><p>119435;  6 Bolshaya Pirogovskaya street, building 1; Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3624-0981</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фомичева</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Fomicheva</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Анастасия Вячеславовна Фомичева, врач-психиатр, аспирант</p><p>Институт клинической медицины им. Н.В. Склифосовского</p><p>каф. психиатрии и психосоматики</p><p>119021;  ул. Россолимо, д. 11, стр. 9; Москва</p></bio><bio xml:lang="en"><p>Anastasia V. Fomicheva, psychiatrist, graduate student</p><p>the Faculty of Medicine; Department of psychiatry and psychosomatics</p><p>119021; 11 Rossolimo street, building 9; Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-5398-8272</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Канаева</surname><given-names>М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kanaeva</surname><given-names>M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Медине Канаева, студент</p><p>Институт клинической медицины им. Н.В. Склифосовского</p><p>каф. факультетской терапии № 1</p><p>119435; ул. Большая Пироговская, д. 6, стр. 1; Москва</p></bio><bio xml:lang="en"><p>Medine Kanaeva, student</p><p>the Faculty of Medicine; the Department of faculty therapy number 1</p><p>119435;  6 Bolshaya Pirogovskaya street, building 1; Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1565-5440</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Родионов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Rodionov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Антон Владимирович Родионов, к. м. н., доцент</p><p>Институт клинической медицины им. Н.В. Склифосовского</p><p> каф. факультетской терапии № 1</p><p>119435; ул. Большая Пироговская, д. 6, стр. 1; Москва</p></bio><bio xml:lang="en"><p>Anton V. Rodionov, Cand. of Sci. (Med.), docent</p><p>the Faculty of Medicine; Department of faculty therapy number 1</p><p>119435;  6 Bolshaya Pirogovskaya street, building 1; Moscow</p></bio><email xlink:type="simple">avrodion@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0306-4494</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Толоконин</surname><given-names>А. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Tolokonin</surname><given-names>A. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Артём Олегович Толоконин, к. м. н., главный врач</p><p>121609; Крылатская улица, д. 45, к. 1; Москва</p></bio><bio xml:lang="en"><p>Artеm O. Tolokonin, Cand. of Sci. (Med.), the chief physician</p><p>121609;  45 Krylatskaya street, building 1; Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1667-5355</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Волель</surname><given-names>Б. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Volel</surname><given-names>B. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Беатриса Альбертовна Волель, д. м. н., профессор, директор, ст. науч. сотр.</p><p>Институт клинической медицины им. Н.В. Склифосовского; каф. психиатрии и психосоматики</p><p>119021;  ул. Россолимо, д. 11, стр. 9; Москва</p></bio><bio xml:lang="en"><p>Beatrice A. Volel, Dr. of Sci. (Med.), Professor, Director, Senior Researcher</p><p>Institution of Scientific Research Mental Health Research Centre; Department of Psychiatry and Psychosomatics</p><p>119021; 11 Rossolimo street, building 9; Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Клиника «Нео Вита»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Clinic «Neo-vita»</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>26</day><month>06</month><year>2024</year></pub-date><volume>21</volume><issue>2</issue><fpage>51</fpage><lpage>57</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Пчеленок Ю.В., Фомичева А.В., Канаева М., Родионов А.В., Толоконин А.О., Волель Б.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Пчеленок Ю.В., Фомичева А.В., Канаева М., Родионов А.В., Толоконин А.О., Волель Б.А.</copyright-holder><copyright-holder xml:lang="en">Pchelenok J.V., Fomicheva A.V., Kanaeva M., Rodionov A.V., Tolokonin A.O., Volel B.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.syst-hypertension.ru/jour/article/view/819">https://www.syst-hypertension.ru/jour/article/view/819</self-uri><abstract><p>   Проблема коморбидности сердечно-сосудистых заболеваний (ССЗ) и тревожно-депрессивных расстройств (ТДР) активно обсуждается в современной научной литературе. С учетом широкой распространенности ТДР в популяции, их негативного влияния на качество жизни и функционирование пациентов накапливаются предпосылки для диагностики и терапии этих состояний врачами непсихиатрического профиля. В обзоре представлены современные данные о факторах риска, взаимосвязи и принципах диагностики резистентной артериальной гипертензии (РАГ) и ТДР. Распространённость РАГ составляет около 10–20 %, при этом значительная часть случаев приходится на вторичную АГ и псевдорезистентность. Частота тревожных и депрессивных расстройств у пациентов с артериальной гипертензией — 42 % и 52 % соответственно. Распространённость ТДР при РАГ составляет 36,8 %. Такая коморбидность способствует прогрессированию PАГ, ухудшает прогноз пациента, снижает приверженность терапии. Учитывая тесную связь между психоэмоциональными факторами и ССЗ, пациентам с РАГ показано проведение скрининга на тревогу и на депрессию.</p></abstract><trans-abstract xml:lang="en"><p>   The problem of comorbidity of cardiovascular diseases (CVD) and anxiety-depressive disorders is actively discussed in modern scientific literature. Taking into account the widespread prevalence of anxiety and depressive disorders in the population, their negative impact on the quality of life and functioning of patients, prerequisites are accumulating for the diagnosis and treatment of these conditions by non-psychiatric doctors. The review presents current data on risk factors, relationships and principles for diagnosing resistant arterial hypertension (RAH) and anxiety-depressive disorders. The prevalence of resistant arterial hypertension is about 10–20 %, with a significant proportion of cases accounting for secondary arterial hypertension and pseudoresistance. The incidence of anxiety and depressive disorders in patients with arterial hypertension is 42 % and 52 %, respectively. The prevalence of anxiety and depressive disorders in RAH is 36.8 %. Such comorbidity contributes to the progression of PAH, worsens the patient’s prognosis, and reduces adherence to therapy. Given the close relationship between psychoemotional factors and CVD, patients with RAH are advised to undergo screening for anxiety and depression.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>артериальная гипертензия</kwd><kwd>резистентная артериальная гипертензия</kwd><kwd>тревожно-депрессивные расстройства</kwd><kwd>вторичная артериальная гипертензия</kwd><kwd>антигипертензивная терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>arterial hypertension</kwd><kwd>resistant arterial hypertension</kwd><kwd>anxiety-depressive disorders</kwd><kwd>secondary arterial hypertension</kwd><kwd>antihypertensive therapy</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Авторы заявляют об отсутствии финансирования</funding-statement><funding-statement xml:lang="en">The study had no sponsorship</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Guillaume L., Mathieu A., Mélanie D., Resistant Hypertension: Novel Insights». 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