Частота сердечных сокращений у больных артериальной гипертонией: возможный маркер повышенного риска или самостоятельная терапевтическая мишень?
Аннотация
В статье приведены данные по влиянию снижения частоты сердечных сокращений (ЧСС) у лиц с артериальной гипертонией (АГ) в отношении снижения сердечно-сосудистого риска у данной категории пациентов. В рутинной практике можно рассматривать повышенную ЧСС как возможный фактор сердечно-сосудистого риска, однако ЧСС не включена в основные калькуляторы риска в рамках первичной профилактики. Европейские эксперты по АГ советуют назначать ритмурежающие препараты лицам с субъективно плохой переносимостью тахикардии. Пациенты должны быть информированы о благотворном влиянии регулярных аэробных физических нагрузок в отношении контроля ЧСС и АД. Достижение целевых цифр АД остается непревзойденным приоритетом в ведении больного с гипертонической болезнью.
Об авторах
Ж. Д. Кобалава
ФГАОУ ВО Российский университет дружбы народов
Россия
Россия
Е. К. Шаварова
ФГАОУ ВО Российский университет дружбы народов
Россия
Россия
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Рецензия
Для цитирования:
Кобалава Ж.Д., Шаварова Е.К. Частота сердечных сокращений у больных артериальной гипертонией: возможный маркер повышенного риска или самостоятельная терапевтическая мишень? Системные гипертензии. 2015;12(2):13-18.
For citation:
Kobalava Zh.D., Shavarova E.K. Heart rate in patients with arterial hypertension:a possible marker of high risk or independent therapeutic target? Systemic Hypertension. 2015;12(2):13-18. (In Russ.)
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