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Системные гипертензии

Расширенный поиск

Консенсус по ведению пациентов с гиперурикемией и высоким сердечно-сосудистым риском

https://doi.org/10.26442/2075082X.2019.4.190686

Аннотация

Значительное количество эпидемиологических исследований продемонстрировало, что гиперурикемия в высокой степени связана с риском развития сердечно-сосудистых заболеваний, хронической болезни почек и сахарного диабета, в связи с чем необходимо повышенное внимание к мониторингу уровня мочевой кислоты в сыворотке крови у пациентов не только с точки зрения ревматических болезней, но также и в отношении снижения сердечно-сосудистого и почечного риска. Эксперты Европейского общества кардиологов и Российского медицинского общества по артериальной гипертонии включили в рутинные тесты измерение концентрации мочевой кислоты в сыворотке крови у больных артериальной гипертонией. Важным шагом на пути улучшения контроля гиперурикемии в клинической практике являются повышение осведомленности о гиперурикемии как о факторе риска сердечно-сосудистых заболеваний, разработка алгоритма ведения больных с гиперурикемией и высоким сердечно-сосудистым риском, повышение приверженности рекомендациям. Снижение уровня мочевой кислоты в сыворотке крови, достигнутое посредством лечения пациентов уратснижающими препаратами, главным образом ингибитором ксантиноксидазы, связано с улучшением контроля артериального давления и уменьшением частоты нежелательных сердечно-сосудистых событий.

Об авторах

Ирина Евгеньевна Чазова
ФГБУ «НМИЦ кардиологии»
Россия


Юлия Валерьевна Жернакова
ФГБУ «НМИЦ кардиологии»
Россия


Оксана Андреевна Кисляк
ФГАОУ ВО «РНИМУ им. Н.И. Пирогова»
Россия


Сергей Владимирович Недогода
ФГБОУ ВО ВолгГМУ
Россия


Валерий Иванович Подзолков
ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» (Сеченовский Университет)
Россия


Елена Владимировна Ощепкова
ФГБУ «НМИЦ кардиологии»
Россия


Ирина Васильевна Медведева
ГБОУ ВО ТГМУ
Россия


Ольга Юрьевна Миронова
ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» (Сеченовский Университет)
Россия


Наталия Владимировна Блинова
ФГБУ «НМИЦ кардиологии»
Россия


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Чазова И.Е., Жернакова Ю.В., Кисляк О.А., Недогода С.В., Подзолков В.И., Ощепкова Е.В., Медведева И.В., Миронова О.Ю., Блинова Н.В. Консенсус по ведению пациентов с гиперурикемией и высоким сердечно-сосудистым риском. Системные гипертензии. 2019;16(4):8-21. https://doi.org/10.26442/2075082X.2019.4.190686

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Chazova I.E., Zhernakova J.V., Kisliak O.A., Nedogoda S.V., Podzolkov V.I., Oshchepkova E.V., Medvedeva I.V., Mironova O.I., Blinova N.V. Consensus on patients with hyperuricemia and high cardiovascular risk treatment. Systemic Hypertension. 2019;16(4):8-21. https://doi.org/10.26442/2075082X.2019.4.190686

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