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Clinical guidelines of the Russian Medical Society on arterial Hypertension (RSH) and the Eurasian association of Cardiologists (EaC) for the diagnosis and treatment of arterial hypertension (2024)

https://doi.org/10.38109/2075-082X-2024-4-5-109

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Abstract

The сlinical guidelines present the main approaches to the management of patients with arterial hypertension (aH) using the principles of evidence-based medicine. The guidelines include sections containing expanded and updated information on the main aspects of diagnosis, treatment, prevention methods and follow-up patients with hypertension, taking into account the phenotypes of disease and various clinical situations, as well as secondary forms of hypertension of various origins.

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Chazova I.E., Chikhladze N.M., Blinova N.V., Aksenova A.V., Alekseeva T.A., Ambatiello L.G., Balanova Yu.A., Bragina A.E., Danilov N.M., Drapkina O.M., Drozdova L.Yu., Ezhov M.V., Elfimova E.M., Zhernakova Yu.V., Zhirov I.V., Kislyak O.A., Litvin A.Yu., Nebieridze D.V., Ostroumova O.D., Podzolkov V.I., Sergienko I.V., Sivakova O.A., Starodubova A.V., Stryuk R.I., Tereshchenko S.N., Trushina O.Yu., Shchelkova G.V. Clinical guidelines of the Russian Medical Society on arterial Hypertension (RSH) and the Eurasian association of Cardiologists (EaC) for the diagnosis and treatment of arterial hypertension (2024). Systemic Hypertension. 2024;21(4):5-110. (In Russ.) https://doi.org/10.38109/2075-082X-2024-4-5-109

THE WORKING GROUP

Irina E. Chazova, Academician of RAS, Professor, Dr. of Sci. (Med.), Deputy General Director for Scientific and Expert Work, Head of Hypertension Department, A.L. Myasnikov Research Institute of Cardiology, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0002- 9822-4357

Novella M. Chikhladze, Dr. of Sci. (Med.), Professor, Leading Researcher of Department of Hypertension, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center Of Cardiology, Moscow, Russian Federation. ORCID: 0000-0002-8826-9690

Nataliya V. Blinova, Cand. of Sci. (Med.), Senior Researcher of Department of Hypertension, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0001-5215-4894

Anna V. Aksenova, Cand. of Sc. (Med.), Senior Researcher, Department of Hypertension, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0001-8048-4882

Tatiana A. Alekseeva, Cand. Sci. (Med.), Hypertension Department, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0001-5499-0482

Lali G. Ambatiello, Cand. Of Sci. (Med.), Senior Researcher, Hypertension Department, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0003-1138-3361

Yulia A. Balanova, Dr. Sci. (Med.), Leading Researcher, Department of Epidemiology of Chronic Non-Communicable Diseases, National Medical Research Center for Therapy and Preventive Medicine, Moscow, Russian Federation. ORCID: 0000-0001-8011-2798

Anna E. Bragina, Dr. Sci. (Med.), Professor of the Department of Faculty Therapy No 2, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation. ORCID: 0000-0002-2699-1610

Nikolay M. Danilov, Dr. of Sc. (Med.), Leading Researcher, Department of Hypertension, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0002-2534-84636

Oksana M. Drapkina, Academician of RAS, Professor Dr. of Sci. (Med.), Director, National Medical Research Center for Therapy and Preventive Medicine, Moscow, Russian Federation. ORCID: 0000-0001-8011-2798

Lyubov Yu. Drozdova, Cand. of Sc. (Med.), Head of the Laboratory of Outpatient Therapy, National Medical Research Center for Therapy and Preventive Medicine, Moscow, Russian Federation. ORCID: 0000-0002-4529-3308

Marat V. Yezhov, Dr. of Sci. (Med.), Professor, Chief Researcher, Head of the Laboratory of Lipid Metabolism Disorders, Department of Atherosclerosis Problems, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0002-1518-6552

Evgeniya M. Elfimova (Deputy Chairman), Cand. of Sc. (Med.), Senior Researcher, Sleep Apnea Laboratory, Hypertension Department, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0002-3140-5030

Yuliya V. Zhernakova, Dr. of Sci. (Med.), Professor, scientific secretary, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0001-7895-9068

Igor V. Zhirov, Dr. of Sci. (Med.), Leading researcher, the Department of myocardial diseases and heart failure, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0002-4066-2661

Oxana A. Kislyak, Dr. of Sci. (Med.), Professor, Professor of the Department of Faculty Therapy Institute of Clinical Medicine, Pirogov Russian Federationn National Research Medical University, Moscow, Russian Federation. ORCID: 0000-0002-2028-8748

Alexander Yu. Litvin, Dr. of Sc. (Med.), Head of the Sleep Apnea Laboratory, Chief Researcher, Hypertension Department, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology; Professor, Department of Outpatient Therapy, Faculty of Medicine, N.I. Pirogov Russian Federationn National Research Medical University, Moscow, Russian Federation. ORCID: 0000-0001-5918-9969

David V. Nebieridze, Dr. of Sci. (Med.), professor, Head of the Department of Prevention of Metabolic Disorders, National Medical Research Center for Therapy and Preventive Medicine, Moscow, Russian Federation. ORCID: 0000-0002-5265-3164

Olga D. Ostroumova, Dr. of Sci. (Med.), professor, Head of the Department of Therapy and Polymorbid Pathology named after Academician M.S. Vovsi, Russian Federationn Medical Academy of Continuous Professional Education, Moscow, Russian Federation. ORCID: 0000-0002-0795-8225

Valery I. Podzolkov, Dr. of Sci. (Med.), Professor, Head of the Faculty Therapy Department No. 2, N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation. ORCID: 0000-0002-0758-5609

Igor V. Sergienko, Dr. of Sci. (Med.), Associate Professor, Chief Researcher, Head of the Laboratory of Atherosclerosis Phenotypes, Department of Atherosclerosis Problems, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0003-1534-3965

Olga A. Sivakova, Cand. Sci. (Med.), Head of the 5th Cardiology Department, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0002-0060-095X

Antonina V. Starodubova, Dr. of Sci. (Med.), Associate Professor, Deputy Director for Scientific and Medical Work, Federal Research Center for Nutrition Biotechnology and Food Safety; Head of the Department of Faculty Therapy, Institute of Clinical Medicine, Pirogov Russian Federationn National Research Medical University, Moscow, Russian Federation. ORCID: 0000-0001-9262-9233

Raisa I. Stryuk, Dr. of Sci. (Med.), professor, Head of the Department of Internal Medicine, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation. ORCID: 0000-0002-2848-046X

Sergey N. Tereshchenko, Dr. of Sci. (Med.), professor, chief scientific officer, the Department of myocardial diseases and heart failure, E.I. Chazov National Medical Research Center of Cardiology, Moscow, Russian Federation. ORCID: 0000-0001-9234-6129

Olga Iu. Trushina, Dr. Sci. (Med.), Professor, the Department of Faculty Therapy No 1, N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation. ORCID: 0000-0002-5820-1759

Galina V. Schelkova, Cand. of Sci. (Med.), Scientific expert Department, A.L. Myasnikov Scientific research institute of clinical cardiology, E.I. Chazov National Medical Research Center of cardiology, Moscow, Russian Federation. ORCID: 0000-0002-9053-6030

EXPERT GROUP

Sergey A. Boytsov, Academician of RAS, Dr. of Sci. (Med.), Professor, General Director, E.I. Chazov National Research Medical Center of Cardiology; Head of the Department of Polyclinic Therapy, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation. ORCID: 0000-0001-6998-8406

Albert S. Galyavich, Dr. of Sci. (Med.), Professor, Academician of the Academy of Sciences of the Tatarstan Republic, Head of the Department of Cardiology, Faculty of Advanced Training and Professional Retraining of Specialists, Kazan State Medical University, Kazan, Russian Federation.

Nargiz N. Guseinova, Associate Professor, Department of Therapy, Azerbaijan State Institute for Advanced Medical Studies named after A.Aliyev, Baku, Republic of Azerbaijan.

Zhanna D. Kobalava, Corresponding Member of RAS, Dr. of Sci. (Med.), Professor of the V.S. Moiseev Department of Internal Medicine with a Course in Cardiology and Functional Diagnostics, Medical Institute, Peoples' Friendship University of Russian Federation, Moscow, Russian Federation. ORCID: 0000-0002-5873-1768

Adolat R. Narzullaeva, Cand. of Sci. (Med.), Head of the Department of Cardiology with the Course of Clinical Pharmacology, Institute of Postgraduate Education in Healthcare, Dushanbe, Republic of Tajikistan. ORCID: 0000-0001-5728-3804

Sergey V. Nedogoda, Dr. of Sci. (Med.), Professor, Head of the Department of Internal Medicine, Institute of Continuous Medical and Pharmaceutical Education, Volgograd State Medical University, Volgograd, Russian Federation. ORCID: 0000-0001-5981-1754

Olga S. Pavlova, Dr. of Sci. (Med.), Associate Professor, Head of the Laboratory of Arterial Hypertension, Republican Scientific and Practical Center “Cardiology”, Minsk, Republic of Belarus. ORCID: 0000-0002-1397-0108

Andrey G. Polupanov, Dr. of Sci. (Med.), Professor, Senior Researcher, MM. Mirrakhimov National Center for Cardiology and Therapy, Bishkek, Kyrgyz Republic.

Anatoly N. Rogoza, Dr. of Sci. (Biol), Professor, Head of the Department of New Diagnostic Methods, A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center Of Cardiology, Moscow, Russian Federation. ORCID: 0000-0002-0543-3089

Akpaj Sh. Sarybaev, Dr. of Sci. (Med.), Professor, MM. Mirrakhimov National Center for Cardiology and Therapy, Bishkek, Kyrgyz Republic. ORCID: 0000-0003-2172-9776

Khurshid G. Fozilov, Cand. of Sci. (Med.), Director, Republican Specialized Scientific and Practical Medical Center for Cardiology, Tashkent, Republic of Uzbekistan. ORCID: 0000-0001-9195-7649

Gul'noz A. Hamidullaeva, Dr. of Sci. (Med.), Professor, Deputy Director for Scientific Affairs, Republican Specialized Scientific and Practical Medical Center for Cardiology, Tashkent, Uzbekistan. ORCID: 0000-0001-9671-9287

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About the Authors

I. E. Chazova
A.L. Myasnikov Research Institute of Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Irina E. Chazova, Academician of RAS, Professor, Dr. of Sci. (Med.), Deputy General Director for Scientific and Expert Work, Head of Hypertension Department

Moscow



N. M. Chikhladze
A.L. Myasnikov Research Institute of Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Novella M. Chikhladze, Dr. of Sci. (Med.), Professor, Leading Researcher of Department of Hypertension

Moscow 



N. V. Blinova
A.L. Myasnikov Institute of Clinical Cardiology ; E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Nataliya V. Blinova, Cand. of Sci. (Med.), Senior Researcher of Department of Hypertension

St. academician Chazova, 15 a, Moscow 121552,  tel. +7 (495) 414-61-86



A. V. Aksenova
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Anna V. Aksenova, Cand. Of Sc. (Med.), Senior Researcher, Department of Hypertension

Moscow



T. A. Alekseeva
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Tatiana A. Alekseeva, Cand. Sci. (Med.), Hypertension Department 

Moscow 



L. G. Ambatiello
E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Lali G. Ambatiello, Cand. Of Sci. (Med.), Senior Researcher, Hypertension Department, A.L. Myasnikov Institute of Clinical Cardiology

Moscow 



Yu. A. Balanova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Yulia A. Balanova, Dr. Sci. (Med.), Leading Researcher, Department of Epidemiology of Chronic Non-Communicable Diseases

Moscow 



A. E. Bragina
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Anna E. Bragina, Dr. Sci. (Med.), Professor of the Department of Faculty Therapy No 2 

Moscow 



N. M. Danilov
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Nikolay M. Danilov, Dr. of Sc. (Med.), Leading Researcher, Department of Hypertension 

Moscow 



O. M. Drapkina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Oksana M. Drapkina, Academician of RAS, Professor Dr. of Sci. (Med.), Director 

Moscow 



L. Yu. Drozdova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Lyubov Yu. Drozdova, Cand. of Sc. (Med.), Head of the Laboratory of Outpatient Therapy

Moscow 



M. V. Ezhov
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Marat V. Yezhov, Dr. of Sci. (Med.), Professor, Chief Researcher, Head of the Laboratory of Lipid Metabolism Disorders, Department of Atherosclerosis Problems

Moscow 



E. M. Elfimova
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Evgeniya M. Elfimova (Deputy Chairman), Cand. of Sc. (Med.), Senior Researcher, Sleep Apnea Laboratory, Hypertension Department

Moscow 



Yu. V. Zhernakova
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Yuliya V. Zhernakova, Dr. of Sci. (Med.), Professor, scientific secretary 

Moscow 



I. V. Zhirov
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Igor V. Zhirov, Dr. of Sci. (Med.), Leading researcher, the Department of myocardial diseases and heart failure

Moscow 



O. A. Kislyak
Pirogov Russian Federationn National Research Medical University
Russian Federation

Oxana A. Kislyak, Dr. of Sci. (Med.), Professor, Professor of the Department of Faculty Therapy Institute of Clinical Medicine

Moscow 



A. Yu. Litvin
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology ; N.I. Pirogov Russian Federationn National Research Medical University
Russian Federation

Alexander Yu. Litvin, Dr. of Sc. (Med.), Head of the Sleep Apnea Laboratory, Chief Researcher, Hypertension Department; Professor, Department of Outpatient Therapy, Faculty of Medicine

Moscow 



D. V. Nebieridze
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

David V. Nebieridze, Dr. of Sci. (Med.), professor, Head of the Department of Prevention of Metabolic Disorders

Moscow 



O. D. Ostroumova
Russian Federationn Medical Academy of Continuous Professional Education
Russian Federation

Olga D. Ostroumova, Dr. of Sci. (Med.), professor, Head of the Department of Therapy and Polymorbid Pathology named after Academician M.S. Vovsi

Moscow 



V. I. Podzolkov
N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Valery I. Podzolkov, Dr. of Sci. (Med.), Professor, Head of the Faculty Therapy Department No. 2 

Moscow 



I. V. Sergienko
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Igor V. Sergienko, Dr. of Sci. (Med.), Associate Professor, Chief Researcher, Head of the Laboratory of Atherosclerosis Phenotypes, Department of Atherosclerosis Problems

Moscow 



O. A. Sivakova
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Olga A. Sivakova, Cand. Sci. (Med.), Head of the 5th Cardiology Department 

Moscow 



A. V. Starodubova
Federal Research Center for Nutrition Biotechnology and Food Safety ; Pirogov Russian Federationn National Research Medical University
Russian Federation

Antonina V. Starodubova, Dr. of Sci. (Med.), Associate Professor, Deputy Director for Scientific and Medical Work; Head of the Department of Faculty Therapy, Institute of Clinical Medicine

Moscow 



R. I. Stryuk
A.I. Evdokimov Moscow State University of Medicine and Dentistry
Russian Federation

Raisa I. Stryuk, Dr. of Sci. (Med.), professor, Head of the Department of Internal Medicine 

Moscow 



S. N. Tereshchenko
E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Sergey N. Tereshchenko, Dr. of Sci. (Med.), professor, chief scientific officer, the Department of myocardial diseases and heart failure

Moscow 



O. Yu. Trushina
N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Olga Iu. Trushina, Dr. Sci. (Med.), Professor, the Department of Faculty Therapy No 1 

Moscow 



G. V. Shchelkova
A.L. Myasnikov Scientific research institute of clinical cardiology, E.I. Chazov National Medical Research Center of cardiology
Russian Federation

Galina V. Schelkova, Cand. of Sci. (Med.), Scientific expert Department 

Moscow 



Review

For citations:


Chazova I.E., Chikhladze N.M., Blinova N.V., Aksenova A.V., Alekseeva T.A., Ambatiello L.G., Balanova Yu.A., Bragina A.E., Danilov N.M., Drapkina O.M., Drozdova L.Yu., Ezhov M.V., Elfimova E.M., Zhernakova Yu.V., Zhirov I.V., Kislyak O.A., Litvin A.Yu., Nebieridze D.V., Ostroumova O.D., Podzolkov V.I., Sergienko I.V., Sivakova O.A., Starodubova A.V., Stryuk R.I., Tereshchenko S.N., Trushina O.Yu., Shchelkova G.V. Clinical guidelines of the Russian Medical Society on arterial Hypertension (RSH) and the Eurasian association of Cardiologists (EaC) for the diagnosis and treatment of arterial hypertension (2024). Systemic Hypertension. 2024;21(4):5-110. (In Russ.) https://doi.org/10.38109/2075-082X-2024-4-5-109

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ISSN 2075-082X (Print)
ISSN 2542-2189 (Online)