References

medsovet

Медицинский Совет

Meditsinskiy sovet = Medical Council

2079-701X2658-5790

REMEDIUM GROUP Ltd.

10.21518/2079-701X-2018-5-8-14

medsovet-2345

Research Article

АРТЕРИАЛЬНАЯ ГИПЕРТЕНЗИЯ

ARTERIAL HYPERTENSION

Новый вектор в лечении артериальной гипертонии: американские рекомендации – 2017

New perspectives for the treatment of arterial hypertension: 2017 american guidelines

Карпов

Ю. А.

Karpov

Yu. A.

д.м.н., профессор

MD.Prof.

Национальный медицинский исследовательский центр кардиологии Минздрава РоссииРоссияNational Medical Research Centre of Cardiology of the Ministry of Health of RussiaRussian Federation

2018

10042018

05814

2018

Карпов Ю.А.

Karpov Y.A.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.med-sovet.pro/jour/article/view/2345

Основной задачей лечения пациентов с АГ является снижение риска развития сердечно-сосудистых осложнений через достижение целевого уровня артериального давления (АД) и органопротекции, лечение сопутствующих заболеваний и коррекцию факторов риска. В недавно представленных новых американских рекомендациях по ведению пациентов АГ указывается, что целевым уровнем АД для всех пациентов стало меньше 130/80 мм рт. ст. Это связано в т. ч. с изменением классификации уровней АД и признания пациентами АГ всех взрослых лиц с АД 130/80 мм рт. ст. и выше. Необходимость не только более широкого проведения комбинированной терапии в лечении пациентов АГ, но и более раннего ее приме- нения нашла весьма яркое подтверждение в этих новых рекомендациях по ведению пациентов АГ. Более широкое при- менение комбинаций, особенно в фиксированных дозах, как блокатора кальциевых каналов амлодипина, так и блокатора рецепторов ангиотензина II олмесартана в лечении АГ будет способствовать улучшению контроля АД, снижению риска осложнений и увеличению продолжительности жизни больных АГ.

The key goal in the treatment for patients with AH is to reduce the risk of cardiovascular complications through reaching the target level of arterial pressure (AP) and organ protection, treatment of concomitant diseases and correction of risk factors. The new US guidelines for the management of hypertension indicate that the target blood pressure level for all patients was less than 130/80 mm Hg. This is due, among other things, to changing the blood pressure levels classification and categorizing all adults with blood pressure of 130/80 mm Hg. and higher as having hypertension. The need for not only wider combination therapy for the treatment of hypertensive patients, but also its earlier commencement has been strongly confirmed by these new guidelines for the management of AH. The wider use of combinations, especially in fixed doses, such as the calcium channel blocker amlodipine, and the angiotensin II receptor antagonist olmesartan for the treatment of hypertension, will help improve blood pressure monitoring, reduce the risk of complications and increase the AH patients’ life expectancy.

артериальная гипертониярекомендациицелевые уровни АДлечение АГ

arterial hypertensionrecommendationstarget blood pressure levelstreatment of hypertension

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