«Парадокс холестерина» у пациентов с хронической сердечной недостаточностью. Современное состояние проблемы
https://doi.org/10.21518/2079-701X-2016-13-61-65
Аннотация
Хроническая сердечная недостаточность (ХСН) – распространенное заболевание среди населения Российской Федерации и, как правило, связана с наличием ишемической болезни сердца (ИБС). Гиперхолестеринемия является основным фактором риска развития ИБС, но, как это ни парадоксально, у пациентов с ХСН часто определяется низкий уровень холестерина, что, в свою очередь, связано с плохим прогнозом. Уменьшение уровня холестерина статинами снижает заболеваемость и смертность у пациентов с ИБС, не имеющих ХСН, и, возможно, также улучшает прогноз у больных с ХСН. Однако результаты ряда исследований свидетельствуют о том, что высокий уровень холестерина у пациентов с ХСН ассоциируется с лучшими показателями выживаемости. В данной статье рассматривается «парадокс холестерина» у пациентов с ХСН, возможные его механизмы и современные алгоритмы ведения указанной группы больных.
Ключевые слова
Об авторе
Р. Н. ШЕПЕЛЬ
Государственный научно-исследовательский центр профилактической медицины Минздрава России
Россия
Москва
Россия
Москва
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Рецензия
Для цитирования:
ШЕПЕЛЬ РН. «Парадокс холестерина» у пациентов с хронической сердечной недостаточностью. Современное состояние проблемы. Медицинский Совет. 2016;(13):61-65. https://doi.org/10.21518/2079-701X-2016-13-61-65
For citation:
SHEPEL RN. CHOLESTEROL PARADOX IN PATIENTS WITH CHRONIC CARDIAC INSUFFICIENCY MODERN STATE OF THE PROBLEM. Meditsinskiy sovet = Medical Council. 2016;(13):61-65. (In Russ.) https://doi.org/10.21518/2079-701X-2016-13-61-65
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