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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2021-17-37-42</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-2109</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Лекарственно-индуцированный панкреатит: фокус на препараты, применяющиеся для лечения заболеваний сердечно-сосудистой системы</article-title><trans-title-group xml:lang="en"><trans-title>Drug-induced pancreatitis: focus on drugs used to treat cardiovascular disease</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3081-602X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Филиппова</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Filippova</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Филиппова Анастасия Витальевна, ординатор кафедры терапии и полиморбидной патологии.</p><p>Москва</p></bio><bio xml:lang="en"><p>Filippova Anastasia V., first-year intern of Dept of Therapy and Polymorbid Pathology.</p><p>Moscow</p></bio><email xlink:type="simple">filippova.96@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0795-8225</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Остроумова</surname><given-names>О. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Ostroumova</surname><given-names>O. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Остроумова Ольга Дмитриевна, д. м. н., проф., зав. кафедрой терапии и полиморбидной патологии, проф. кафедры клинической фармакологии и пропедевтики внутренних болезней. eLibrary SPIN: 3910–6585</p><p>Москва</p></bio><bio xml:lang="en"><p>Ostroumova Olga D., DM Sci, professor, head of Dept of Therapy and Polymorbid Pathology, professor of Dept of Clinical Pharmacology and Propedeutics of Internal Diseases. eLibrary SPIN: 3910–6585</p><p>Moscow</p></bio><email xlink:type="simple">ostroumova.olga@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuous Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России; ФГАОУ ВО «Первый Московский государственный медицинский университет имени И. М. Сеченова» Минздрава России (Сеченовский университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuous Professional Education; I.M. Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>17</day><month>08</month><year>2021</year></pub-date><volume>0</volume><issue>17</issue><issue-title>Кардиология и неотложная медицина (2)</issue-title><fpage>37</fpage><lpage>42</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Филиппова А.В., Остроумова О.Д., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Филиппова А.В., Остроумова О.Д.</copyright-holder><copyright-holder xml:lang="en">Filippova A.V., Ostroumova O.D.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/2109">https://www.med-alphabet.com/jour/article/view/2109</self-uri><abstract><p>Сердечно-сосудистые заболевания (ССЗ) являются основной причиной смерти во всем мире и в России. Поэтому остро стоит вопрос о безопасной и рациональной медикаментозной терапии. Но, как и большинство лекарственных средств (ЛС), препараты для лечения ССЗ имеют ряд нежелательных реакций, в частности развитие острого панкреатита. Эта НР может быть как дозозависимой, так и зависеть от длительности приема данных групп препаратов. Цель данного обзора – анализ литературных данных о лекарственных средствах, предназначенных для лечения сердечно-сосудистых заболеваний, которые могут приводить к развитию лекарственно-индуцированного панкреатита (ЛИП), о механизмах развития данной патологии на фоне приема конкретных ЛС, диагностике, лечении и профилактике. С развитием ЛИП ассоциирован прием диуретиков, как петлевых (фуросемида, этакриновой кислоты, буметамида), так и тиазидных или тиазидоподобных (хлоротиазида, гидрохлоротиазида и хлорталидона), антигипертензивных препаратов центрального действия (метилдопа), ингибиторов ангиотензинпревращающего фермента и блокаторов рецепторов к ангиотензину II, статинов, антиаритмических препаратов (амиодарона, прокаинамида). Литературные данные о развитии ЛИП представлены в большинстве публикаций описанием отдельных клинических случаев/серии случаев, однако в случае ЛИП, ассоциированного с приемом ИАПФ и статинов, имеются также данные когортных ретроспективных наблюдательных, проспективных наблюдательных по типу «случай – контроль», рандомизированных контролируемых исследований, метаанализов. При своевременной диагностике и отмене ЛС, ставших причиной развития острого панкреатита (ОП), симптомы заболевания регрессируют вплоть до полного исчезновения и развития серьезных последствий.</p></abstract><trans-abstract xml:lang="en"><p>Cardiovascular diseases (CVD) are the leading cause of death worldwide and in Russia. Therefore, the question of safe and rational drug therapy is acute. But, like most drugs, drugs for the treatment of CVD have a number of adverse reactions, in particular, the development of acute pancreatitis. This adverse reactions can be both dose-dependent and depend on the duration of administration of these groups of drugs. The purpose of this review is to analyze the literature data on drugs intended for the treatment of СVD that can lead to the development of drug-induced pancreatitis (LIP), on the mechanisms of development of this pathology against the background of taking specific drugs, diagnosis, treatment and prevention. The development of LIP is associated with the use of diuretics, both loop (furosemide, etacric acid, bumetamide), and thiazide/thiazide-like (chlorothiazide, hydrochlorothiazide and chlorthalidone), antihypertensive drugs of central action (methyldopa), angiotensin converting enzyme inhibitors and angiotensin II receptor blockers, statins, antiarrhythmic drugs (amiodarone, procainamide). Literature data on the development of LIP are presented in most publications with the description of clinical case/series of cases, however, in the case of LIP associated with the use of ACEI and statins, there are also data from cohort, retrospective observational, prospective case-control, randomized controlled trials, and meta-analyses. With timely diagnosis, and the cancellation of drugs that have caused the development of OP, the symptoms of the disease regress until they completely disappear and develop serious consequences.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>острый панкреатит</kwd><kwd>лекарственно-индуцированный панкреатит</kwd><kwd>лекарственное поражение поджелудочной железы</kwd><kwd>лекарственные средства</kwd><kwd>нежелательные лекарственные реакции</kwd></kwd-group><kwd-group xml:lang="en"><kwd>acute pancreatitis</kwd><kwd>drug-induced pancreatitis</kwd><kwd>drug-induced pancreas injury</kwd><kwd>drugs</kwd><kwd>adverse drug reaction</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Lankisch P. G., Droge M., Gottesleben F. Drug induced pancreatitis: incidence and severity. Gut. 1995; 37 (4): 565–567. 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