Current features of management of comorbid patients with hypertension
https://doi.org/10.33667/2078-5631-2019-2-30(405)-6-11
Abstract
The article presents an analysis of the current state of the problem of managing patients with arterial hypertension (AH) and various comorbid backgrounds. Also, it highlights the current guidelines (2018) for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. Information on new target blood pressure (BP) values in the range of 120–130 mm Hg is emphasized for systolic blood pressure (SBP) and 70–80 mm Hg for the diastolic (DAD) one in the majority of patients with the exception of persons of 65 years and older, as well as patients with chronic kidney disease, who have been recommended to achieve a blood pressure of 130–139 mm Hg. Furthermore, his material presents the current views on the priority of combined (initially double, and triple in the case of failure), mainly fixed antihypertensive therapy, the choice of which requires the presence and nature of comorbid pathology.
About the Authors
V. N. Karetnikova
Research Institute for Complex Problems of Cardiovascular Diseases; Kemerovo State Medical University
Russian Federation
Kemerovo
Russian Federation
Kemerovo
T. N. Zvereva
Research Institute for Complex Problems of Cardiovascular Diseases; Kemerovo State Medical University
Russian Federation
Kemerovo
Russian Federation
Kemerovo
O. L. Barbarash
Research Institute for Complex Problems of Cardiovascular Diseases; Kemerovo State Medical University
Russian Federation
Kemerovo
Russian Federation
Kemerovo
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For citations:
Karetnikova V.N., Zvereva T.N., Barbarash O.L. Current features of management of comorbid patients with hypertension. Medical alphabet. 2019;2(30):6-11. (In Russ.) https://doi.org/10.33667/2078-5631-2019-2-30(405)-6-11
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