Cardiac involvement in hypertension. Medicinal methods of influence on hypertension and contractile dysfunction
Abstract
The review on the basis of literature data and own long-term views describes in detail current data on the defeat of the cardiovascular system in hypertension. The clinical and prognostic significance of left ventricular hypertrophy in arterial hypertension based on echocardiographic data and ECG is substantiated. The progression of hypertension in the elderly is considerably complicated by concomitant diseases: coronary heart disease, diabetes, left ventricular hypertrophy etc. Therapy of patients with hypertension in addition to lowering blood pressure requires a reduction of the mass of the left ventricular myocardium, for the prevention of chronic heart failure. Drugs that reduce the activity of the renin-angiotensin-aldosterone system - ACE-I, sartans - have pathogenetic importance.
About the Author
M. A. Gurevich
Moscow Regional Scientific and Research Clinical Institute n.a. M.F. Vladimirsky
Russian Federation
Russian Federation
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Review
For citations:
Gurevich M.A. Cardiac involvement in hypertension. Medicinal methods of influence on hypertension and contractile dysfunction. Medical alphabet. 2017;1(13):35-38. (In Russ.)
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