Выбор препарата для лечения сердечно-сосудистых заболеваний у больных с метаболическим синдромом и сахарным диабетом

Барышникова Г.А., Чорбинская С.А., Степанова И.И., Блохина О.Е., Кудрявцева Н.А. Выбор препарата для лечения сердечно-сосудистых заболеваний у больных с метаболическим синдромом и сахарным диабетом. FOCUS Эндокринология. 2021; 2: 22–30. DOI: 10.47407/ef2021.2.2.0021

Baryshnikova G.A., Chorbinskaya S.A., Stepanova I.I., Blokhina O.E., Kudryavtseva N.A. Selection of medication for treatment of cardiovascular diseases in patients with metabolic syndrome and diabetes mellitus. FOCUS Endocrinology. 2021; 2: 22–30. DOI: 10.47407/ef2021.2.2.0021

Нарушения метаболизма, нефропатия часто встречаются при сердечно-сосудистых заболеваниях, увеличивая риск развития осложнений, ухудшая прогноз и затрудняя выбор антигипертензивного, антиишемического препарата. Выбирая тот или иной препарат для лечения артериальной гипертонии, ишемической болезни сердца, необходимо учитывать его влияние на уровень глюкозы, липидный спектр, имеющуюся альбуминурию. В статье рассматривается влияние на углеводный и липидный виды обмена, а также на альбуминурию препаратов, часто применяемых для лечения сердечно-сосудистых заболеваний, таких как ингибиторы ангиотензинпревращающего фермента и сартаны, b-адреноблокаторы и диуретики, статины и антиишемические препараты 2-й линии. Правильный выбор препарат позволит избежать усугубления имеющихся у пациентов метаболических нарушений, а у больных с метаболическим синдромом предупредить развитие сахарного диабета.

Ключевые слова: сердечно-сосудистые заболевания, артериальная гипертензия, сахарный диабет, метаболический синдром, ингибиторы ангиотензинпревращающего фермента, сартаны, диуретики, b-адреноблокаторы, моксонидин, глюкоза, гликированный гемоглобин, липиды.

Барышникова Галина Анатольевна - д-р мед. наук, проф. каф. семейной медицины с курсами клинической лабораторной диагностики, психиатрии и психотерапии, ФГБУ ДПО ЦГМА УД Президента РФ.
Чорбинская Светлана Алексеевна - д-р мед. наук, проф., зав. каф. семейной медицины с курсами клинической лабораторной диагностики, психиатрии и психотерапии, ФГБУ ДПО ЦГМА УД Президента РФ
Степанова Ирина Ираклиевна - канд. мед. наук, доцент каф. семейной медицины с курсами клинической лабораторной диагностики, пси- хиатрии и психотерапии, ФГБУ ДПО ЦГМА УД Президента РФ
Блохина Ольга Евгеньевна - ассистент каф. семейной медицины с курсами клинической лабораторной диагностики, психиатрии и психотерапии, ФГБУ ДПО ЦГМА УД Президента РФ
Кудрявцева Наталья Александровна - ассистент каф. семейной медицины с курсами клинической лабораторной диагностики, психиатрии и психотерапии, ФГБУ ДПО ЦГМА УД Президента РФ

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