Статья
Сегодня липитензия – завтра катастрофа: фокус на пожилых коморбидных больных
У пациентов в пожилом и старческом возрасте часто встречается сочетание артериальной гипертензии и атерогенной дислипидемии, которые как по отдельности, так и в сочетании ("липитензия") ассоциированы с высоким риском сердечно-сосудистых осложнений. В клинической практике важен не просто сам возраст, а наличие у пациентов гериатрических синдромов, в частности, синдрома старческой астении, который характеризуется высоким риском развития неблагоприятных исходов для здоровья и смерти, а также потери автономности. В настоящей статье представлены актуальные данные об эффективности и безопасности антигипертензивной и гиполипидемической терапии у пожилых пациентов, а также обсуждается тезис, согласно которому регулярный приём многоцелевых политаблеток, содержащих в себе фиксированную комбинацию амлодипина, периндоприла и аторвастатина, позволяет повысить приверженность к терапии, а также обеспечить баланс между эффективностью и безопасностью лечения пожилых коморбидных пациентов с рядом гериатрических синдромов, терапия которых традиционно связана с вынужденной полипрагмазией и бесконтрольным приёмом лекарственных препаратов.
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