Безопасность и эффективность сульфгидрильного ингибитора ангиотензин-превращающего фермента зофеноприла в лечении сердечно-сосудистых заболеваний

К. Наполи

Статья

Безопасность и эффективность сульфгидрильного ингибитора ангиотензин-превращающего фермента зофеноприла в лечении сердечно-сосудистых заболеваний

К. Наполи

2011

Начиная с 1970-х гг., медикаментозная терапия, подавляющая влияние ренин-ангиотензин-альдостероновой системы (РААС), рассматривалась в качестве эффективного метода лечения больных с высокорениновой гипертензией (АГ). Позднее было показано, что ингибиторы ангиотензин-превращающего фермента (ИАПФ) эффективны не только у пациентов с высокими уровнями ренина и артериального давления (АД), но и у значительной части больных АГ и нормальными значениями активности ренина плазмы (АРП). ИАПФ применяются для лечения целого ряда хронических заболеваний, таких как атеросклероз, АГ, инфаркт миокарда (ИМ), сердечная недостаточность, осложнения сахарного диабета и инсульт. В настоящее время выполнено более 90 контролируемых, клинических исследований по оценке благоприятных терапевтических эффектов 14 различных молекул ИАПФ. Согласно данным экспериментальных исследований, ИАПФ способны замедлять развитие атеросклероза, уменьшать выраженность окислительного стресса (ОС) и сосудистого воспаления у лабораторных животных различных видов. Это свидетельствует о том, что ИАПФ оказывают благоприятное действие на состояние кровеносных сосудов. Более 15 лет назад сульфгидрильный ИАПФ зофеноприл продемонстрировал отличную клиническую эффективность и безопасность у пациентов с АГ и больных ИМ. Не так давно были выявлены выраженные антиокислительное и антиатеросклеротическое действия этого препарата, что свидетельствует о наличии клинически значимого вазопротективного эффекта.

Наполи К. Безопасность и эффективность сульфгидрильного ингибитора ангиотензин-превращающего фермента зофеноприла в лечении сердечно-сосудистых заболеваний. Кардиоваскулярная терапия и профилактика. 2011;10(6):99-104.

Цитирование

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К. Наполи Отделение общей патологии, научно-исследовательский центр клинической патологии сердечнососудистых заболеваний, 1-я Школа медицины, Университет Неаполя

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Кардиоваскулярная терапия и профилактика

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