Статья
РЕЗИСТЕНТНАЯ АРТЕРИАЛЬНАЯ ГИПЕРТЕНЗИЯ: ЭПИДЕМИОЛОГИЯ И ФАКТОРЫ РИСКА
Несмотря на возможности современной фармакотерапии, более 80% пациентов с артериальной гипертензией не достигают целевого артериального давления. Помимо очевидных причин – низкой приверженности пациентов лечению и применение нерациональных схем терапии, существуют и другие объективные факторы риска резистентности. Рассмотрены три основные модифицируемые причины резистентной АГ, значение которых обычно недооценивается при работе с пациентами с трудно контролируемой гипертензией: ожирение, синдром обструктивного апноэ сна и первичный гиперальдостеронизм. Понимание этих механизмов резистентности и критериев их диагностики позволит улучшить результаты лечения пациентов с резистентной артериальной гипертензией.
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