Заболевания сердечно-сосудистой системы, среди которых ведущее место занимает артериальная гипертония (АГ), вносят самый существенный вклад в статистику фатальных и инвалидизирующих осложнений в индустриально развитых странах, в том числе и России. Для терапии АГ, согласно отечественным и европейским рекомендациям, применяют 5 основных групп препаратов, среди которых значительная роль отводится блокаторам ренин-ангиотензин-альдостероновой системы. Среди ингибиторов ангиотензинпревращающего фермента заслуженное место по клинической эффективности, органопротективным свойствам и профилю безопасности принадлежит фозиноприлу – липофильному препарату с двойным путем элиминации. Эти свойства фозиноприла имеют достаточную доказательную базу, и, несмотря на большой выбор препаратов этой группы, фозиноприл занимает свою нишу при лечении пациентов с АГ, в том числе с сопутствующей хронической болезнью почек, хронической сердечной недостаточностью, а также имеет дальнейшие перспективы.
Diseases of the cardiovascular system, including the leading place is occupied arterial hypertension (AH), making the most significant contribution to the statistics of fatal and disabling complications in the industrialized world, including in Russia. For the treatment of hypertension, according to domestic and European recommendations, 5 main groups of drugs, are applied including a significant role for blockers of the renin-angiotensin-aldosterone system. Among the angiotensin converting enzyme inhibitors deserved place on clinical effectiveness, organo properties and safety profile belongs fosinopril – lipophilic drug with a dual route of elimination. These properties fosinopril have sufficient evidentiary basis, and despite the large variety of drugs in this group, fosinopril has its own niche in the treatment of hypertensive patients, including those with concomitant chronic kidney disease, chronic heart failure, and has future prospects.
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13. Electrocardiographic strain pattern during antihypertensive treatment: the Losartan Intervention for End-Point Reduction in Hypertension Study. Circulation (LIFE) 2009; 119: 1883–91.
14. Böhm M, Thoenes M, Danchin N et al. Overview of the i-SEARCH Global Study: Cardiovascular Risk Factors and Microalbuminuria in Hypertensive Individuals. See comment in PubMed Commons below. High Blood Press Cardiovasc Prev 2008; 15 (4): 217–24.
15. Хохлов А.Л., Шуникова М.И., Соснин А.Ю. и др. Гемодинамические показатели у больных артериальной гипертонией на фоне терапии амлодипином, фозиноприлом и метопрололом. Рацион. фармакотерапия в кардиологии. 2007; 4 (3): 33–8. / Khokhlov A.L., Shunikova M.I., Sosnin A.Iu. i dr. Gemodinamicheskie pokazateli u bol'nykh arterial'noi gipertoniei na fone terapii amlodipinom, fozinoprilom i metoprololom. Ratsion. farmakoterapiia v kardiologii. 2007; 4 (3): 33–8. [in Russian]
16. Брыткова Я.В., Гомова И.С., Татаринова О.В., Стрюк Р.И. Нефропротективный эффект антигипертензивной терапии у женщин с артериальной гипертонией в перименопаузе. Проблемы женского здоровья. 2014; 2 (9): 23–5. / Brytkova Ia.V., Gomova I.S., Tatarinova O.V., Striuk R.I. Nefroprotektivnyi effekt antigipertenzivnoi terapii u zhenshchin s arterial'noi gipertoniei v perimenopauze. Problemy zhenskogo zdorov'ia. 2014; 2 (9): 23–5. [in Russian]
17. Choudary J, Kini SG, Ranganath Pai et al. Docking studies and biological activity of fosinopril analogs. Int J Med Chem 2014; 2014: 721–834.
18. Medhora M, Gao F, Wu Q et al. Model development and use of ACE inhibitors for preclinical mitigation of radiation-induced injury to multiple organs. Radiat Res 2014; 182 (5): 545–55.
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1. Heidenreich PA, Trogdon JG, Khavjou OA et al. Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association. Circulation 2011; 123 (8): 933–44.
2. Chazova I.E., Ratova L.G., Boitsov S.A. et al. Recommendations for the management of arterial hypertension Russian Medical Society of Arterial Hypertension and Society of Cardiology of the Russian Federation. (4th revision). System Hypertension. 2010; 3: 3–26. [in Russian]
3. The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens 2013; 31 (7): 1281–357.
4. The Task Force on ACE-inhibitors of the European Society of Cardiology. Eur Heart J 2004; 25: 1454–70.
5. Ceconi С, Francolini G, Bastianon D et al. Differences in the effect of angiotensin-converting enzyme inhibitors on the rate of endothelial cell apoptosis: in vitro and in vivo studies. Cardiovasc Drugs Ther 2007; 21 (6): 423–9.
6. Striuk R.I., Petrova T.V., Orlova T.A., Nagornev S.N. Klinicheskaia effektivnost' fozinoprila u bol'nykh gipertonicheskoi bolezn'iu v sochetanii s metabolicheskimi narusheniiami. Kardiologiia. 1999; 7: 13–6. [in Russian]
7. Rosolova H, Cech J, Sefma F. Effectiveness and tolerance of fosinopril in the treatment of arterial hypertension of mild and medium seventy. Vnitr Lek 2001; 47: 834–9.
8. Yu CM, Wing-Hon Lai K, Li PS et al. Normalization of renal aquaporin-2 water channel expression by fosinopril, valsartan, and combination therapy in congestive heart failure: a new mechanism of action. J Mol Cell Cardiol 2004; 36: 445–53.
9. Karpov Iu.A. Fozinopril pri lechenii arterial'noi gipertonii (FLAG): Rossiiskaia programma otsenki prakticheskoi dostizhimosti tselevykh urovnei arterial'nogo davleniia. Rus. med. zhurn. 2001; 10: 396–401. [in Russian]
10. Chazova I.E. Pervye rezul'taty issledovaniia FAGOT (Farmakoekonomicheskaia otsenka ispol'zovaniia ingibitorov APF v ambulatornom lechenii bol'nykh s arterial'noi gipertoniei oslozhnennogo techeniia). Consillium Medicum. 2002; 11: 596–8. [in Russian]
11. Mareev V.Iu. Farmakoekonomicheskaia otsenka ispol'zovaniia iAPF v ambulatornom lechenii bol'nykh s serdechnoi nedostatochnost'iu (FASON). Serdechnaia nedostatochnost'. 2002; 3 (1): 38–9. [in Russian]
12. Asselbergs FW, Diercks GF, Hillege HL et al. Prevention of Renal and Vascular Endstage Disease Intervention Trial (PREVEND IT) Investigators. Effects of fosinopril and pravastatin on cardiovascular events in subjects with microalbuminuria. Circulation 2004; 110 (18): 2809–16.
13. Electrocardiographic strain pattern during antihypertensive treatment: the Losartan Intervention for End-Point Reduction in Hypertension Study. Circulation (LIFE) 2009; 119: 1883–91.
14. Böhm M, Thoenes M, Danchin N et al. Overview of the i-SEARCH Global Study: Cardiovascular Risk Factors and Microalbuminuria in Hypertensive Individuals. See comment in PubMed Commons below. High Blood Press Cardiovasc Prev 2008; 15 (4): 217–24.
15. Khokhlov A.L., Shunikova M.I., Sosnin A.Iu. i dr. Gemodinamicheskie pokazateli u bol'nykh arterial'noi gipertoniei na fone terapii amlodipinom, fozinoprilom i metoprololom. Ratsion. farmakoterapiia v kardiologii. 2007; 4 (3): 33–8. [in Russian]
16. Brytkova Ia.V., Gomova I.S., Tatarinova O.V., Striuk R.I. Nefroprotektivnyi effekt antigipertenzivnoi terapii u zhenshchin s arterial'noi gipertoniei v perimenopauze. Problemy zhenskogo zdorov'ia. 2014; 2 (9): 23–5. [in Russian]
17. Choudary J, Kini SG, Ranganath Pai et al. Docking studies and biological activity of fosinopril analogs. Int J Med Chem 2014; 2014: 721–834.
18. Medhora M, Gao F, Wu Q et al. Model development and use of ACE inhibitors for preclinical mitigation of radiation-induced injury to multiple organs. Radiat Res 2014; 182 (5): 545–55.
Авторы
Р.И.Стрюк
ГБОУ ВПО Московский государственный медико-стоматологический университет им. А.И.Евдокимова Минздрава России. 127473, Россия, Москва, ул. Делегатская, д. 20, стр. 1 rstryuk@list.ru
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R.I.Stryuk
A.I.Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian Federation. 127473, Russian Federation, Moscow, ul. Delegatskaia, d. 20, str. 1 rstryuk@list.ru