Современные подходы к применению торасемида при сердечно-сосудистых заболеваниях
Современные подходы к применению торасемида при сердечно-сосудистых заболеваниях
Барышникова Г.А., Чорбинская С.А., Степанова И.И. Современные подходы к применению торасемида при сердечнососудистых заболеваниях. Consilium Medicum. 2017; 19 (10): 66–72. DOI: 10.26442/2075-1753_19.10.66-72
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Baryshnikova G.A., Chorbinskaya S.A., Stepanova I.I. Modern approaches to the use of torasemide in cardiovascular diseases. Consilium Medicum. 2017; 19 (10): 66–72. DOI: 10.26442/2075-1753_19.10.66-72
Современные подходы к применению торасемида при сердечно-сосудистых заболеваниях
Барышникова Г.А., Чорбинская С.А., Степанова И.И. Современные подходы к применению торасемида при сердечнососудистых заболеваниях. Consilium Medicum. 2017; 19 (10): 66–72. DOI: 10.26442/2075-1753_19.10.66-72
________________________________________________
Baryshnikova G.A., Chorbinskaya S.A., Stepanova I.I. Modern approaches to the use of torasemide in cardiovascular diseases. Consilium Medicum. 2017; 19 (10): 66–72. DOI: 10.26442/2075-1753_19.10.66-72
Рассматриваются вопросы выбора диуретической терапии при хронической сердечной недостаточности с сохранной фракцией выброса. Приводятся данные о наличии у торасемида антиальдостеронового и антифибротического действия, подчеркивается его способность улучшать диастолическую функцию левого желудочка. Представлены также данные об антигипертензивной эффективности петлевого диуретика торасемида, возможностях его применения в виде монотерапии и в составе комбинированной терапии артериальной гипертензии. Приведены данные о механизмах антигипертензивного действия торасемида, включая дополнительное антиальдостероновое действие. Сообщается об отсутствии значимого его влияния на углеводный, липидный, пуриновый виды обмена и электролитный баланс, положительном влиянии на состояние органов-мишеней, очень хорошей переносимости. Авторы приходят к выводу о возможности более широкого применения торасемида в «недиуретической» дозе (2,5–5 мг/сут) для лечения артериальной гипертензии как в виде монотерапии, так и в комбинации с другими антигипертензивными препаратами.
The authors discuss the selection of diuretic therapy in chronic heart failure with preserved ejection fraction and show information about antialdosterone and antifibrotic effect of torasemide and its ability to improve diastolic left ventricular function. This article also shows the data concerning antihypertensive efficacy of loop diuretic – torasemide, the possibilities of torasemide use in monotherapy and in combined therapy of arterial hypertension. The authors present the information about the mechanisms of antihypertensive action of torasemide, including unique antialdosterone effect. It is reported that there is no negative impact on carbohydrate, lipid, purine metabolism and electrolyte balance, positive effect on the state of target organs, very good tolerability. The authors conclude that it is possible to use torasemide more widely in a “non-diuretic” dose (2.5–5 mg/day) for the treatment of arterial hypertension both in monotherapy and in combination with other antihypertensive drugs.
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8. Lenzen MJ, Scholte op Reimer WJ, Boersma E et al. Differences between patients with a preserved and a depressed left ventricular function: a report from the Euro Heart Failure Survey. Eur Heart J 2004; 25: 1214–20.
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17. Harada K, Izawa H, Nishizawa T et al. Beneficial effects of torasemide on systolic wall stress and sympathetic nervous activity in asymptomatic or mildly symptomatic patients with heart failure: comparison with azosemide. J Cardiovasc Pharmacol 2009; 53 (6): 468–73.
18. Achhammer I, Hacker W, Glocke M. Efficacy and safety of torasemide in patients with chronic heart failure. Arzneimittelforschung 1988; 38 (1A): 184–7.
19. Murray MD, Deer MM, Ferguson JA et al. Open-label randomized trial of torasemide compared with furosemide therapy for patients with heart failure. Am J Med 2001; 111: 513–20.
20. Cosin J, Diez J. Torasemide in chronic heart failure: Results of the TORIC study. Eur J Heart Fail 2002; 4 (4): 507–13.
21. Spannheimer A, Muller K, Falkenstein P et al. Long-term diuretic treatment in heart failure: Are there differences between furosemide and torasemide? Praxis (Bern 1994) 2002; 91: 1467–75.
22. Pitt B, Nicklas J. Loop diuretics in patients with heart failure: time to change to torasemide? J Cardiovasc Pharmacol 2009; 53: 435–43.
23. Lopez B, Querejeta R, Gonzalez A et al. Impact of treatment on myocardial lysyl oxidase expression and collagen cross-linking in patients with heart failure. Hypertension 2009; 53: 236–42.
24. Ishido H, Senzaki H. Torasemide for the treatment of heart failure. Cardiovasc Hematol Disord Drug Targets 2008; 8: 127–32.
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28. Evidence-Based Guideline for the Management of High Blood Pressure in Adults Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014; 311 (5): 507–20.
29. Handler J. Maximizing diuretic therapy in resistant hypertension. J Clin Hypertens (Greenwich) 2007; 9 (10): 802–6.
30. SHEP Cooperative Research Group. Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension. Final results of the Systolic Hypertension in the Elderly Program (SHEP). JAMA 1991; 265: 3255–64.
31. Lindholm LH, Hansson L. Sweedish trial in old patients with hypertension 2 (STOP-Hypertension 2). Blood Press 1996; 5: 300–4.
32. Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic (The antihypertensive and lipid lowering treatment to prevent heart attack trial – ALLHAT). JAMA 2002; 288: 2981–97.
33. Wright JM, Musini VM. First-line drugs for hypertension. Cohrane Database Syst Rev 2009; 8 (3): CD001841.
34. Friedel H, Buckley M. Torasemide. A review of its pharmacological properties and therapeutic potential. Drugs 1991; 41 (1): 81–103.
35. Achhammer I, Metz P. Low dose loop diuretics in essential hypertension. Experience with torasemide. Drugs 1991; 41 (Suppl. 3): 80–91.
36. Baumgart P, Walger P, von Eiff M, Achhammer I. Long-term efficacy and tolerance of torasemide in hypertension. Prog Clin Pharmacol 1990; 8: 169–81.
37. Baumgart P. Torasemide in comparison with thiazides in the treatment of hypertension. Cardiovasc. Drugs Ther 1993; 7 (Suppl. 1): 63–8.
38. Spannbrucker N, Achhammer I, Metz P, Glocke M. Comparative study on the hypertensive efficacy of torasemide and indapamide in patients with essential hypertension. Drug Res 1988; 38 (1): 190–3.
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1. Rekomendatsii ESC po diagnostike i lecheniiu ostroi i khronicheskoi serdechnoi nedostatochnosti 2016. Ros. kardiol. zhurn. 2017; 1 (141): 7–81. [in Russian]
2. Ezekowitz JA, Kaul P, Bakal JA. Declining in-hospital mortality and increasing heart failure incidence in elderly patients with first myocardial infarction. JACC 2009: 53 (1): 13–20.
3. Mosterd A, Hoes AW. Clinical epidemiology of heart failure. Heart 2007; 93: 1137–46.
4. Belenkov Yu.N., Fomin I.V., Mareev V.Yu. i dr. Rasprostranennost' khronicheskoi serdechnoi nedostatochnosti v Evropeiskoi chasti Rossiiskoi Federatsii – dannye EPOKhA-KhSN (chast' 2). Serdechnaia nedostatochnost'. 2006; 3: 3–7. [in Russian]
5. Mareev V.Yu., Ageev F.T., Arutiunov G.P. i dr. Natsional'nye rekomendatsii OSSN, RKO i RNMOT po diagnostike i lecheniiu KhSN (4-i peresmotr). Serdechnaia nedostatochnost'. 2013; 7: 379–47. [in Russian]
6. Cleland JG, Swedberg K, Follath F et al. The EuroHeart Failure Survey programme – a survey on the quality of care among patients with heart failure in Europe. Part 1: patient characteristics and diagnosis. Eur Heart J 2003; 24: 442–63.
7. Komajda M, Follath F, Swedberg K et al. The EuroHeart Failure Survey programme – a survey on the quality of care among patients with heart failure in Europe. Part 2: treatment. Eur Heart J 2003; 24: 464–74.
8. Lenzen MJ, Scholte op Reimer WJ, Boersma E et al. Differences between patients with a preserved and a depressed left ventricular function: a report from the Euro Heart Failure Survey. Eur Heart J 2004; 25: 1214–20.
9. Adams KFJr, Fonarow GC, Emerman CL et al; ADHERE Scientific Advisory Committee and Investigators. Characteristics and outcomes of patients hospitalized for heart failure in the United Stated: rationale, design, and preliminary observations from the first 100,000 cases in the Acute Decompensated Heart Failure National Survey (ADHERE). Am Heart J 2005; 149: 209–16.
10. Tebloev K.I., Evdokimova A.G., Lozhkina M.V., Evdokimov V.V. Sovremennye vozmozhnosti optimizatsii lecheniia bol'nykh AG i KhSN pri primenenii torasemida. RMZh. 2013; 27: 1388–93. [in Russian]
11. Mareev V.Yu., Vygodin V.A., Belenkov Yu.N. Diureticheskaia terapiia effektivnymi dozami peroral'nykh diuretikov torasemida (Diuvera) i furosemida v lechenii bol'nykh s obostreniem Khronicheskoi Serdechnoi Nedostatochnosti (DUEL'' – KhSN). Serdechnaia nedostatochnost'. 2011; 12 (3): 3–10. [in Russian]
12. Ageev F.T., Zhubrina E.S., Seredenina E.M. i dr. Sravnitel'naia effektivnost' i bezopasnost' dlitel'nogo primeneniia torasemida i furosemida u bol'nykh s kompensirovannoi serdechnoi nedostatochnost'iu. Vliianie na markery fibroza miokarda. Serdechnaia nedostatochnost'. 2013; 14 (2): 55–62. [in Russian]
13. Azizova A., Ovchinnikov A., Ageev F. Sravnitel'noe vliianie torasemida i furosemida na klinicheskii status i diastolicheskuiu funktsiiu levogo zheludochka u bol'nykh s kompensirovannoi serdechnoi nedostatochnost'iu i vysokim davleniem napolneniia levogo zheludochka. Serdechnaia nedostatochnost'. 2011; 12 (6): 326–32. [in Russian]
14. Karpov Yu.A. Torasemid: rekomendatsii dlia klinicheskogo primeneniia pri khronicheskoi serdechnoi nedostatochnosti i arterial'noi gipertenzii. RMZh. 2014; 23: 1676–81. [in Russian]
15. Baryshnikova G.A., Averin E.E. Primenenie diuretikov pri arterial'noi gipertenzii: preimushchestva torasemida. Effektivnaia farmakoterapiia. Kardiologiia i angiologiia. 2013; 33 (2): 24–33. [in Russian]
16. Yamato M, Sasaki T, Honda K et al. Effects of torasemide on left ventricular function and neurohumoral factors in patients with chronic heart failure. Circ J 2003; 67: 384–90.
17. Harada K, Izawa H, Nishizawa T et al. Beneficial effects of torasemide on systolic wall stress and sympathetic nervous activity in asymptomatic or mildly symptomatic patients with heart failure: comparison with azosemide. J Cardiovasc Pharmacol 2009; 53 (6): 468–73.
18. Achhammer I, Hacker W, Glocke M. Efficacy and safety of torasemide in patients with chronic heart failure. Arzneimittelforschung 1988; 38 (1A): 184–7.
19. Murray MD, Deer MM, Ferguson JA et al. Open-label randomized trial of torasemide compared with furosemide therapy for patients with heart failure. Am J Med 2001; 111: 513–20.
20. Cosin J, Diez J. Torasemide in chronic heart failure: Results of the TORIC study. Eur J Heart Fail 2002; 4 (4): 507–13.
21. Spannheimer A, Muller K, Falkenstein P et al. Long-term diuretic treatment in heart failure: Are there differences between furosemide and torasemide? Praxis (Bern 1994) 2002; 91: 1467–75.
22. Pitt B, Nicklas J. Loop diuretics in patients with heart failure: time to change to torasemide? J Cardiovasc Pharmacol 2009; 53: 435–43.
23. Lopez B, Querejeta R, Gonzalez A et al. Impact of treatment on myocardial lysyl oxidase expression and collagen cross-linking in patients with heart failure. Hypertension 2009; 53: 236–42.
24. Ishido H, Senzaki H. Torasemide for the treatment of heart failure. Cardiovasc Hematol Disord Drug Targets 2008; 8: 127–32.
25. Ovchinnikov A.G., Azizova A.G., Ageev F.T., Kuzmina A.E. Primenenie petlevykh diuretikov u bol'nykh s kompensirovannoi khronicheskoi serdechnoi nedostatochnost'iu i vysokim davleniem napolneniia levogo zheludochka. Consilium Medicum. 2012; 1: 46–50. [in Russian]
26. Wargo KA, Banta WM. A comprehensive review of the loop diuretics: should furosemide be first line? Ann Pharmacother 2009; 43: 1836–47.
27. Diagnostika i lechenie arterial'noi gipertenzii. Rossiiskie rekomendatsii IV peresmotr. Systemic Hypertension. 2010; 3: 5–26. [in Russian]
28. Evidence-Based Guideline for the Management of High Blood Pressure in Adults Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014; 311 (5): 507–20.
29. Handler J. Maximizing diuretic therapy in resistant hypertension. J Clin Hypertens (Greenwich) 2007; 9 (10): 802–6.
30. SHEP Cooperative Research Group. Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension. Final results of the Systolic Hypertension in the Elderly Program (SHEP). JAMA 1991; 265: 3255–64.
31. Lindholm LH, Hansson L. Sweedish trial in old patients with hypertension 2 (STOP-Hypertension 2). Blood Press 1996; 5: 300–4.
32. Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic (The antihypertensive and lipid lowering treatment to prevent heart attack trial – ALLHAT). JAMA 2002; 288: 2981–97.
33. Wright JM, Musini VM. First-line drugs for hypertension. Cohrane Database Syst Rev 2009; 8 (3): CD001841.
34. Friedel H, Buckley M. Torasemide. A review of its pharmacological properties and therapeutic potential. Drugs 1991; 41 (1): 81–103.
35. Achhammer I, Metz P. Low dose loop diuretics in essential hypertension. Experience with torasemide. Drugs 1991; 41 (Suppl. 3): 80–91.
36. Baumgart P, Walger P, von Eiff M, Achhammer I. Long-term efficacy and tolerance of torasemide in hypertension. Prog Clin Pharmacol 1990; 8: 169–81.
37. Baumgart P. Torasemide in comparison with thiazides in the treatment of hypertension. Cardiovasc. Drugs Ther 1993; 7 (Suppl. 1): 63–8.
38. Spannbrucker N, Achhammer I, Metz P, Glocke M. Comparative study on the hypertensive efficacy of torasemide and indapamide in patients with essential hypertension. Drug Res 1988; 38 (1): 190–3.
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Авторы
Г.А.Барышникова*, С.А.Чорбинская, И.И.Степанова
ФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента РФ. 121359, Россия, Москва, ул. Маршала Тимошенко, д. 21 *bargalan@mail.ru