Современные аспекты профилактики ишемического инсульта в практике интерниста
Современные аспекты профилактики ишемического инсульта в практике интерниста
Шишкова В.Н. Современные аспекты профилактики ишемического инсульта в практике интерниста Consilium Medicum. 2018; 20 (12): 80–85. DOI: 10.26442/20751753.2018.12.180158
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Shishkova V.N. Modern aspects of ischemic stroke prevention in internal medicine specialists practice. Consilium Medicum. 2018; 20 (12): 80–85. DOI: 10.26442/20751753.2018.12.180158
Современные аспекты профилактики ишемического инсульта в практике интерниста
Шишкова В.Н. Современные аспекты профилактики ишемического инсульта в практике интерниста Consilium Medicum. 2018; 20 (12): 80–85. DOI: 10.26442/20751753.2018.12.180158
________________________________________________
Shishkova V.N. Modern aspects of ischemic stroke prevention in internal medicine specialists practice. Consilium Medicum. 2018; 20 (12): 80–85. DOI: 10.26442/20751753.2018.12.180158
Ишемический инсульт (ИИ) является сложным многофакторным заболеванием с наследственным компонентом, биохимическими, метаболическими, воспалительными, коагуляционными и гемодинамическими факторами, а также влиянием условий окружающей среды в местах проживания. Оценка вклада разных факторов риска в прогноз развития первого и повторного ИИ может служить основой для развития персонализированных программ первичной и вторичной профилактики ИИ, особенно у пациентов с высоким риском развития данной патологии. Вопросы проведения первичной и вторичной профилактики инсульта являются общими для неврологов, кардиологов, эндокринологов, терапевтов и, конечно, врачей общей практики.
Ischemic stroke (IS) is a complex multifactor disease influenced by genetic component, biochemical, metabolic, inflammatory, coagulatory, and hemodynamic factors as well as environmental conditions in the place of residence. The estimation of various risk factors contribution to first and recurrent stroke development may be a basis for development of personalized primary and secondary IS prevention programs, especially in patients with high risk for this pathology development. The questions of primary and secondary stroke prevention are a concern for neurologists, cardiologists, endocrinologists, physicians and of course general practitioners.
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1. Insul't. Rukovodstvo dlia vrachei. Pod red. S.V.Kotova, L.V.Stakhovskoi. M.: Izdatel'stvo MIA, 2013. [in Russian]
2. O’Donnell M, Xavier D, Liu L et al. INTERSTROKE Investigators. Risk factors for ischemic and intracerebral hemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study. Lancet 2010; 376: 112–23.
3. Christiansen C, Gerds T, Olesen J et al. Atrial fibrillation and risk of stroke: a nationwide cohort study. Europace 2016; 18: 1689–97.
4. Avdonina M.A., Nasedkina T.V., Ikonnikova A.Iu. i dr. Issledovanie assotsiatsii polimorfnykh markerov genov F12, PON1, PON2, NOS2, PDE4D, HIFla, GPIba, CYP11B2 s ishemicheskim insul'tom sredi russkogo naseleniia Tsentral'noi Rossii. Zhurn. nevrologii i psikhiatrii im. S.S.Korsakova. 2012; 112 (2): 51–4. [in Russian]
5. Shishkova V.N., Remennik A.Iu., Valiaeva V.N. i dr. Izuchenie assotsiatsii polimorfnykh variantov genov lipidnogo i uglevodnogo obmenov, sosudistogo vospaleniia i neirotransmitternykh sistem s razvitiem pervogo ishemicheskogo insul'ta. Kardiovask. terapiia i profilaktika. 2017; 16 (5): 27–33. [in Russian]
6. Shishkova V.N., Adasheva T.V, Remennik A.Iu. i dr. Prognosticheskaia znachimost' kliniko-antropometricheskikh, biokhimicheskikh, metabolicheskikh, sosudisto-vospalitel'nykh i molekuliarno-geneticheskikh markerov v razvitii pervogo ishemicheskogo insul'ta. Zhurn. nevrologii i psikhiatrii im. S.S.Korsakova. 2018; 2: 4–11. [in Russian]
7. Shishkova V.N., Adasheva T.V., Remennik A.Iu. i dr. Prediktory razvitiia povtornogo ishemicheskogo insul'ta. Vrach. 2018; 29 (2): 38–44. DOI: 10.29296/25877305-2018-02-10 [in Russian]
8. Foniakin A.V., Geraskina L.A. Profilaktika ishemicheskogo insul'ta. Rekomendatsii po antitromboticheskoi terapii. Pod red. Z.A.Suslinoi. M.: IMA-Press, 2014. [in Russian]
9. Furie K, Kasner S, Adams R et al. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack. AHA/ASA Guideline. Stroke 2011; 42: 227–76.
10. Goldstein L, Bushnell Ch, Adams R et al. Guidelines for the Primary Prevention of Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke 2011; 42: 517–84.
11. Guidelines for Management of Ischaemic Stroke and Transient Ischaemic Attack. The European Stroke Organization (ESO), 2008. http://www.eso-stroke.org
12. Jauch E, Saver J, Adams H et al. Guidelines for the Early Management of Patients With Acute Ischemic Stroke. Stroke 2013; 44: 870–947.
14. Kernan W et al. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2014; 45: 2160–236.
15. Intercollegiate Stroke Working Party. National clinical guideline for stroke, 4th ed. London: Royal College of Physicians, 2012.
16. Rashid P, Leonardi-Bee J, Bath P. Blood pressure reduction and secondary prevention of stroke and other vascular events: a systematic review. Stroke 2003; 34 (11): 2741–8.
17. Klinicheskie rekomendatsii “Diagnostika i lechenie arterial'noi gipertenzii” Rossiiskogo meditsinskogo obshchestva po arterial'noi gipertonii, 2013. [in Russian]
18. Rekomendatsii EOK/EOA po diagnostike i lecheniiu dislipidemii 2016. Ros. kardiol. zhurn. 2017; 5 (145): 7–77. [in Russian]
19. International Diabetes Federation, Diabetes Atlas, 5th ed. International Diabetes Federation, 2011.
20. Algoritmy spetsializirovannoi meditsinskoi pomoshchi bol'nym sakharnym diabetom. Pod red. I.I.Dedova, M.V.Shestakovoi, A.Iu.Maiorova. 8-i vyp. Sakharnyi diabet. 2017; 20 (1S): 1–112. [in Russian]
21. Stamler J, Vaccaro O, Neaton J et al. Diabetes, other risk factors, and 12-yr cardiovascular mortality for men screened in the Multiple Risk Factor Intervention Trial. Diabetes Care 1993; 16 (2): 434–44.
22. Shishkova V.N. Vzaimosviaz' razvitiia metabolicheskikh i kognitivnykh narushenii u patsientov s sakharnym diabetom, prediabetom i metabolicheskim sindromom. Neurology and Rheumatology (Suppl. Consilium Medicum). 2010; 1: 36–43. [in Russian]
23. Caswell M, Frank J, Viggiani MT et al. Accuracy and User Performance Evaluation of a Blood Glucose Monitoring System. Diabetes Technol Ther 2015; 17 (3).
24. Stroke Risk in Atrial Fibrillation Working Group. Independent predictors of stroke in atrial fibrillation: a systematic review. Neurology 2007; 69 (6): 546–54.
25. Camm A, Lip G, de Caterina R et al. 2012 focused up date of the ESC Guidelines for the management of atrial fibrillation: an update of the 2010 ESC Guidelines for the management of atrial fibrillation. Eur Heart J 2012; 33: 2719–47.
26. Diagnostika i lechenie fibrilliatsii predserdii. Rekomendatsii RKO, VNOA i ASSKh, 2017. [in Russian]
Авторы
В.Н.Шишкова
ГБУЗ «Центр патологии речи и нейрореабилитации» Департамента здравоохранения г. Москвы. 109240, Россия, Москва, ул. Николоямская, д. 20 veronika-1306@mail.ru
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V.N.Shishkova
Center for Speech Pathology and Neurorehabilitation of the Department of Health of Moscow. 109240, Russian Federation, Moscow, ul. Nikoloyamskaia, d. 20 veronika-1306@mail.ru