Крупные клинические испытания продемонстрировали, что ИАПФ обладают важными кардиопротективными свойствами. Результаты исследований демонстрируют эффективность терапии ИАПФ при АГ, ХСН, ИБС. Исследования SMILE показали кратко- и долгосрочные положительные результаты раннего начала (<24 ч) терапии зофеноприлом у больных с ОИМ. Эти результаты были подтверждены в подгруппах больных высокого риска, в том числе у лиц с гипертонией и сахарным диабетом, что позволяет рекомендовать зофеноприл для широкого клинического применения у лиц с АГ и ИБС, в том числе после перенесенного острого инфаркта миокарда. Зофеноприл имеет лучший профиль безопасности, чем ряд других препаратов. Так в исследовании ZAAMIS оценка антиишемических эффектов зофеноприла производится путем прямого сравнения двух ИАПФ с различными фармакологическими профилями.
Large clinical trials have demonstrated that angiotensin-converting enzyme inhibitors (ACEIs) have important cardioprotective properties. These show the efficiency of therapy with ACEIs in essential hypertension (EH), chronic heart failure, and coronary heart disease (CHD). The SMILE studies have indicated the short- and long-term positive results of the early admini-stration (<24 hours) of zofenopril in patients with acute myocardial infarction (AMI). These re-sults have been confirmed in the subgroups of high-risk patients, including those with hyperten-sion and diabetes mellitus, which enables zofenopril to be recommended for wide clinical use in patients with EH and CHD, including in those with prior AMI. Zofenopril has a better safety profile than a number of other agents. Thus, the ZAAMIS study has evaluated the anti-ischemic effects of zofenopril, by directly comparing two ACEIs with different pharmacological profiles.
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Авторы
А.А.Кириченко
Кафедра терапии РМАПО, Москва
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A.A.Kirichenko
Department of Therapy, Russian Medical Academy of Postgraduate Education