Центральные и гуморальные механизмы формирования артериальной гипертензии у женщин
Центральные и гуморальные механизмы формирования артериальной гипертензии у женщин
Подзолков В.И., Брагина А.Е., Родионова Ю.Н., Колода Ю.А. Центральные и гуморальные механизмы формирования артериальной гипертензии у женщин. Системные гипертензии. 2015; 1: 76–82.
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Podzolkov V.I., Bragina A.E., Rodionova J.N., Koloda J.A. Central and humoral mechanisms for arterial hypertension in women. Systemic Hypertension. 2015; 1: 76–82.
Центральные и гуморальные механизмы формирования артериальной гипертензии у женщин
Подзолков В.И., Брагина А.Е., Родионова Ю.Н., Колода Ю.А. Центральные и гуморальные механизмы формирования артериальной гипертензии у женщин. Системные гипертензии. 2015; 1: 76–82.
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Podzolkov V.I., Bragina A.E., Rodionova J.N., Koloda J.A. Central and humoral mechanisms for arterial hypertension in women. Systemic Hypertension. 2015; 1: 76–82.
В статье обсуждаются разные механизмы развития артериальной гипертензии (АГ) у женщин в постменопаузе. Проанализированы литературные данные о влиянии половых гормонов, в том числе дефицита эстрогенов и прогестерона, избытка андрогенов на уровень артериального давления и метаболические параметры. Особое внимание уделено участию ренин-ангиотензин-альдостероновой системы в патогенезе АГ у женщин в перименопаузельном периоде. Отдельные разделы посвящены роли дисфункции вегетативной нервной системы и нарушений обмена биогенных аминов в формировании вегетативно-сосудистого симптомокомплекса в рамках климактерического синдрома, а также вкладу таких гуморальных сдвигов, характерных для центрального ожирения, как гиперинсулинемия и гиперлептинемия.
The article discusses various mechanisms of arterial hypertension (AH) development in postmenopausal women. It includes literature data on the sexual hormones, namely estrogen and progesterone deficit and androgen overproduction, influence on the blood pressure level and metabolic disorder. Special focus is on the role of renin-angiotensin-aldosterone system in AH pathogenesis. Separate paragraph is focused on the role autonomous nervous system dysfunction and disorders of biogenic amines metabolism in the vascular and autonomic disorders in climacteric syndrome, as well as the contribution of the humoral shifts typical for central obesity, such as hyperinsulinemia, and hyperleptinemia.
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1 ГБОУ ВПО Первый Московский государственный медицинский университет им. И.М.Сеченова Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 1;
2 ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России. 123995, Россия, Москва, ул. Баррикадная, д. 2/1
*anna.bragina@mail.ru
1 I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaya d. 8, str. 1;
2 Russian Medical Academy of Post-diplom a Education of the Ministry of Health of the Russian Federation. 123995, Russian Federation, Moscow, ul. Barrikadnaya, d. 2/1
*anna.bragina@mail.ru