Особенности применения торасемида при артериальной гипертензии
Особенности применения торасемида при артериальной гипертензии
Барышникова Г.А., Чорбинская С.А. Особенности применения торасемида при артериальной гипертонии. Системные гипертензии. 2017; 14 (4): 27–31. DOI: 10.26442/2075-082X_14.4.27-31
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Baryshnikova G.A., Chorbinskaya S.A. Features of the use of torasemide in arterial hypertension. Systemic Hypertension. 2017; 14 (4): 27–31. DOI: 10.26442/2075-082X_14.4.27-31
Особенности применения торасемида при артериальной гипертензии
Барышникова Г.А., Чорбинская С.А. Особенности применения торасемида при артериальной гипертонии. Системные гипертензии. 2017; 14 (4): 27–31. DOI: 10.26442/2075-082X_14.4.27-31
________________________________________________
Baryshnikova G.A., Chorbinskaya S.A. Features of the use of torasemide in arterial hypertension. Systemic Hypertension. 2017; 14 (4): 27–31. DOI: 10.26442/2075-082X_14.4.27-31
Рассматриваются вопросы выбора диуретика при артериальной гипертензии. Представлены данные об антигипертензивной эффективности петлевого диуретика торасемида. Приведены данные о механизмах антигипертензивного действия торасемида, включая уникальное антиальдостероновое действие. Сообщается об отсутствии негативного влияния препарата на углеводный, липидный, пуриновый виды обмена и электролитный баланс, положительном влиянии на состояние органов-мишеней, очень хорошей переносимости. Целесообразно более широко применять торасемид в «недиуретической» дозе (2,5–5 мг/сут) для лечения артериальной гипертонии как в виде монотерапии, так и в комбинации с другими антигипертензивными препаратами.
The article deals with the choice of diuretic in arterial hypertension and presents data on the antihypertensive efficacy of the loop diuretic torasemide. Data on the mechanisms of antihypertensive action of torasemide are presented, including a unique antialdosterone effect. The article reports on the absence of a negative effect of the drug on carbohydrate, lipid, purine metabolism and electrolyte balance, positive effect on the target organs, very good tolerability. It is advisable to use torasemide more widely in a "non-diuretic" dose (2.5-5 mg / day) for the treatment of arterial hypertension as in monotherapy as in combination with other antihypertensive drugs.
1. Шальнова С.А., Деев А.Д., Баланова Ю.А. и др. Динамика артериальной гипертонии в России: есть ли прогресс в назначении антигипертензивной терапии? Результаты исследований 1993–2013 гг. Сердце. 2015; 6: 2145. / Shal'nova S.A., Deev A.D., Balanova Iu.A. i dr. Dinamika arterial'noi gipertonii v Rossii: est' li progress v naznachenii antigipertenzivnoi terapii? Rezul'taty issledovanii 1993–2013 gg. Serdtse. 2015; 6: 2145. [in Russian]
2. Чазова И.Е., Жернакова Ю.В., Ощепкова Е.В. и др. Распространенность факторов риска развития сердечно-сосудистых заболеваний в российской популяции больных артериальной гипертонией. Кардиология. 2014; 54 (10): 4–12. / Chazova I.E., Zhernakova Iu.V., Oshchepkova E.V. i dr. Rasprostranennost' faktorov riska razvitiia serdechno-sosudistykh zabolevanii v rossiiskoi populiatsii bol'nykh arterial'noi gipertoniei. Kardiologiia. 2014; 54 (10): 4–12. [in Russian]
3. Диагностика и лечение артериальной гипертензии. Российские рекомендации, IV пересмотр. Системные гипертензии. 2010; 7 (3): 5–26. / Recommendations for the management of arterial hypertension Russian Medical Society of Arterial Hypertension and Society of Cardiology of the Russian Federation. Systemic Hypertension. 2010; 7 (3): 5–26. [in Russian]
4. Рекомендации по диагностике и лечению артериальной гипертонии ESH и ESC. Евразийский кардиологический журн. 2014; 1: 7–76. / Rekomendatsii po diagnostike i lecheniiu arterial'noi gipertonii ESH i ESC. Evraziiskii kardiologicheskii zhurn. 2014; 1: 7–76. [in Russian]
5. Handler J. Maximizing diuretic therapy in resistant hypertension. J Clin Hypertens (Greenwich) 2007; 9 (10): 802–6.
6. 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.
7. Lindholm LH, Hansson L. Sweedish trial in old patients with hypertension 2 (STOP-Hypertension 2). Blood Press 1996; 5: 300–4.
8. 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.
9. Psaty BM. Health outcomes associated with various antihypertensive therapies used as a first line agents. A Network meta-analysis. JAMA 2003; 289: 2534–44.
10. Wright JM, Musini VM. First-line drugs for hypertension. Cohrane Database Syst Rev 2009; 8 (3): CD001841.
11. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults.
12. Sarafidis P, Barkis GL. Antihypertensive therapy and the risk of new-onset diabetes. Diabetes care 2006; 29: 1167–9.
13. Fernandez JG, Rodriguez-Perez JC, Garrido J et al. Effect of two antihypertensive combinations on metabolic control in type-2 dibetic hypertensive patients with albuminuria: a randomised, double-blind study. J Hum Hypertens 2001; 15: 849–56.
14. Friedel H, Buckley M. Torasemide A review of its pharmacological properties and therapeutic potential. Drugs 1991; 41 (1): 81–103.
15. Brunner G, von Bergmann K, Hacker W et al. Comparison of diuretic effects and pharmacokinetics of torasemid and furosemid after a single oral dose in patients with hydropically decompensated cirrhosis of the liver. Arzt-Forsch. Drug Res 1998; 38: 176–79.
16. Barr WH, Smith HL, Karnes HAT et al. Torasemide dose-proportionality of pharmacokinetics and pharmacodynamics. In: Progress in Pharmacology and Clinical Pharmacology, Gustav-Fischer-Verlag Stuttgart, New York, 1990; 8 (1): 29–37.
17. Bolke T, Achhammer I. Torasemide: review of its pharmacology and therapeutic use. Drugs Tod 1994; 30 (8): 1–28.
18. Reyes A. Effects of diuretics on outputs and flows or urine and urinary solutes in healthy subjects. Drugs 1991; 41 (Suppl. 3): 35–59.
19. Achhammer I, Metz P. Low dose loop diuretics in essential hypertension. Experience with torasemide. Drugs 1991; 41 (Suppl. 3): 80–91.
20. Baumgart P, Walger P, von Eiff M, Achhammer I. Long-term efficacy and tolerance of torasemide in hypertension. In: Progress in pharmacology and Clinical Pharmacology. Gustav-Fischer-Verlag: Stuttgart 1990; 8: 169–81.
21. Baumgart P. Torasemide in comparison with thiazides in the treatment of hypertension. Cardiovasc Drugs Ther 1993; 7 (Suppl. 1): 63–8.
22. Liguori A, Casini A, Di Loreto M et al. Loop diuretics enhance the secretion of prostacyclin in vitro, in healthy persons, and in patients with chronic heart failure. Eur J Clin Pharmacol 1999; 55: 117–24.
23. 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.
24. Reyes AJ, Chiesa PD, Santucci MR et al. Hydrochlorothiazide versus a nondiuretic dose of torasemide as once daily antihypertensive monopharmacotherapy in elderly patients; randomized and double-blind study. In: Progress in Pharmacology and Clinical Pharmacology. Gustav-Fischer-Verlag: Stuttgart 1990; 8: 183–209.
25. Achhammer I, Eberhard R. Comparison of serum potassium levels during long-term treatment of hypertension patients with 2.5 mg torasemide o.d. or 50 mg triamterene/25 mg hydrochlorothiazide o.d. In: Progress in Pharmacology and Clinical Pharmacology. Gustav-Fischer-Verlag: Stuttgart 1990; 8: 211–20.
26. Mosso L, Carvajal C, Gonzalez A et al. Primary aldosteronism and hypertensive disease. Hypertension 2003; 42: 161–5.
27. Schunkert H, Hense HW, Muscholl M et al. Associations between circulating components of the renin-angiotensin-aldosterone system and left ventricular mass. Heart 1997; 77: 24–31.
28. Tanabe A, Naruse M, Naruse K et al. Left ventricular hypertrophy is more prominent in patients with primary aldosteronism than in patients with other types of secondary hypertension. Hypertens Res 1997; 20 (2): 85–90.
29. Brown NJ. Aldosterone and end–organ damage. Curr Opin Nephrol Hypertens 2005; 14 (3): 235–41.
30. Young MJ, Lam EY, Rickard AJ. Mineralocorticoid receprtor activator and cardiac fibrosis. Clin Sci (Lond) 2007; 112 (9): 467–75.
31. Goodfriend TL, Ball DL, Oelkers W, Bähr V. Torsemide inhibits aldosterone secretion in vitro. Life Sci 1998; 63 (3): 45–50.
32. Franse LV, Pahor M, Di Bari M et al. Hypokalemia associated with diuretic use and cardiovascular events in the Systolic Hypertension in the Elderly Program. Hypertension 2000; 35: 1025–30.
33. Аверин Е.Е. Влияние торасемида на гипертрофию миокарда левого желудочка. Сердечная недостаточность. 2012; 13 (3): 158–61. / Averin E.E. Vliianie torasemida na gipertrofiiu miokarda levogo zheludochka. Serdechnaia nedostatochnost'. 2012; 13 (3): 158–61. [in Russian]
34. Massare J, Berry JM, Luo X et al. Diminished cardiac fibrosis in heart failure is associated with altered ventricular arrhythmia phenotype. J Cardiovasc Electrophysiol 2010; 21 (9): 1031–7.
35. Шугушев Х.Х., Гаева А.А. Влияние фурасемида и торасемида на вариабельность сердечного ритма и желудочковые аритмии у больных с хронической сердечной недостаточностью, осложнившей течение ишемической болезни сердца: сравнительное нерандомизированное исследование. Рациональная фармакотерапия в кардиологии. 2010; 6 (4): 513–17. / Shugushev Kh.Kh., Gaeva A.A. Vliianie furasemida i torasemida na variabel'nost' serdechnogo ritma i zheludochkovye aritmii u bol'nykh s khronicheskoi serdechnoi nedostatochnost'iu, oslozhnivshei techenie ishemicheskoi bolezni serdtsa: sravnitel'noe nerandomizirovannoe issledovanie. Ratsional'naia farmakoterapiia v kardiologii. 2010; 6 (4): 513–17. [in Russian]
36. Ткачева О.Н., Шарашкина Н.В., Новикова И.М. и др. Применение петлевого диуретика торасемида в комбинированном лечении гипертонической болезни у женщин в период постменопаузы. Consilium Medicum. 2011; 13 (10): 54–9. / Tkacheva O.N., Sharashkina N.V., Novikova I.M. i dr. Primenenie petlevogo diuretika torasemida v kombinirovannom lechenii gipertonicheskoi bolezni u zhenshchin v period postmenopauzy. Consilium Medicum. 2011; 13 (10): 54–9 [in Russian]
37. Brown NJ. Aldosterone and end-organ damage. Curr Opin Nephrol Hypertens 2005; 14 (3): 235–41.
38. Born-Frontsberg E, Reincke M, Rump LC et al. Cardiovascular and cerebrovascular comorbidities of hypokalemic and normokalemic primary aldosteronism: results of the German Conn's Registry. J Clin Endocrinol Metab 2009; 94 (4): 1125–30.
39. Gonzaga CC, Gaddam KK, Ahmed MI et al. Severity of obstructive sleep apnea is related to aldosterone status in subjects with resistant hypertension. J Clin Sleep Med 2010; 6 (4): 363–68.
40. Yagi S, Akaike M, Aihara K et al. High plasma aldosterone concentration is a novel risk factor of cognitive impairment in patients with hypertension. Hypertens Res 2011; 34 (1): 74–8.
41. Фомин В.В. Антиальдостероновое действие торасемида: случайность или необходимость? РМЖ. 2012; 14: 693–7. / Fomin V.V. Antial'dosteronovoe deistvie torasemida: sluchainost' ili neobkhodimost'? RMZh. 2012; 14: 693–7. [in Russian]
42. Reyes A et al. In: Progress in Pharmacology and Clinical Pharmacology, Gustav-Fischer-Verlag Stuttgart, New York, 1992; 9: 219–62.
43. Liguori A, Casini A, Di Loreto M et al. Loop diuretics enhance the secretion of prostacyclin in vitro, in healthy persons, and in patients with chronic heart failure. Eur J Clin Pharmacol 1999; 55: 117–24.
44. Spieker C, Zidek W, Häcker W et al. Assessment of intracellular sodium and calcium in essential hypertension during diuretic treatment. Arzneimittelforschung 1988; 38: 1188–90.
________________________________________________
1. Shal'nova S.A., Deev A.D., Balanova Iu.A. i dr. Dinamika arterial'noi gipertonii v Rossii: est' li progress v naznachenii antigipertenzivnoi terapii? Rezul'taty issledovanii 1993–2013 gg. Serdtse. 2015; 6: 2145. [in Russian]
2. Chazova I.E., Zhernakova Iu.V., Oshchepkova E.V. i dr. Rasprostranennost' faktorov riska razvitiia serdechno-sosudistykh zabolevanii v rossiiskoi populiatsii bol'nykh arterial'noi gipertoniei. Kardiologiia. 2014; 54 (10): 4–12. [in Russian]
3. Recommendations for the management of arterial hypertension Russian Medical Society of Arterial Hypertension and Society of Cardiology of the Russian Federation. Systemic Hypertension. 2010; 7 (3): 5–26. [in Russian]
4. Rekomendatsii po diagnostike i lecheniiu arterial'noi gipertonii ESH i ESC. Evraziiskii kardiologicheskii zhurn. 2014; 1: 7–76. [in Russian]
5. Handler J. Maximizing diuretic therapy in resistant hypertension. J Clin Hypertens (Greenwich) 2007; 9 (10): 802–6.
6. 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.
7. Lindholm LH, Hansson L. Sweedish trial in old patients with hypertension 2 (STOP-Hypertension 2). Blood Press 1996; 5: 300–4.
8. 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.
9. Psaty BM. Health outcomes associated with various antihypertensive therapies used as a first line agents. A Network meta-analysis. JAMA 2003; 289: 2534–44.
10. Wright JM, Musini VM. First-line drugs for hypertension. Cohrane Database Syst Rev 2009; 8 (3): CD001841.
11. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults.
12. Sarafidis P, Barkis GL. Antihypertensive therapy and the risk of new-onset diabetes. Diabetes care 2006; 29: 1167–9.
13. Fernandez JG, Rodriguez-Perez JC, Garrido J et al. Effect of two antihypertensive combinations on metabolic control in type-2 dibetic hypertensive patients with albuminuria: a randomised, double-blind study. J Hum Hypertens 2001; 15: 849–56.
14. Friedel H, Buckley M. Torasemide A review of its pharmacological properties and therapeutic potential. Drugs 1991; 41 (1): 81–103.
15. Brunner G, von Bergmann K, Hacker W et al. Comparison of diuretic effects and pharmacokinetics of torasemid and furosemid after a single oral dose in patients with hydropically decompensated cirrhosis of the liver. Arzt-Forsch. Drug Res 1998; 38: 176–79.
16. Barr WH, Smith HL, Karnes HAT et al. Torasemide dose-proportionality of pharmacokinetics and pharmacodynamics. In: Progress in Pharmacology and Clinical Pharmacology, Gustav-Fischer-Verlag Stuttgart, New York, 1990; 8 (1): 29–37.
17. Bolke T, Achhammer I. Torasemide: review of its pharmacology and therapeutic use. Drugs Tod 1994; 30 (8): 1–28.
18. Reyes A. Effects of diuretics on outputs and flows or urine and urinary solutes in healthy subjects. Drugs 1991; 41 (Suppl. 3): 35–59.
19. Achhammer I, Metz P. Low dose loop diuretics in essential hypertension. Experience with torasemide. Drugs 1991; 41 (Suppl. 3): 80–91.
20. Baumgart P, Walger P, von Eiff M, Achhammer I. Long-term efficacy and tolerance of torasemide in hypertension. In: Progress in pharmacology and Clinical Pharmacology. Gustav-Fischer-Verlag: Stuttgart 1990; 8: 169–81.
21. Baumgart P. Torasemide in comparison with thiazides in the treatment of hypertension. Cardiovasc Drugs Ther 1993; 7 (Suppl. 1): 63–8.
22. Liguori A, Casini A, Di Loreto M et al. Loop diuretics enhance the secretion of prostacyclin in vitro, in healthy persons, and in patients with chronic heart failure. Eur J Clin Pharmacol 1999; 55: 117–24.
23. 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.
24. Reyes AJ, Chiesa PD, Santucci MR et al. Hydrochlorothiazide versus a nondiuretic dose of torasemide as once daily antihypertensive monopharmacotherapy in elderly patients; randomized and double-blind study. In: Progress in Pharmacology and Clinical Pharmacology. Gustav-Fischer-Verlag: Stuttgart 1990; 8: 183–209.
25. Achhammer I, Eberhard R. Comparison of serum potassium levels during long-term treatment of hypertension patients with 2.5 mg torasemide o.d. or 50 mg triamterene/25 mg hydrochlorothiazide o.d. In: Progress in Pharmacology and Clinical Pharmacology. Gustav-Fischer-Verlag: Stuttgart 1990; 8: 211–20.
26. Mosso L, Carvajal C, Gonzalez A et al. Primary aldosteronism and hypertensive disease. Hypertension 2003; 42: 161–5.
27. Schunkert H, Hense HW, Muscholl M et al. Associations between circulating components of the renin-angiotensin-aldosterone system and left ventricular mass. Heart 1997; 77: 24–31.
28. Tanabe A, Naruse M, Naruse K et al. Left ventricular hypertrophy is more prominent in patients with primary aldosteronism than in patients with other types of secondary hypertension. Hypertens Res 1997; 20 (2): 85–90.
29. Brown NJ. Aldosterone and end–organ damage. Curr Opin Nephrol Hypertens 2005; 14 (3): 235–41.
30. Young MJ, Lam EY, Rickard AJ. Mineralocorticoid receprtor activator and cardiac fibrosis. Clin Sci (Lond) 2007; 112 (9): 467–75.
31. Goodfriend TL, Ball DL, Oelkers W, Bähr V. Torsemide inhibits aldosterone secretion in vitro. Life Sci 1998; 63 (3): 45–50.
32. Franse LV, Pahor M, Di Bari M et al. Hypokalemia associated with diuretic use and cardiovascular events in the Systolic Hypertension in the Elderly Program. Hypertension 2000; 35: 1025–30.
33. Averin E.E. Vliianie torasemida na gipertrofiiu miokarda levogo zheludochka. Serdechnaia nedostatochnost'. 2012; 13 (3): 158–61. [in Russian]
34. Massare J, Berry JM, Luo X et al. Diminished cardiac fibrosis in heart failure is associated with altered ventricular arrhythmia phenotype. J Cardiovasc Electrophysiol 2010; 21 (9): 1031–7.
35. Shugushev Kh.Kh., Gaeva A.A. Vliianie furasemida i torasemida na variabel'nost' serdechnogo ritma i zheludochkovye aritmii u bol'nykh s khronicheskoi serdechnoi nedostatochnost'iu, oslozhnivshei techenie ishemicheskoi bolezni serdtsa: sravnitel'noe nerandomizirovannoe issledovanie. Ratsional'naia farmakoterapiia v kardiologii. 2010; 6 (4): 513–17. [in Russian]
36. Tkacheva O.N., Sharashkina N.V., Novikova I.M. i dr. Primenenie petlevogo diuretika torasemida v kombinirovannom lechenii gipertonicheskoi bolezni u zhenshchin v period postmenopauzy. Consilium Medicum. 2011; 13 (10): 54–9 [in Russian]
37. Brown NJ. Aldosterone and end-organ damage. Curr Opin Nephrol Hypertens 2005; 14 (3): 235–41.
38. Born-Frontsberg E, Reincke M, Rump LC et al. Cardiovascular and cerebrovascular comorbidities of hypokalemic and normokalemic primary aldosteronism: results of the German Conn's Registry. J Clin Endocrinol Metab 2009; 94 (4): 1125–30.
39. Gonzaga CC, Gaddam KK, Ahmed MI et al. Severity of obstructive sleep apnea is related to aldosterone status in subjects with resistant hypertension. J Clin Sleep Med 2010; 6 (4): 363–68.
40. Yagi S, Akaike M, Aihara K et al. High plasma aldosterone concentration is a novel risk factor of cognitive impairment in patients with hypertension. Hypertens Res 2011; 34 (1): 74–8.
41. Fomin V.V. Antial'dosteronovoe deistvie torasemida: sluchainost' ili neobkhodimost'? RMZh. 2012; 14: 693–7. [in Russian]
42. Reyes A et al. In: Progress in Pharmacology and Clinical Pharmacology, Gustav-Fischer-Verlag Stuttgart, New York, 1992; 9: 219–62.
43. Liguori A, Casini A, Di Loreto M et al. Loop diuretics enhance the secretion of prostacyclin in vitro, in healthy persons, and in patients with chronic heart failure. Eur J Clin Pharmacol 1999; 55: 117–24.
44. Spieker C, Zidek W, Häcker W et al. Assessment of intracellular sodium and calcium in essential hypertension during diuretic treatment. Arzneimittelforschung 1988; 38: 1188–90.
Авторы
Г.А.Барышникова*, С.А.Чорбинская
ФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента РФ. 121359, Россия, Москва, ул. Маршала Тимошенко, д. 21
*bargalan@mail.ru
________________________________________________
G.A.Baryshnikova*, S.A.Chorbinskajya
Central State Medical Academy of the President of the Russian Federation. 121359, Russian Federation, Moscow, ul. Timoshenko, d. 21
*bargalan@mail.ru