Артериальная гипертония (АГ) является ведущим фактором риска сердечно-сосудистых заболеваний и наиболее распространенным, независимым и потенциально обратимым фактором риска развития фибрилляции предсердий (ФП). АГ предрасполагает к возникновению и поддержанию ФП вследствие неблагоприятного гемодинамического воздействия, изменения электрофизиологических свойств кардиомиоцитов и структурного ремоделирования предсердий. ФП, которая также связана с повышенным риском сердечно-сосудистых событий, является самой частой аритмией. АГ и ФП нередко сосуществуют, и их частота увеличивается с возрастом. В настоящем консенсусе отражены ключевые особенности ведения пациентов с данными нозологиями. Детально описаны патогенез, стратификация риска, особенности выбора антигипертензивной, антиаритмической и антитромботической терапии.
Arterial hypertension (AH) is a leading risk factor for cardiovascular disease as well as it is the most common, independent and potentially reversible risk factor for atrial fibrillation (AF). AH contributes to the occurrence and maintenance of AF due to hemodynamic disorders, alterations in cardiomyocyte electrophysiological properties and structural remodeling in the atria. AF, which is also associated with an increased risk of cardiovascular events, is the most common arrhythmia. AH and AF often coexist, and their prevalence increases with age. This consensus provides the key features of the management of patients with these nosological units. The pathogenesis, risk stratification, and features of the selection of antihypertensive, antiarrhythmic and antithrombotic therapy are described in detail.
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1 ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России, Москва, Россия;
2 ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России, Москва, Россия
*juli001@mail.ru
________________________________________________
Irina E. Chazova1, Sergei P. Golitsyn1, Juliya V. Zhernakova*1, Ekaterina A. Zheleznova1, Ekaterina S. Kropacheva1, Nikolai Iu. Mironov1, Marina V. Kostiukevich1, Lada Iu. Laiovich1, Madina D. Utsumueva1, Iuliia A. Iuricheva1, Alexander Yu. Litvin1,2, Evgeniia M. Elfimova1, Anatolii N. Rogoza1, Elizaveta P. Panchenko1
1 National Medical Research Center of Cardiology, Moscow, Russia;
2 Pirogov Russian National Research Medical University, Moscow, Russia
*juli001@mail.ru