Возможности нитрендипина в лечении артериальной гипертензии, профилактике инсульта и когнитивных нарушений в разных клинических ситуациях на амбулаторно-поликлиническом этапе
Возможности нитрендипина в лечении артериальной гипертензии, профилактике инсульта и когнитивных нарушений в разных клинических ситуациях на амбулаторно-поликлиническом этапе
Трухан Д.И., Поздняков Ю.М. Возможности нитрендипина в лечении артериальной гипертензии, профилактике инсульта и когнитивных нарушений в разных клинических ситуациях на амбулаторно-поликлиническом этапе. Справочник поликлинического врача. 2017; 3: 14–20.
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Trukhan D.I., Pozdnyakov Yu.M. Possibilities of nitrendipine in treatment of arterial hypertension, prevention of stroke and cognitive disorders in various clinical situations at the ambulatory-polyclinic stage. Handbook for Practitioners Doctors. 2017; 3: 14–20.
Возможности нитрендипина в лечении артериальной гипертензии, профилактике инсульта и когнитивных нарушений в разных клинических ситуациях на амбулаторно-поликлиническом этапе
Трухан Д.И., Поздняков Ю.М. Возможности нитрендипина в лечении артериальной гипертензии, профилактике инсульта и когнитивных нарушений в разных клинических ситуациях на амбулаторно-поликлиническом этапе. Справочник поликлинического врача. 2017; 3: 14–20.
________________________________________________
Trukhan D.I., Pozdnyakov Yu.M. Possibilities of nitrendipine in treatment of arterial hypertension, prevention of stroke and cognitive disorders in various clinical situations at the ambulatory-polyclinic stage. Handbook for Practitioners Doctors. 2017; 3: 14–20.
В статье рассмотрены вопросы антигипертензивной терапии с применением блокатора кальциевых каналов нитрендипина, профилактики инсульта и когнитивных нарушений у пациентов с артериальной гипертензией в отдельных клинических ситуациях на амбулаторно-поликлиническом этапе. Приведены данные исследования Syst-Eur (The Systolic Hypertension in Europe), наглядно демонстрирующие эффективность нитрендипина в снижении риска развития инсульта, когнитивных нарушений и деменции у пациентов с артериальной гипертензией. Появление на российском фармацевтическом рынке препарата нитрендипина – Нитремед® – дает возможность оптимизировать профилактику цереброваскулярной патологии и когнитивных нарушений у больных артериальной гипертензией и ишемической болезнью сердца.
The article deals with the issues of antihypertensive therapy with the use of the calcium channel blocker nitrendipine, prevention of stroke and cognitive impairment in patients with arterial hypertension in selected clinical situations at the outpatient and polyclinic stage. Syst-Eur (The Systolic Hypertension in Europe) studies show the effectiveness of nitrendipine in reducing the risk of stroke, cognitive impairment and dementia in patients with hypertension. The appearance of nitrendipine – Nitremed® – in the Russian pharmaceutical market makes it possible to optimize the prevention of cerebrovascular pathology and cognitive impairment in patients with arterial hypertension and coronary heart disease.
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1. Chazova I.E., Zhernakova Iu.V. Blokatory kal'tsievykh kanalov: bolee 50 let na strazhe zdorov'ia. Sistemnye gipertenzii. 2015; 12 (2): 49–56. [in Russian]
2. Zadionchenko V.S., Shehyan G.G., Yalymov A.A. et al. The application of calcium channel blockers in patients with cardiovascular disease: focus on the diltiazem. Consilium Medicum. 2015; 17 (5): 54–62. [in Russian]
3. Toyo-Oka T, Nayler WG. Third generation calcium entry blockers. Blood Press 1996; 4: 206–8.
4. Ostroumova O.D., Guseva T.F. Antagonisty kal'tsiia: sovremennye aspekty primeneniia v kardiologii. Handbook for Practitioners Doctors. 2008; 3: 20–3. [in Russian]
5. van Zwieten PA, Mancia G. Third generation calcium antagonists: further developments. Blood Press 1996; 6: 376–7.
6. Purcell H. Third generation calcium antagonists. Blood Press 1996; 5: 319.
7. Trukhan D.I., Trukhan L.Yu. Periodontal and cardiovascular diseases: In parallel or in a bundle? Consilium Medicum. 2015; 17 (5): 73–79. [in Russian]
8. Trukhan D.I., Trukhan L.Iu. Nekotorye aspekty komorbidnosti parodontita i serdechno-sosudistykh zabolevanii. Med. sovet. 2015; 17: 12–6. [in Russian]
9. Uneyama H, Takahara A, Wakamori M et al. Pharmacology of N-type Ca2+ channels distributed in cardiovascular system (Review). Int J Mol Med 1999; 5: 455–66.
10. Narita S, Yoshioka Y, I de A et al. Effects of the L/N-type calcium channel antagonist cilnidipine on morning blood pressure control and peripheral edema formation. J Am Soc Hypertens 2011; 5: 410–6.
11. Adake P, Somashekar HS, Mohammed Rafeeq PK et al. Comparison of amlodipine with cilnidipine on antihypertensive efficacy and incidence of pedal edema in mild to moderate hypertensive individuals: A prospective study. J Adv Pharm Technol Res 2015; 6: 81–5.
12. Trukhan D.I., Saifutdinov R.G. Tsilnidipin (CILNIDIPINE) – blokator kal'tsievykh kanalov L- i N-tipa. Dnevnik Kazanskoi meditsinskoi shkoly. 2016; 2: 60–5. [in Russian]
13. Trukhan D.I. Tsilnidipin (Cilnidipine) – digidropiridinovyi blokator kal'tsievykh kanalov 4-go pokoleniia. Mezhdunar. zhurn. prikladnykh i fundamental'nykh issledovanii. 2016; 4–6: 1109–14 [in Russian]
14. Nitrendipine (Nitrendipin). URL: https://www.vidal.ru/drugs/molecule/749 [in Russian]
15. Staessen JA, Fagard R, Thijs L et al. Randomised double-blind comparison of placebo and active treatment for older patients with isolated systolic hypertension. The Systolic Hypertension in Europe (Syst-Eur) Trial Investigators. Lancet 1997; 350 (9080): 757–64.
16. Forette F, Seux ML, Staessen JA et al. Systolic Hypertension in Europe Investigators. The prevention of dementia with antihypertensive treatment: new evidence from the Systolic Hypertension in Europe (Syst-Eur) study. Arch Intern Med 2002; 162 (18): 2046–52.
17. Tuomilehto J, Rastenyte D, Birkenhager WH et al. Effects of calcium-channel blockade in older patients with diabetes and systolic hypertension: Systolic Hypertension in Europe Trial Investigators. N Engl J Med 1999; 340: 677–84.
18. Klinicheskie rekomendatsii. Arterial'naia gipertoniia u vzroslykh. Rossiiskoe meditsinskoe obshchestvo po arterial'noi gipertonii. 2016. URL: http://cr.rosminzdrav.ru/schema.html?id=687#/text
[in Russian]
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Авторы
Д.И.Трухан*1, Ю.М.Поздняков2
1 ФГБОУ ВО «Омский государственный медицинский университет» Минздрава России. 644099, Россия, Омск, ул. Ленина, д. 12;
2 «Московский областной кардиологический центр». 140180, Россия, Московская область, г. Жуковский, ул. Фрунзе, д. 1
*dmitry_trukhan@mail.ru
________________________________________________
D.I.Trukhan*1, Yu.M.Pozdnyakov2
1 Omsk State Medical University of the Ministry of Health of the Russian Federation. 644099, Russian Federation, Omsk, ul. Lenina, d. 12
2 Moscow Regional Cardiological Center. 140180, Russian Federation, Moscow Region, Zhukovsky, ul. Frunze, d. 1
*dmitry_trukhan@mail.ru