Роль барорефлекторнойактивационной терапии у больных с резистентной артериальной гипертензией
DOI:
https://doi.org/10.52692/1857-0011.2023.1-75.23Ключевые слова:
активация барорефлекса, артериальная гипертензия, каротидный синус, аппарат Реос, аппарат Баростим неоАннотация
Резистентная артериальная гипертензия стала интересной и противоречивой темой в последнее десятилетие. В соответствии с Европейскими рекомендациями по ведению и лечению артериальной гипертензии резистентная гипертензия определяется как отсутствие контроля артериального давления, несмотря на контроль факторов риска и хорошую приверженость к лечению не менее чем тремя антигипертензивными препаратами в максимально переносимых дозах, один из которых является диуретиком, у больных, у которых были исключены возможные причины вторичной артериальной гипертензии. В официальной позиции AHA (Американской кардиологической ассоциации) по этому вопросу резистентной АГ считается АГ, не контролируемая тремя антигипертензивными препаратами, или АГ, контролируемая, но требующая не менее четырех препаратов.Хотя в медицинском мире имеется значимый арсенал антигипертензивных препаратов, с их помощью не всегда удается скорректировать показатели у значительной части больных. Возможным решением будет разработка и изучение эффективности барорефлекторной -активационной терапии.
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