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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">cardiovascular</journal-id><journal-title-group><journal-title xml:lang="ru">Кардиоваскулярная терапия и профилактика</journal-title><trans-title-group xml:lang="en"><trans-title>Cardiovascular Therapy and Prevention</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1728-8800</issn><issn pub-type="epub">2619-0125</issn><publisher><publisher-name>«SILICEA-POLIGRAF» LLC</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">cardiovascular-1312</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>МНЕНИЕ ПО ПРОБЛЕМЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>OPINION ON A PROBLEM</subject></subj-group></article-categories><title-group><article-title>Комбинированная терапия артериальной гипертонии: фокус на плейотропные эффекты</article-title><trans-title-group xml:lang="en"><trans-title>Combined therapy of arterial hypertension: focus on pleiotropic effects</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Небиеридзе</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Nebieridze</surname><given-names>D. B.</given-names></name></name-alternatives><bio xml:lang="ru"/><email xlink:type="simple">oganov@gnicpm.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Государственный научно-исследовательский центр профилактической медицины Росздрава, Москва</institution></aff><aff xml:lang="en"><institution>State Research Center for Preventive Medicine, State Federal Agency for Health and Social Development, Moscow</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2007</year></pub-date><pub-date pub-type="epub"><day>20</day><month>08</month><year>2007</year></pub-date><volume>6</volume><issue>4</issue><fpage>99</fpage><lpage>102</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Небиеридзе Д.В., 2007</copyright-statement><copyright-year>2007</copyright-year><copyright-holder xml:lang="ru">Небиеридзе Д.В.</copyright-holder><copyright-holder xml:lang="en">Nebieridze D.B.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://cardiovascular.elpub.ru/jour/article/view/1312">https://cardiovascular.elpub.ru/jour/article/view/1312</self-uri><abstract><p>В публикации подчеркивается значение не только адекватного контроля артериального давления (АД) при артериальной гипертонии, но и плейотропных эффектов лечения. Особенно это актуально для комбинированной терапии, которая в большинстве случаев позволяет достичь целевой уровень АД. Среди плейтропных эффектов важное значение имеют метаболические и возможность вазопротекции на основе улучшения эндотелиальной функции. Представлена уникальная комбинация препарата Тарка, компонентами которого являются два хорошо известных средства – верапамил в форме медленного высвобождения в дозе 180 мг и трандолаприла в дозе 2 мг. Тарка обеспечивает не только пролонгированный контроль АД, но и метаболически благоприятный профиль, вазопротекцию и органопротекцию.</p></abstract><trans-abstract xml:lang="en"><p>The article is focused on the importance of adequate blood pressure (BP) control in arterial hypertension, as well as on pleiotropic treatment effects. The latter are especially important in combined therapy, that, as a rule, is needed to achieve target BP levels. The principal pleiotropic effects include metabolic action and vasoprotection via endothelial function improvement. Tarka medication includes two well-known agents - verapamil SR (180 mg) and trandolapril (2 mg). Tarka therapy facilitates not only prolonged BP control, but also vasoprotection and organ protection, without adverse metabolic effects.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>артериальная гипертония</kwd><kwd>комбинированная терапия</kwd><kwd>метаболические эффекты</kwd><kwd>вазо- и органопротекция</kwd></kwd-group><kwd-group xml:lang="en"><kwd>arterial hypertension</kwd><kwd>combined therapy</kwd><kwd>metabolic effects</kwd><kwd>vasoprotection</kwd><kwd>organ protection</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Второй пересмотр рекомендаций ВНОК по профилактике, диагностике и лечению артериальной гипертензии. Кардиоваск тер профил 2004; 3(3) ч.1: 105-20.</mixed-citation><mixed-citation xml:lang="en">Второй пересмотр рекомендаций ВНОК по профилактике, диагностике и лечению артериальной гипертензии. Кардиоваск тер профил 2004; 3(3) ч.1: 105-20.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Collins R, Peto R, MacMahon S, et al. Blood pressure, stroke and coronary heart disease. Part II: Effects of short term-reductions of blood pressure – an overview of the unconfined randomized drug trials in an epidemiological context. Lancet 1990; 335: 827-38.</mixed-citation><mixed-citation xml:lang="en">Collins R, Peto R, MacMahon S, et al. Blood pressure, stroke and coronary heart disease. Part II: Effects of short term-reductions of blood pressure – an overview of the unconfined randomized drug trials in an epidemiological context. Lancet 1990; 335: 827-38.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">HOPE study investigators Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. N Engl J Med 2000; 342: 145-53.</mixed-citation><mixed-citation xml:lang="en">HOPE study investigators Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. N Engl J Med 2000; 342: 145-53.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Estasio RO, Jeffers BW, Hiatt W, et al. The effect of nisoldipine as compared with enalapril on cardiovascular outcomes in patients with non-insulin-dependent diabetes and hypertension. ABCD Study. N Eng J Med 1998; 338: 645-52.</mixed-citation><mixed-citation xml:lang="en">Estasio RO, Jeffers BW, Hiatt W, et al. The effect of nisoldipine as compared with enalapril on cardiovascular outcomes in patients with non-insulin-dependent diabetes and hypertension. ABCD Study. N Eng J Med 1998; 338: 645-52.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Kaplan M. Metabolic Aspects of Hypertension. Science press 1994, London.</mixed-citation><mixed-citation xml:lang="en">Kaplan M. Metabolic Aspects of Hypertension. Science press 1994, London.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Pepine CJ, Handberg EM, Cooper RM, at al. A Calcium Antagonist vs a Non-Calcium Antagonist Hypertension Tretment Strategy for Patients With Coronary Artery Disease The International Verapamil SR/Trandolapril Study (INVEST): A Randomized Controlled Trial. JAMA 2003; 290(21): 2805-61.</mixed-citation><mixed-citation xml:lang="en">Pepine CJ, Handberg EM, Cooper RM, at al. A Calcium Antagonist vs a Non-Calcium Antagonist Hypertension Tretment Strategy for Patients With Coronary Artery Disease The International Verapamil SR/Trandolapril Study (INVEST): A Randomized Controlled Trial. JAMA 2003; 290(21): 2805-61.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">The ALLHAT Officers and Coordinators Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic. JAMA 2002; 288: 2981-97.</mixed-citation><mixed-citation xml:lang="en">The ALLHAT Officers and Coordinators Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic. JAMA 2002; 288: 2981-97.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Dahlof B, Devereux RB, Kjeldsen SE, et al. Cardiovascular morbidity and mortality in the Losartan Intervention For Endpoint reduction in hypertension study (LIFE): a randomized trial against atenolol. Lancet 2002; 359: 995-1003.</mixed-citation><mixed-citation xml:lang="en">Dahlof B, Devereux RB, Kjeldsen SE, et al. Cardiovascular morbidity and mortality in the Losartan Intervention For Endpoint reduction in hypertension study (LIFE): a randomized trial against atenolol. Lancet 2002; 359: 995-1003.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">European Society of Hypertension-European Society of Cardiology guidelines for the management of arterial hypertension 2003. Guidelines Committee. J Hypertens 2003; 21: 1011-53.</mixed-citation><mixed-citation xml:lang="en">European Society of Hypertension-European Society of Cardiology guidelines for the management of arterial hypertension 2003. Guidelines Committee. J Hypertens 2003; 21: 1011-53.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Fernandez R, Puig JG, Rodrigues-Perez JC, et al. Effect of two antihypertensive combinations on metabolic control in type -2 diabetic hypertensive patients with albuminuria: a randomized, double-blind study. J Human Hypertens 2001; 15: 849-56.</mixed-citation><mixed-citation xml:lang="en">Fernandez R, Puig JG, Rodrigues-Perez JC, et al. Effect of two antihypertensive combinations on metabolic control in type -2 diabetic hypertensive patients with albuminuria: a randomized, double-blind study. J Human Hypertens 2001; 15: 849-56.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Bakris G, Molitch M, Hewkin A, et al. Differences in Glucose tolerance between fixed dose Antihypertensive Drug Combinations in People with Metabolic Syndrome. Diabetes Care 2006; 29: 2592-7.</mixed-citation><mixed-citation xml:lang="en">Bakris G, Molitch M, Hewkin A, et al. Differences in Glucose tolerance between fixed dose Antihypertensive Drug Combinations in People with Metabolic Syndrome. Diabetes Care 2006; 29: 2592-7.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Zanchetti A, Rosei EA, Palu CD, et al. The Verapamil in Hypertension and Atherosclerosis Study (VHAS): Results of long-term randomized treatment with either verapamil or chlorthalidone on carotid intima-media thickness. J Hypertens 1998; 16: 1667-76.</mixed-citation><mixed-citation xml:lang="en">Zanchetti A, Rosei EA, Palu CD, et al. The Verapamil in Hypertension and Atherosclerosis Study (VHAS): Results of long-term randomized treatment with either verapamil or chlorthalidone on carotid intima-media thickness. J Hypertens 1998; 16: 1667-76.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Hansen JF, Hageruo L, Sigurd B. Cardiac Event Rates After Acute Myocardial Infarction in Patients Treated With Verapamil and Trandolapril Versus Trandolapril Alone, et al. Am J Cardiol 1997; 79: 738-41.</mixed-citation><mixed-citation xml:lang="en">Hansen JF, Hageruo L, Sigurd B. Cardiac Event Rates After Acute Myocardial Infarction in Patients Treated With Verapamil and Trandolapril Versus Trandolapril Alone, et al. Am J Cardiol 1997; 79: 738-41.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Ruggenenti P, Fassi A, Parvanova Ilieva A, et al. Preventing microalbuminuria in Type 2 Diabetes. N Engl J Med 2004; 351: 1941-51.</mixed-citation><mixed-citation xml:lang="en">Ruggenenti P, Fassi A, Parvanova Ilieva A, et al. Preventing microalbuminuria in Type 2 Diabetes. N Engl J Med 2004; 351: 1941-51.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
