References

cardiovascular

Кардиоваскулярная терапия и профилактика

Cardiovascular Therapy and Prevention

1728-88002619-0125

«SILICEA-POLIGRAF» LLC

10.15829/1728-8800-2022-3456

cardiovascular-3456

Research Article

ОБЗОРЫ ЛИТЕРАТУРЫ

REVIEW ARTICLES

Позиция суточного мониторирования артериального давления в современной практике

Position of 24-hour ambulatory blood pressure monitoring in modern practice

https://orcid.org/0000-0001-5195-8997

Горбунов

В. М.

Gorbunov

V. M.

Владимир Михайлович Горбунов — доктор медицинских наук, профессор, руководитель лаборатории применения амбулаторных диагностических методов в профилактике хронических неинфекционных заболеваний.

Москва

Moscow

Vgorbunov@gnicpm.ru

ФГБУ Национальный медицинский исследовательский центр терапии и профилактической медицины Минздрава РоссииNational Medical Research Center for Therapy and Preventive Medicine

2022

19012023

211234563456

2023

Горбунов В.М.

Gorbunov V.M.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://cardiovascular.elpub.ru/jour/article/view/3456

В настоящее время суточное мониторирование (СМАД) артериального давления (АД) является золотым стандартом диагностики артериальной гипертонии (АГ) и оценки эффективности антигипертензивной терапии. Метод дает информацию о некоторых параметрах АД, которую невозможно получить никаким иным способом. Проведение СМАД целесообразно у любого пациента с зарегистрированным повышением АД, в особенности при подозрении на специфические фенотипы АД: гипертонию белого халата и скрытую АГ. Антигипертензивная терапия, проводимая под контролем СМАД, в среднем, более экономна, не связана с избыточным назначением препаратов и их комбинаций. На основании данных СМАД возможно вычисление целого ряда дополнительных показателей суточного профиля АД, однако область их применения пока ограничена сферой научных исследований. В заключении по результатам СМАД следует указывать результаты офисного измерения АД перед постановкой монитора и наличие антигипертензивной терапии.

Currently, 24-hour ambulatory blood pressure (BP) monitoring (ABPM) is the gold standard for diagnosing hypertension (HTN) and evaluating the effectiveness of antihypertensive therapy. The method provides information about some BP parameters that cannot be obtained in any other way. ABPM is reasonable in any patient with a documented increase in BP, especially if specific BP phenotypes are suspected: white coat HTN and masked HTN. Antihypertensive therapy under the ABPM, on average, is more economical and is not associated with overprescribing of drugs and their combinations. Based on the ABPM data, calculating a number of additional indicators of the 24-hour BP profile is possible, but their scope is still limited to the research field. In the conclusion on ABPM data, the results of office BP measurement and antihypertensive therapy should be indicated.

артериальная гипертониясуточное мониторирование артериального давлениягипертония белого халатаскрытая артериальная гипертонияантигипертензивная терапия

hypertensionambulatory blood pressure monitoringwhite coat hypertensionmasked hypertensionantihypertensive therapy

нет

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The authors declare that there are no conflicts of interest present.