Снижение частоты сердечных сокращений как терапевтическая цель: фокус на первичную профилактику
https://doi.org/10.15829/1728-8800-2012-1-89-95
Аннотация
В последнее время появились сообщения о наличии прямой связи частоты сердечных сокращений (ЧСС) с прогнозом в самых различных популяциях, включающих людей пожилого возраста, больных артериальной гипертонией, инфарктом миокарда, пациентов после стентирования коронарных артерий, лиц с избыточной массой тела и даже у молодых людей из группы низкого кардиоваскулярного риска. ЧСС стала рассматриваться в качестве еще одного независимого фактора риска (ФР) развития заболеваний сердечно-сосудистой системы. Однако, пока имеются подтверждения, что медикаментозное снижение ЧСС приводит к улучшению прогноза только у больных ишемической болезнью сердца и с хронической сердечной недостаточностью. В отношении пациентов без сердечно-сосудистых заболеваний ситуацию трактуют неоднозначно. В представленном обзоре обсуждаются возможности использования различных типов ритмурежающей терапии в рамках первичной профилактики.
Об авторах
Я. А. Орлова
НИИ кардиологии им. А.Л.Мясникова ФГБУ РКНПК
Россия
Россия
(контактное лицо) – заведующая консультативно-поликлиническим отделением
Тел.: (495) 414-69-70,
факс: (495) 414-66-12
Г. В. Макарова
Центральная поликлиника ФСБ РФ, Москва
Россия
Россия
начальник кардиологического отделения
Тел.: (495) 414-69-70,
факс: (495) 414-66-12
Г. В. Михайлов
НИИ кардиологии им. А.Л.Мясникова ФГБУ РКНПК
Россия
Россия
аспирант НДО
Тел.: (495) 414-69-70,
факс: (495) 414-66-12
Ф. Т. Агеев
НИИ кардиологии им. А.Л.Мясникова ФГБУ РКНПК
Россия
Россия
руководитель НДО
Тел.: (495) 414-69-70,
факс: (495) 414-66-12
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Рецензия
Для цитирования:
Орлова Я.А., Макарова Г.В., Михайлов Г.В., Агеев Ф.Т. Снижение частоты сердечных сокращений как терапевтическая цель: фокус на первичную профилактику. Кардиоваскулярная терапия и профилактика. 2012;11(1):89-95. https://doi.org/10.15829/1728-8800-2012-1-89-95
For citation:
Orlova Yu.A., Makarova G.V., Mikhailova G.V., Ageev F.T. Heart rate reduction as a therapeutic goal: focus on primary prevention. Cardiovascular Therapy and Prevention. 2012;11(1):89-95. (In Russ.) https://doi.org/10.15829/1728-8800-2012-1-89-95
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