Approaches to the treatment of uncontrolled hypertension. Place of the Physiotens®
The paper discusses the issues of managing uncontrolled hypertension. It is noted that in the International Classification of Diseases, 10th revision (ICD-10), there is no diagnosis “hypertensive crisis”, which complicates the epidemiological estimates. In the new Russian Society of Cardiology guide...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Russian |
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«FIRMA «SILICEA» LLC
2021-07-01
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| Series: | Российский кардиологический журнал |
| Subjects: | |
| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/4535 |
| _version_ | 1797856668837478400 |
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| author | S. N. Tereshchenko V. V. Ruksin N. I. Gaponova O. N. Tkacheva D. V. Duplyakov V. V. Skibitsky |
| author_facet | S. N. Tereshchenko V. V. Ruksin N. I. Gaponova O. N. Tkacheva D. V. Duplyakov V. V. Skibitsky |
| author_sort | S. N. Tereshchenko |
| collection | DOAJ |
| description | The paper discusses the issues of managing uncontrolled hypertension. It is noted that in the International Classification of Diseases, 10th revision (ICD-10), there is no diagnosis “hypertensive crisis”, which complicates the epidemiological estimates. In the new Russian Society of Cardiology guidelines, instead of using the term “uncomplicated hypertensive crisis”, the term “sudden pronounced individually relevant blood pressure (BP) increase” was proposed to describe pronounced BP increase without target organ damage. Since the term “uncomplicated hypertensive crisis” is not recommended for use, but this condition is often diagnosed in practice, it is advisable to replace this term with “sharp BP increase not accompanied by target organ damage” or “sudden pronounced individually relevant BP increase”. At the same time, there is no evidence that in patients with uncomplicated hypertensive crisis, a more rapid BP decrease is more effective over the standard antihypertensive therapy in relation to the risk of complications. The drug Physiotens® lowers BP smoothly and without sudden falls, while having favorable pharmacokinetics. The issues of revising the current approaches to antihypertensive therapy in patients with frequent BP increases, as well as the use of original drugs and generics are considered. |
| first_indexed | 2024-04-09T20:44:16Z |
| format | Article |
| id | doaj.art-241db1b39fd545a49c681bfa7709e965 |
| institution | Directory Open Access Journal |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| last_indexed | 2024-04-09T20:44:16Z |
| publishDate | 2021-07-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj.art-241db1b39fd545a49c681bfa7709e9652023-03-29T21:23:38Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202021-07-0126610.15829/1560-4071-2021-45353278Approaches to the treatment of uncontrolled hypertension. Place of the Physiotens®S. N. Tereshchenko0V. V. Ruksin1N. I. Gaponova2O. N. Tkacheva3D. V. Duplyakov4V. V. Skibitsky5National Medical Research Center of CardiologyI.I. Mechnikov NorthWestern State Medical UniversityMoscow State University of Medicine and Dentistry; A.S. Puchkov Moscow Emergency Medical Care StationRussian Gerontology Research and Clinical Center, Pirogov Russian National Research Medical UniversitySamara Regional Clinical Cardiology DispensaryKuban State Medical UniversityThe paper discusses the issues of managing uncontrolled hypertension. It is noted that in the International Classification of Diseases, 10th revision (ICD-10), there is no diagnosis “hypertensive crisis”, which complicates the epidemiological estimates. In the new Russian Society of Cardiology guidelines, instead of using the term “uncomplicated hypertensive crisis”, the term “sudden pronounced individually relevant blood pressure (BP) increase” was proposed to describe pronounced BP increase without target organ damage. Since the term “uncomplicated hypertensive crisis” is not recommended for use, but this condition is often diagnosed in practice, it is advisable to replace this term with “sharp BP increase not accompanied by target organ damage” or “sudden pronounced individually relevant BP increase”. At the same time, there is no evidence that in patients with uncomplicated hypertensive crisis, a more rapid BP decrease is more effective over the standard antihypertensive therapy in relation to the risk of complications. The drug Physiotens® lowers BP smoothly and without sudden falls, while having favorable pharmacokinetics. The issues of revising the current approaches to antihypertensive therapy in patients with frequent BP increases, as well as the use of original drugs and generics are considered.https://russjcardiol.elpub.ru/jour/article/view/4535hypertensive crisisuncontrolled hypertensionphysiotensmoxonidineclinical guidelines |
| spellingShingle | S. N. Tereshchenko V. V. Ruksin N. I. Gaponova O. N. Tkacheva D. V. Duplyakov V. V. Skibitsky Approaches to the treatment of uncontrolled hypertension. Place of the Physiotens® Российский кардиологический журнал hypertensive crisis uncontrolled hypertension physiotens moxonidine clinical guidelines |
| title | Approaches to the treatment of uncontrolled hypertension. Place of the Physiotens® |
| title_full | Approaches to the treatment of uncontrolled hypertension. Place of the Physiotens® |
| title_fullStr | Approaches to the treatment of uncontrolled hypertension. Place of the Physiotens® |
| title_full_unstemmed | Approaches to the treatment of uncontrolled hypertension. Place of the Physiotens® |
| title_short | Approaches to the treatment of uncontrolled hypertension. Place of the Physiotens® |
| title_sort | approaches to the treatment of uncontrolled hypertension place of the physiotens r |
| topic | hypertensive crisis uncontrolled hypertension physiotens moxonidine clinical guidelines |
| url | https://russjcardiol.elpub.ru/jour/article/view/4535 |
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