Arterial hypertension and hypertensive disease (syndromic diagnosis and nosological syndrome)

Fundamental innovations in the study of the regulatory mechanisms of circulation in the past 20-30 years (evidence for the role of the endothelium in local hemodynamic control, the basic significance of the tissue (paracrine) link of the angiotensin mechanism of not only as a vasoconstrictor, but al...

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Main Authors: Evgeniy Evgen'evich Gogin, E E Gogin
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2010-04-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/view/30555
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author Evgeniy Evgen'evich Gogin
E E Gogin
author_facet Evgeniy Evgen'evich Gogin
E E Gogin
author_sort Evgeniy Evgen'evich Gogin
collection DOAJ
description Fundamental innovations in the study of the regulatory mechanisms of circulation in the past 20-30 years (evidence for the role of the endothelium in local hemodynamic control, the basic significance of the tissue (paracrine) link of the angiotensin mechanism of not only as a vasoconstrictor, but also a trigger of a slow pressor component that leads to resistance bed arterial remodeling) have required the concept of the pathogenesis of hypertensive disease (HD) (essential hypertension) to be reconsidered, confirmed its qualificational (nosological) isolation (by the criterion of the presence of an attributive functional and structural sign). The new refined and concrete information on the pathogenesis of HD and its associated cardiovascular disease has shown to give doctors reliable landmarks to optimize drug therapy: both symptomatic (to accelerate effective blood pressure control) and basic (to eliminate endothelial dysfunction and to restore remodeled arteries and microcirculation) therapies.
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spelling doaj.art-48131d32cef349d894bf7c447a4c734e2022-12-21T18:51:35Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422010-04-0182451027582Arterial hypertension and hypertensive disease (syndromic diagnosis and nosological syndrome)Evgeniy Evgen'evich GoginE E Gogin0Central Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian FederationFundamental innovations in the study of the regulatory mechanisms of circulation in the past 20-30 years (evidence for the role of the endothelium in local hemodynamic control, the basic significance of the tissue (paracrine) link of the angiotensin mechanism of not only as a vasoconstrictor, but also a trigger of a slow pressor component that leads to resistance bed arterial remodeling) have required the concept of the pathogenesis of hypertensive disease (HD) (essential hypertension) to be reconsidered, confirmed its qualificational (nosological) isolation (by the criterion of the presence of an attributive functional and structural sign). The new refined and concrete information on the pathogenesis of HD and its associated cardiovascular disease has shown to give doctors reliable landmarks to optimize drug therapy: both symptomatic (to accelerate effective blood pressure control) and basic (to eliminate endothelial dysfunction and to restore remodeled arteries and microcirculation) therapies.https://ter-arkhiv.ru/0040-3660/article/view/30555hypertensive diseasepathogenesistreatment optimization
spellingShingle Evgeniy Evgen'evich Gogin
E E Gogin
Arterial hypertension and hypertensive disease (syndromic diagnosis and nosological syndrome)
Терапевтический архив
hypertensive disease
pathogenesis
treatment optimization
title Arterial hypertension and hypertensive disease (syndromic diagnosis and nosological syndrome)
title_full Arterial hypertension and hypertensive disease (syndromic diagnosis and nosological syndrome)
title_fullStr Arterial hypertension and hypertensive disease (syndromic diagnosis and nosological syndrome)
title_full_unstemmed Arterial hypertension and hypertensive disease (syndromic diagnosis and nosological syndrome)
title_short Arterial hypertension and hypertensive disease (syndromic diagnosis and nosological syndrome)
title_sort arterial hypertension and hypertensive disease syndromic diagnosis and nosological syndrome
topic hypertensive disease
pathogenesis
treatment optimization
url https://ter-arkhiv.ru/0040-3660/article/view/30555
work_keys_str_mv AT evgeniyevgenevichgogin arterialhypertensionandhypertensivediseasesyndromicdiagnosisandnosologicalsyndrome
AT eegogin arterialhypertensionandhypertensivediseasesyndromicdiagnosisandnosologicalsyndrome