Современные подходы к лечению артериальной гипертензии у детей и подростков: обзор клинических рекомендаций
https://doi.org/10.15690/vsp.v20i4.2281
Аннотация
Учитывая рост распространенности повышенного артериального давления (АД) у детей и подростков, знакомство педиатров с современными тенденциями медикаментозной и немедикаментозной терапии артериальной гипертензии (АГ) представляется актуальным и своевременным. Цель работы — представить обзор международных и отечественных рекомендаций по лечению АГ. Проведен поиск информации в сети PubMed по ключевым словам recommendations, arterial hypertension treatment, guidelines of management, pediatric hypertension. Проанализированы обзоры, клинические рекомендации и оригинальные статьи, опубликованные c 2010 по 2020 г. Дано подробное описание дифференцированной тактики лечения АГ у детей и подростков. Подробно обсуждены подходы к немедикаментозной коррекции повышенного АД, описаны показания к антигипертензивной терапии, дана характеристика основных классов гипотензивных средств — показания, противопоказания и возможные побочные эффекты. Также описаны принципы терапии рефрактерной АГ и правила сочетания антигипертензивных средств.
Ключевые слова
Об авторах
Л. А. БалыковаРоссия
Балыкова Лариса Александровна - доктор медицинских наук, профессор, член-корреспондент РАН, заведующая кафедрой педиатрии, директор медицинского института Мордовского государственного университета им. Н.П. Огарёва.
430032, Саранск, ул. Ульянова, д. 26а
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И. В. Леонтьева
Россия
Москва
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А. В. Краснопольская
Россия
Саранск
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Д. И. Садыкова
Россия
Казань
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Л. С. Машкина
Россия
Саранск
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И. Ю. Чегодаева
Россия
Саранск
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З. Р. Хабибрахманова
Россия
Казань
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Е. С. Сластникова
Россия
Казань
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Л. Ф Галимова
Россия
Казань
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С. А. Ушакова
Россия
Тюмень
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Рецензия
Для цитирования:
Балыкова Л.А., Леонтьева И.В., Краснопольская А.В., Садыкова Д.И., Машкина Л.С., Чегодаева И.Ю., Хабибрахманова З.Р., Сластникова Е.С., Галимова Л.Ф., Ушакова С.А. Современные подходы к лечению артериальной гипертензии у детей и подростков: обзор клинических рекомендаций. Вопросы современной педиатрии. 2021;20(4):271-281. https://doi.org/10.15690/vsp.v20i4.2281
For citation:
Balykova L.A., Leontyeva I.V., Krasnopolskaya A.V., Sadykova D.I., Mashkina L.S., Chegodaeva I.Yu., Khabibrakhmanova Z.R., Slastnikova E.S., Galimova L.F., Ushakova S.A. Current Approaches to Arterial Hypertension Management in Children and Adolescents: Clinical Guidelines Review. Current Pediatrics. 2021;20(4):271-281. (In Russ.) https://doi.org/10.15690/vsp.v20i4.2281