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1.
Kardiologiia ; 60(8): 130-140, 2020 Sep 17.
Article in Russian | MEDLINE | ID: mdl-33164724

ABSTRACT

The article discusses results of secondary analysis of the data obtained in the SPRINT study and published in recent years. Unresolved issues in the tactics of managing patients with arterial hypertension are discussed. One of such issues is choosing an optimum level of blood pressure (BP) for a subgroup of patients with certain characteristics, including elderly and senile patients, patients with chronic kidney disease, and patients with arterial hypertension who continue smoking. The article discusses calculation of a threshold of risk for complications of cardiovascular diseases, at which a maximum advantage of intensified regimens of antihypertensive therapy could be achieved. In addition, the article addresses approaches to selection of antihypertensive drugs in the current conditions. The authors discussed the role of candesartan in the treatment of arterial hypertension, a sartan most studied in a broad range of patients. The issue of a rapid increase in BP without a damage to target organs is addressed; evidence for the role of captopril in such clinical situation is provided.


Subject(s)
Cardiovascular Diseases , Hypertension , Aged , Antihypertensive Agents/therapeutic use , Blood Pressure , Captopril/pharmacology , Cardiovascular Diseases/drug therapy , Humans , Hypertension/drug therapy
2.
Vopr Virusol ; 60(6): 45-8, 2015.
Article in Russian | MEDLINE | ID: mdl-27024918

ABSTRACT

To study the role of the HHV-6 type in the development of eye diseases PCR tests of blood (152), cornea biopsies (61), and intraocular fluids (11) for HHV-6 and other viruses of the herpes group (HSV type 1 and 2, CMV, EBV) were conducted. It was found that the HHV-6, along with other representatives of the Herpesviridae, can be detected in patients with different clinical forms of ophthalmopathology (174 patients were surveyed). Viral DNA was detected in blood, cornea, and in the anterior chamber fluid. The obtained data allow that the HHV-6 to be suggested as a possible cause of the ophthalmic herpes along with the other viruses of this group. It makes finding the virus DNA an essential step towards setting the etiologic diagnosis of the ophthalmological patients.


Subject(s)
DNA, Viral/genetics , Eye Diseases/diagnosis , Herpesviridae Infections/diagnosis , Adolescent , Adult , Aged , Aged, 80 and over , Anterior Chamber/pathology , Anterior Chamber/virology , Aqueous Humor/virology , Child , Child, Preschool , Cornea/pathology , Cornea/virology , Cytomegalovirus/genetics , Cytomegalovirus/isolation & purification , Eye Diseases/pathology , Eye Diseases/virology , Female , Herpesviridae Infections/pathology , Herpesviridae Infections/virology , Herpesvirus 1, Human/genetics , Herpesvirus 1, Human/isolation & purification , Herpesvirus 2, Human/genetics , Herpesvirus 2, Human/isolation & purification , Herpesvirus 4, Human/genetics , Herpesvirus 4, Human/isolation & purification , Herpesvirus 6, Human/genetics , Herpesvirus 6, Human/isolation & purification , Humans , Male , Middle Aged , Polymerase Chain Reaction
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