Optimal treatment strategies in comorbid patients with hypertension and dyslipidemia: the role of fixed-dose combinations

A. Sokolova, D. Napalkov
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Abstract

The publication reflects the modern strategy and potential of various fixed-dose combinations in comorbid patients with hypertension and lipid metabolism disorders. Based on guidelines and key randomized studies, algorithms for prescribing combination drugs are proposed depending on the clinical characteristics of patients. The priority is both to achieve target blood pressure and low-density lipoprotein levels and to maximize the impact on cardiovascular prognosis and outcomes. Of course, these algorithms are not mandatory, and in a specific clinical situation there may be any deviations even from standard treatment regimens as follows: an alternative decision of a practitioner, intolerance to therapy, special indications, and much more. However, differentiated approach to fixed-dose combinations is extremely useful in cases where it is necessary to quickly make the right decision to prescribe optimal therapy for hypertension and dyslipidemia in lack of time to comprehensively weigh all the pros and cons underlying any clinical guidelines.
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高血压和血脂异常合并症患者的最佳治疗策略:固定剂量组合的作用
该出版物反映了高血压和脂质代谢紊乱合并症患者各种固定剂量联合用药的现代策略和潜力。在指南和主要随机研究的基础上,根据患者的临床特点,提出了联合用药的处方算法。优先考虑的是既要达到目标血压和低密度脂蛋白水平,又要对心血管预后和疗效产生最大影响。当然,这些算法并不是强制性的,在特定的临床情况下,甚至有可能偏离标准治疗方案,例如:医生的替代决定、对治疗不耐受、特殊适应症等等。然而,在没有时间全面权衡任何临床指南的所有利弊的情况下,有必要迅速做出正确决定,开出高血压和血脂异常的最佳治疗处方时,固定剂量组合的差异化方法是非常有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Russian Journal of Cardiology
Russian Journal of Cardiology Medicine-Cardiology and Cardiovascular Medicine
CiteScore
2.20
自引率
0.00%
发文量
185
审稿时长
1 months
期刊介绍: Russian Journal of Cardiology has been issued since 1996. The language of this publication is Russian, with tables of contents and abstracts of all articles presented in English as well. Editor-in-Chief: Prof. Eugene V.Shlyakhto, President of the Russian Society of Cardiology. The aim of the journal is both scientific and practical, also with referring to organizing matters of the Society. The best of all cardiologic research in Russia is submitted to the Journal. Moreover, it contains useful tips and clinical examples for practicing cardiologists. Journal is peer-reviewed, with multi-stage editing. The editorial board is presented by the leading cardiologists from different cities of Russia.
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