{"title":"Optimal treatment strategies in comorbid patients with hypertension and dyslipidemia: the role of fixed-dose combinations","authors":"A. Sokolova, D. Napalkov","doi":"10.15829/1560-4071-2023-5712","DOIUrl":null,"url":null,"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.","PeriodicalId":21389,"journal":{"name":"Russian Journal of Cardiology","volume":"213 S699","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Russian Journal of Cardiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15829/1560-4071-2023-5712","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
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.
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.