CORRECTION OF CARDIOVASCULAR RISK FACTORS IN PATIENTS WITH ARTERIAL HYPERTENSION AND DIABETES MELLITUS IN A TIME OF COVID-19 PANDEMIC

Bova A. A., Gromova Y. M., Metelsky S. M.
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Abstract

Arterial hypertension and diabetes mellitus – established large risk factors for cardiovascular diseases associated with atherosclerosis – are among the most common comorbidities in patients with coronavirus infection. Each of the pathologies, and especially their combination increases the cardiovascular risk, and in case of SARS-Cov-2 infection, the risk of severe course of infection and mortality. The article discusses the mechanisms of mutual burden of coronavirus infection, arterial hypertension and diabetes mellitus, provides a new concept of activating the immune system in hypertension, considers modern approaches to antihypertensive therapy in patients with diabetes mellitus.
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新冠肺炎大流行时期高血压合并糖尿病患者心血管危险因素的校正
动脉高血压和糖尿病是与动脉粥样硬化相关的心血管疾病的主要危险因素,也是冠状病毒感染患者最常见的合并症。每一种病理,特别是它们的组合都会增加心血管疾病的风险,在SARS-Cov-2感染的情况下,会增加严重感染过程和死亡的风险。本文讨论了冠状病毒感染、动脉高血压和糖尿病相互负担的机制,提出了激活高血压免疫系统的新概念,探讨了糖尿病患者降压治疗的现代途径。
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