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Arterial hypertension and breast cancer in women: mechanisms of comorbidity and iatrogenic disease 女性动脉高血压和乳腺癌:合并症和医源性疾病的机制
Q4 Medicine Pub Date : 2022-03-25 DOI: 10.18705/1607-419x-2022-28-2-147-156
T. Brodskaya, B. Geltser, T. S. Satalkina, S. Knysh, O. I. Shekunova
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引用次数: 0
Genetic comorbidity of hypertension and bronchial asthma 高血压和支气管哮喘的遗传合并症
Q4 Medicine Pub Date : 2022-03-24 DOI: 10.18705/1607-419x-2022-28-1-87-95
E. Bragina, I. A. Goncharova, I. Zhalsanova, E. Nemerov, M. Nazarenko, M. Freidin, V. Puzyrev
Objective. To assess the association of single nucleotide polymorphisms of genes potentially involved in the comorbidity of bronchial asthma (BA) and essential hypertension (HTN) in patients with different time onset of the diseases.Design and methods. Genotyping of 92 SNPs was performed using MALDI-TOF mass spectrometry in patients with BA and HTN (n = 97) and healthy individuals (n = 153). The group of patients with comorbid pathology was divided into two subgroups depending on the time of onset of symptoms of BA relative to HTN, and the prevalence of all studied SNPs was compared in each subgroup relative to the control.Results. The variant rs11590807 regulating expression for UTP25, TRAF3IP3, C1orf74, HSD11B1-AS 1, IRF6 genes in the heart, blood vessels, and lung is associated with BA and HTN, regardless of the time onset of each of these diseases. Associations of other variants are specific with respect for each subgroup of comorbid diseases. The rs1010461 variant, which regulates the expression of RNASE4 and ANG genes, is linked with HTN as the first phenotype of the comorbidity. The rs769214, rs11032700, rs11032699, rs484214, and rs480575 variants, which regulate the expression of CAT gene, are associated with BA as the first phenotype of disease comorbidity.Conclusions. We found specific associations of the studied polymorphic variants in the development of comorbid phenotypes of BA and HTN, which differ in the time of manifestation of each of the diseases relative to each other.
目标。目的:探讨不同发病时间支气管哮喘(BA)和原发性高血压(HTN)合并症相关基因单核苷酸多态性的相关性。设计和方法。采用MALDI-TOF质谱法对BA和HTN患者(n = 97)和健康个体(n = 153)的92个snp进行基因分型。根据BA相对于HTN的症状出现时间,将有共病病理的患者组分为两个亚组,并将每个亚组中所有研究的snp的患病率与对照组进行比较。在心脏、血管和肺部调节UTP25、TRAF3IP3、C1orf74、HSD11B1-AS 1、IRF6基因表达的rs11590807变异与BA和HTN相关,而与这些疾病的发病时间无关。其他变异的关联对于共病的每个亚组都是特定的。rs1010461变异调节RNASE4和ANG基因的表达,与HTN相关,是该合并症的第一表型。调节CAT基因表达的rs769214、rs11032700、rs11032699、rs484214和rs480575变异体与BA相关,是疾病共患病的第一表型。我们发现所研究的多态性变异在BA和HTN共病表型的发展中具有特定的关联,它们在每一种疾病的相对表现时间上有所不同。
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引用次数: 1
Analysis of clinical and anamnestic factors affecting endothelial glycocalyx condition in patients with active rheumatoid arthritis 影响活动性类风湿关节炎患者内皮糖萼状况的临床及记忆因素分析
Q4 Medicine Pub Date : 2022-03-21 DOI: 10.18705/1607-419x-2022-28-2-188-197
D. A. Shimanski, I. Nesterovich, O. Inamova, S. Lapin, O. Galkina, E. Levykina, V. I. Trophimov, T. Vlasov
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引用次数: 0
Vascular calcification and fibroblast growth factor in resistant hypertension 血管钙化和成纤维细胞生长因子在顽固性高血压中的作用
Q4 Medicine Pub Date : 2022-03-21 DOI: 10.18705/1607-419x-2022-28-2-157-166
M. S. Litvinova, L. Khaisheva, S. Shlyk, I. Aboyan
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引用次数: 0
Telehealth in hypertensive patients: to whom, how and for how long? 高血压患者的远程医疗:向谁、如何以及持续多久?
Q4 Medicine Pub Date : 2022-03-21 DOI: 10.18705/1607-419x-2022-28-2-108-125
M. Ionov, A. Konradi
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引用次数: 0
Fixed drug combinations as a way of complex antihypertensive therapy optimization: focus on the combination of amlodipine, indapamide, perindopril 固定联合用药作为复杂降压治疗方法的优化:重点研究氨氯地平、吲达帕胺、培哚普利联合用药
Q4 Medicine Pub Date : 2022-03-18 DOI: 10.18705/1607-419x-2022-28-1-17-26
S. Povetkin, A. A. Kornilov
This article is an analysis of current data on arterial hypertension (HTN) as a leading risk factor for premature death. We discuss the reasons of the failure to achieve target levels of blood pressure, and the available approaches to HTN pharmacological treatment by the main classes of antihypertensive drugs in accordance with current clinical guidelines. We show the advantages of fixed combinations (FC) of antihypertensive drugs and the ways to optimize antihypertensive treatment by administration of a triple FC, containing amlodipine, indapamide and perindopril. 
这篇文章是对动脉高血压(HTN)作为过早死亡的主要危险因素的当前数据的分析。我们讨论了未能达到目标血压水平的原因,以及根据现行临床指南,主要抗高血压药物治疗HTN的可行方法。我们展示了抗高血压药物固定联合(FC)的优势,以及通过使用氨氯地平、吲达帕胺和培哚普利的三重FC来优化抗高血压治疗的方法。
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引用次数: 0
Association of abdominal obesity with the development of fatal and non-fatal cardiovascular events in a cohort of rural residents of the Kyrgyz Republic: gender and ethnic characteristics 在吉尔吉斯共和国农村居民队列中,腹部肥胖与致命性和非致命性心血管事件发展的关系:性别和民族特征
Q4 Medicine Pub Date : 2022-03-18 DOI: 10.18705/1607-419x-2022-28-2-178-187
A. Polupanov, A. Mamatov, A. Kontsevaya, M. T. Duishenalieva, E. Y. Amelin, I. Bebezov, S. Akhunbaev, E. D. Djyshambaev, A. Jumagulova
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引用次数: 0
Chemotherapy as a possible trigger for the myocardial lipomatosis development 化疗是心肌脂肪化的可能诱因
Q4 Medicine Pub Date : 2022-03-18 DOI: 10.18705/1607-419x-2021-27-6-706-712
A. Avagimyan, L. Mkrtchyan, N. B. Kononchuk, L. V. Kaktursky, L. Agati
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引用次数: 2
Modified methods of polygepatography and peripheral arterial tonometry in the assessment of peripheral circulation regulation 外周循环调节评价中多地理和外周动脉血压计的改进方法
Q4 Medicine Pub Date : 2022-03-18 DOI: 10.18705/1607-419x-2021-27-6-683-695
S. G. Manasyan, S. Ermolov, A. G. Apresyan, A. V. Arutyunyan
Objective. The purpose of the work was to assess the application of modified ways of polyhepatography (PHG) and peripheral arterial tonometry (PAT) in the evaluation of regulation of peripheral circulation (capillary blood flow).Design and methods. We included 150 people, divided into four groups. The first group (n = 40) includes patients with stage II hypertension, moderate and high risk of cardiovascular complications. The second group (n = 40) includes patients with stable forms of coronary heart disease in combination with hypertension. The third group (n = 40) includes patients with chronic liver diseases. The fourth group (n = 30) consisted of subjects without anamnestic and objective data of pathology. All subjects underwent a comprehensive clinical and laboratory examination, an assessment of intrahepatic hemodynamics by the PGG method, an assessment of the endothelial function by the PAT method. A modified method of PAT was used to evaluate the central reaction of the peripheral blood flow regulation system (endothelium-independent vasodilation).Results. Endothelial dysfunction was found in patients with cardiovascular pathology and in patients with chronic liver diseases. A modified method of PAT showed a multidirectional reaction of peripheral blood flow to the test with local ischemia. A number of features were identified in the study groups when assessing disorders of intrahepatic microcirculation. Patients of group I had multidirectional disorders of arteriovenous inflow (45% cases, confidence interval (CI) from 27 % to 63 %) and outflow (37,5 %, CI from 22 % to 56 %) in the liver, while in patients of group II and group III, disorders of arteriovenous inflow were more common, 85 % (CI from 70 % to 95%) and 90% (82 % to 94%), respectively. Rheographic signs of bile passage disorders were more common in groups II  and III. A significant negative relationship was established between endothelial dysfunction and the severity of intrahepatic microcirculation disorders (r = –0,35, p < 0,001).Conclusions. Modified methods of peripheral arterial tone and PHG enable assessment of local and central mechanisms of blood flow regulation at the microvascular level in patients with hypertension, coronary heart disease and chronic liver diseases. The relationship between impaired endothelial function and intrahepatic microcirculation allows us to consider the liver as a target organ in cardiovascular pathology.
目标。本研究的目的是评估改进的多肝造影(PHG)和外周动脉血压计(PAT)方法在评估外周循环(毛细血管血流)调节中的应用。设计和方法。我们将150人分成四组。第一组(n = 40)包括II期高血压、中高危心血管并发症患者。第二组(n = 40)包括稳定形式的冠心病合并高血压患者。第三组(n = 40)为慢性肝病患者。第四组(n = 30)由无记忆和客观病理资料的受试者组成。所有受试者都进行了全面的临床和实验室检查,用PGG法评估肝内血流动力学,用PAT法评估内皮功能。采用改进的PAT方法评价外周血流量调节系统(内皮不依赖型血管舒张)的中枢反应。内皮功能障碍见于心血管病变患者和慢性肝病患者。改进的PAT方法显示外周血流量对局部缺血的多方向反应。在评估肝内微循环障碍时,在研究组中确定了许多特征。I组患者存在肝脏多方向动静脉流入(45%,置信区间(CI)为27% ~ 63%)和肝脏多方向流出(37.5%,置信区间(CI)为22% ~ 56%),而II组和III组患者多方向动静脉流入紊乱,分别为85% (CI为70% ~ 95%)和90% (CI为82% ~ 94%)。胆道障碍的流变学征象在II组和III组更为常见。内皮功能障碍与肝内微循环障碍严重程度呈显著负相关(r = - 0,35, p < 0.001)。改进的外周动脉张力和PHG方法可以评估高血压、冠心病和慢性肝病患者微血管水平血流调节的局部和中枢机制。内皮功能受损与肝内微循环之间的关系使我们能够考虑肝脏作为心血管病理的靶器官。
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引用次数: 0
Cardiometabolic risk factors and renin-angiotensin system polymorphisms in young individuals with various metabolic phenotypes 不同代谢表型的年轻人的心脏代谢危险因素和肾素-血管紧张素系统多态性
Q4 Medicine Pub Date : 2022-03-18 DOI: 10.18705/1607-419x-2022-28-1-58-66
V. Chulkov, E. Gavrilova, V. Chulkov, E. Pankova, S. Martynov, V. I. Manzhos
Background. The increased prevalence of obesity and associated cardiometabolic diseases attract attention worldwide. Renin-angiotensin system can link obesity and cardiovascular and metabolic diseases.Objective. To access a comprehensive assessment of cardiometabolic risk factors and gene polymorphisms of the renin-angiotensin system in metabolic phenotypes among young individuals.Design and methods. The sample consisted of 251 individuals, who were divided into four groups: group 1 — metabolically healthy individuals with normal body mass index (BMI) (n = 62); group 2 — metabolically unhealthy individuals with normal BMI (n = 57); group 3 — metabolically healthy overweight/obese individuals (n = 16); group 4— metabolically unhealthy overweight/ obese individuals (n = 116). All participants answered a questionnaire designed for this study. Anthropometric, clinical and biochemical parameters were assessed. The following polymorphisms were evaluated:, A1166C polymorphism of the angiotensin II type 1 receptor gene (rs5186), M235T polymorphism of the angiotensinogen gene (rs699), T174M polymorphism of the angiotensinogen gene (rs4762), I/D polymorphism of the angiotensinconverting enzyme gene (rs4340).Results. In young individuals with metabolically unhealthy overweight/ obesity, a higher frequency of coexistent abdominal obesity and hypertension was found in combination with a higher frequency of the allele T of AGT 235M/T. The greater differences in carbohydrate and lipid metabolism in combination with a higher serum levels of leptin and low serum concentrations of adiponectin were also found in young individuals with metabolically unhealthy overweight/obesity. 
背景。肥胖和相关心脏代谢疾病的患病率增加引起了全世界的关注。肾素-血管紧张素系统是肥胖症与心血管代谢疾病之间的联系。全面评估心脏代谢危险因素和肾素-血管紧张素系统在年轻人代谢表型中的基因多态性。设计和方法。样本由251人组成,他们被分为四组:1组-代谢健康,体重指数(BMI)正常的个体(n = 62);2组- BMI正常的代谢不健康个体(n = 57);3组-代谢健康的超重/肥胖个体(n = 16);第4组-代谢不健康的超重/肥胖个体(n = 116)。所有参与者都回答了为这项研究设计的问卷。评估了人体测量学、临床和生化参数。分析了血管紧张素II型1受体基因(rss5186)的A1166C多态性、血管紧张素原基因(rs699)的M235T多态性、血管紧张素原基因(rs4762)的T174M多态性、血管紧张素转换酶基因(rs4340)的I/D多态性。在代谢不健康的超重/肥胖的年轻个体中,发现腹部肥胖和高血压共存的频率较高,同时AGT 235M/T等位基因T的频率较高。在代谢不健康的超重/肥胖的年轻人中,碳水化合物和脂质代谢的差异更大,同时血清瘦素水平较高,血清脂联素浓度较低。
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Arterial Hypertension (Russian Federation)
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