[代谢综合征及相关非酒精性脂肪性肝病患者抗高血压治疗选择的当前问题]。

T E Morozova, S M Rykova, D G Shmarova
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引用次数: 0

摘要

在临床实践中广泛存在的合并症和疾病,其中代谢综合征(MS)的高患病率,决定了需要选择最佳的药物治疗。某些肝脏疾病的存在,包括非酒精性脂肪性肝病(NAFLD),可能会干扰药物的转化过程,药物的代谢发生在肝脏中,这已被实验研究证明。本文从整体上论述了抗高血压药物的合理选择,特别是代谢综合征和NAFLD患者血管紧张素转换酶(ACE)的合理选择。特别注意某些ACE抑制剂的可能性及其药理学性质。
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[CURRENT ISSUES IN THE CHOICE OF ANTIHYPERTENSIVE THERAPY IN PATIENTS WITH METABOLIC SYNDROME AND RELATED NON-ALCOHOLIC FATTY LIVER DISEASE].

Widespread in clinical practice, comorbid conditions and diseases, among which is the high prevalence of metabolic syndrome (MS), determine the need for selection of the optimal pharmacotherapy. The presence of certain liver diseases, including nonalcoholic fatty liver disease (NAFLD), may interfere with the processes of transformation of drugs, the metabolism of which occurs in the liver, which has been proved by experimental investigations. The article deals with the rational choice of antihypertensive drugs as a whole, and angiotensin-converting enzyme (ACE) in particular in patients with metabolic syndrome and NAFLD. Particular attention is paid to the possibilities of certain ACE inhibitors and their pharmacological properties.

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