Ostroumova O D, Kochetkov A I, Guseva T F, Zykova A A
Federal State Budgetary Educational Institution of Higher Education, "A. I. Evdokimov Moscow State University for Medicine and Dentistry" of the Ministry of Health of the Russian Federation.
Kardiologiia. 2018 Mar(3):63-72.
The article discusses various mechanisms of developmentt and progression of arterial hypertension in young and middle aged adults. It emphasizes the predominant role of hypersympathicotonia in the development of the disease in this category of patients. Various mechanisms are considered, by means of which the increase of activity of the sympathetic nervous system leads to elevation of arterial pressure and potentiates early damage of target organs, first of all, damage of the heart. The data of numerous studies demonstrating pronounced cardioprotective effects of a highly selective representative of the class of β-blockers bisoprolol in young and middle aged hypertensive patients are presented.
本文讨论了中青年成年人动脉高血压发生和进展的各种机制。它强调了高交感神经张力在这类患者疾病发生中的主要作用。文中考虑了交感神经系统活动增加导致动脉血压升高并加剧靶器官早期损害(首先是心脏损害)的各种机制。还介绍了大量研究的数据,这些数据表明β受体阻滞剂类的高选择性代表药物比索洛尔对中青年高血压患者具有显著的心脏保护作用。