Systemic HypertensionSystemic HypertensionСистемные гипертензии2075-082X2542-2189Intermedservice Ltd2960310.26442/2075-082X_2018.2.32-42ArticlesСтатьиReview ArticleState of the art for diagnosis and treatment of orthostatic hypotensionСовременные представления о диагностике и лечении ортостатической гипотензииAksenovaA VАксеноваАнна Владимировна

канд. мед. наук, мл. науч. сотр. отд. гипертонии

aksenovaannav@gmail.comGorievaSh BГориеваШурат Бодзиевна

канд. мед. наук, науч. сотр. отд. новых методов диагностики

RogozaA NРогозаАнатолий Николаевич

д-р биол. наук, проф., рук. отд. новых методов диагностики

SivakovaO AСиваковаОльга Анатольевна

канд. мед. наук, зав. отд-нием гипертонии

EsaulovaT EЕсауловаТатьяна Евгеньевна

ординатор отд. гипертонии

ChazovaI EЧазоваИрина Евгеньевна

акад. РАН, д-р мед. наук, проф., рук. отд. гипертонии, дир. ИКК им. А.Л.Мясникова

National Medical Research Center of Cardiologyof the Ministry of Health of the Russian FederationФГБУ «НМИЦ кардиологии»15062018152VOL 15, NO2 (2018)ТОМ 15, №2 (2018)324209042020Copyright ©; 2018, Consilium MedicumCopyright ©; 2018, ООО "Консилиум Медикум"2018Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://journals.eco-vector.com/2075-082X/article/view/29603

This paper presents state of the art of the problem of diagnosis and treatment of orthostatic hypotension (OH). It focuses on the developed algorithms for diagnostics of classical orthostatic hypotension (COH), initial orthostatic hypotension (IOH) and delayed orthostatic hypotension (DOH). It describes the necessary methods for the differential diagnosis of the OH causes. Comparative analysis of the European Society of Cardiology and American College of Cardiology/American Heart Association/Society of Cardiac Rhythm was performed. The treatment options for different groups of patients with orthostatic hypotension are described.

В настоящем документе продемонстрированы современные представления о состоянии проблемы диагностики и лечения ортостатической гипотензии (ОГ). В нем основное внимание уделяется разработанным алгоритмам диагностики классической ОГ, начальной ОГ и отсроченной ОГ. Описаны необходимые методы для поэтапного проведения дифференциальной диагностики причин ОГ. Проанализированы рекомендации по лечению данного состояния Американской коллегии кардиологов/Американской ассоциации сердца/Общества сердечного ритма и Европейского общества кардиологов. Описаны варианты лечения различных групп пациентов с ОГ.

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