ARTERIAL HYPERTENSION AND CHRONIC BRONCHOPULMONARY DISEASES


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Abstract

The article describes the modern view of the treatment of patients with comorbid disorders: arterial hypertension (AH) and chronic bronchopulmonary diseases. The relationship of hypertension and chronic obstructive pulmonary disease (COPD) is ambiguous interpretation as to their pathogenic interaction. There are two points of view on the combination of hypertension and COPD: 1 ) the coexistence of the two diseases, developing under the influence of the common risk factors and pathogenesis of unrelated; 2). COPD is the cause of hypertension, which gives reason to treat hypertension in these patients as symptomatic (pulmogenic AH). Hypertension and COPD bring together common risk factors that play an important role in the course and progression of each of these two diseases. These factors include: smoking, overweight, physical inactivity, obstructive sleep apnea syndrome and others. According to most researchers, the main mechanism for the development of systemic hypertension in patients with COPD is hypoxia. The article deals with modern approaches to the treatment of patients with hypertension and COPD. It is likely that we will soon get a new interesting information about the clinical use and safety of several drugs used to treat hypertension, on the one hand, and COPD, on the other, that will open up new possibilities in the treatment of this category of patients.

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About the authors

Natalia Yurievna Grigorieva

Nizhny Novgorod State Medical Academy

Email: grigoreva28@mail.ru
MD, Professor, Department of Faculty and Outpatient therapy 603005, Russia, Nizhny Novgorod, Minin sq., 10/1

Aleksandr Nikolaevich Kuznetsov

Nizhny Novgorod State Medical Academy

MD, Professor, Head of Department of Faculty and Outpatient therapy 603005, Russia, Nizhny Novgorod, Minin sq., 10/1

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