ЭПИДЕМИОЛОГИЯ ХРОНИЧЕСКОЙ БОЛЕЗНИ ПОЧЕК У БОЛЬНЫХ С ХРОНИЧЕСКОЙ СЕРДЕЧНОЙ НЕДОСТАТОЧНОСТЬЮ
Аннотация
Имеющиеся данные свидетельствуют, что распространенность хронической болезни почек (ХБП) среди больных с хронической сердечной недостаточностью (ХСН) составляет от 9,2 при ХСН, обусловленной врожденными пороками сердца, до 71,2% – при ХСН, обусловленной ишемической болезнью сердца (ИБС) и артериальной гипертонией. Снижение функции почек ассоциировано с возрастом и функциональным классом ХСН. Однако, если низкую частоту ХБП среди больных с ХСН с врожденными пороками сердца можно объяснить молодым возрастом и нетяжелой ХСН, то причины значительного различия в распространенности ХБП у больных с ХСН, обусловленной ИБС и артериальной гипертонией, остаются неясными. Требует уточнения распространенность ХБП как среди больных с ХСН в целом, так и в отдельных группах больных. Необходимо уточнение причины гендерных особенностей ХСН, ассоциированной с ХБП. Целесообразно проведение не только клинических, но и клинико-экономических исследований, при этом следует учитывать, что результаты, полученные зарубежными исследователями, нельзя безоговорочно использовать в России, так как имеются значительные отличия как в организации медицинской помощи населению, так и в спектре медикаментозных препаратов, особенно препаратов-дженериков, используемых при лечении ХСН.
Об авторах
В. А. Серов
Ульяновский государственный университет
Россия
Россия
кафедра терапии и профессиональных болезней медицинского факультета
432072, г. Ульяновск, ул. 40-летия Победы, д. 14, кв. 62. Тел.: (8422) 55-27-08
А. М. Шутов
Ульяновский государственный университет
Россия
Россия
кафедра терапии и профессиональных болезней медицинского факультета
М. В. Мензоров
Ульяновский государственный университет
Россия
Россия
кафедра терапии и профессиональных болезней медицинского факультета
Е. Р. Макеева
Ульяновский государственный университет
Россия
Россия
кафедра терапии и профессиональных болезней медицинского факультета
Д. В. Серова
Ульяновский государственный университет
Россия
Россия
кафедра терапии и профессиональных болезней медицинского факультета
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Для цитирования:
Серов В.А., Шутов А.М., Мензоров М.В., Макеева Е.Р., Серова Д.В. ЭПИДЕМИОЛОГИЯ ХРОНИЧЕСКОЙ БОЛЕЗНИ ПОЧЕК У БОЛЬНЫХ С ХРОНИЧЕСКОЙ СЕРДЕЧНОЙ НЕДОСТАТОЧНОСТЬЮ. Нефрология. 2010;14(1):50-55. https://doi.org/10.24884/1561-6274-2010-14-1-50-55
For citation:
Serov V.A., Shutov A.M., Menzorov M.V., Makeeva E.R., Serova D.V. EPIDEMIOLOGY OF CHRONIC KIDNEY DISEASE PATIENTS WITH CHRONIC HEART FAILURE. Nephrology (Saint-Petersburg). 2010;14(1):50-55. (In Russ.) https://doi.org/10.24884/1561-6274-2010-14-1-50-55
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