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ΠžΠ±Ρ€Π°Π·ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Π΅ Ρ€Π°Π±ΠΎΡ‚Ρ‹ Π½Π° Π·Π°ΠΊΠ°Π·. НСдорого!

ВлияниС Π±Π»ΠΎΠΊΠ°Ρ‚ΠΎΡ€ΠΎΠ² Π°Π½Π³ΠΈΠΎΡ‚Π΅Π½Π·ΠΈΠ½ΠΎΠ²Ρ‹Ρ… Ρ€Π΅Ρ†Π΅ΠΏΡ‚ΠΎΡ€ΠΎΠ² ΠΈ антагонистов Π°Π»ΡŒΠ΄ΠΎΡΡ‚Π΅Ρ€ΠΎΠ½Π° Π½Π° клиничСскоС Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅, Π΄ΠΈΠ°ΡΡ‚ΠΎΠ»ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΡŽ Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ° ΠΈ содСрТаниС биохимичСских ΠΌΠ°Ρ€ΠΊΠ΅Ρ€ΠΎΠ² баланса ΠΊΠΎΠ»Π»Π°Π³Π΅Π½Π° Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½

Π”ΠΈΡΡΠ΅Ρ€Ρ‚Π°Ρ†ΠΈΡΠŸΠΎΠΌΠΎΡ‰ΡŒ Π² Π½Π°ΠΏΠΈΡΠ°Π½ΠΈΠΈΠ£Π·Π½Π°Ρ‚ΡŒ ΡΡ‚ΠΎΠΈΠΌΠΎΡΡ‚ΡŒΠΌΠΎΠ΅ΠΉ Ρ€Π°Π±ΠΎΡ‚Ρ‹

НаучныС Ρ€ΡƒΠΊΠΎΠ²ΠΎΠ΄ΠΈΡ‚Π΅Π»ΠΈ: Π΄.ΠΌ.Π½., ΠΏΡ€ΠΎΡ„. АгССв Π€. Π’. Π΄.ΠΌ.Π½., ΠΏΡ€ΠΎΡ„. МасСнко Π’. П. Аг с1ΠΈΠ³ ΠΏΡ€ΠΎΠ΄ΠΎΠ»ΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ ΠΎΠ±Ρ€Π°Ρ‚Π½ΠΎΠ³ΠΎ диастоличСского ΠΊΡ€ΠΎΠ²ΠΎΡ‚ΠΎΠΊΠ° Π² Π»Π΅Π³ΠΎΡ‡Π½Ρ‹Ρ… Π²Π΅Π½Π°Ρ…. Π’ (Π΅—") ΠΈΠ½Ρ‚Π΅Ρ€Π²Π°Π»Π° ΠΌΠ΅ΠΆΠ΄Ρƒ Π½Π°Ρ‡Π°Π»ΠΎΠΌ Π’ΠœΠšΠ— ΠΈ Π½Π°Ρ‡Π°Π»ΠΎΠΌ диастоличСского ΠΏΠΎΠ΄ΡŠΡ‘ΠΌΠ° основания Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ°. Аг ΠΌΠ°ΠΊΡΠΈΠΌΠ°Π»ΡŒΠ½Π°Ρ ΡΠΊΠΎΡ€ΠΎΡΡ‚ΡŒ диастоличСского Ρ€Π΅Ρ‚Ρ€ΠΎΠ³Ρ€Π°Π΄Π½ΠΎΠ³ΠΎ ΠΊΡ€ΠΎΠ²ΠΎΡ‚ΠΎΠΊΠ° Π² Π»Ρ‘Π³ΠΎΡ‡Π½Ρ‹Ρ… Π²Π΅Π½Π°Ρ…. УО ΡƒΠ΄Π°Ρ€Π½Ρ‹ΠΉ ΠΎΠ±ΡŠΡ‘ΠΌ. Π‘Π’ Π²Ρ€Π΅ΠΌΡ замСдлСния ΠΊΡ€ΠΎΠ²ΠΎΡ‚ΠΎΠΊΠ° Ρ€Π°Π½Π½Π΅Π³ΠΎ… Π§ΠΈΡ‚Π°Ρ‚ΡŒ Π΅Ρ‰Ρ‘ >

Π‘ΠΎΠ΄Π΅Ρ€ΠΆΠ°Π½ΠΈΠ΅

  • 14. 01. 05. — ΠΊΠ°Ρ€Π΄ΠΈΠΎΠ»ΠΎΠ³ΠΈΡ 03.01.04 — биохимия
  • Π”Π˜Π‘Π‘Π•Π Π’ΠΠ¦Π˜Π― Π½Π° ΡΠΎΠΈΡΠΊΠ°Π½ΠΈΠ΅ ΡƒΡ‡Π΅Π½ΠΎΠΉ стСпСни ΠΊΠ°Π½Π΄ΠΈΠ΄Π°Ρ‚Π° мСдицинских Π½Π°ΡƒΠΊ
  • НаучныС Ρ€ΡƒΠΊΠΎΠ²ΠΎΠ΄ΠΈΡ‚Π΅Π»ΠΈ: Π΄.ΠΌ.Π½., ΠΏΡ€ΠΎΡ„. АгССв Π€. Π’. Π΄.ΠΌ.Π½., ΠΏΡ€ΠΎΡ„. МасСнко Π’. П
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  • ПН Π ΠΠΠ‘ РКМП Π‘Π‘
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  • УсловныС обозначСния Π°Π½Π³Π°ΠΎΡ‚Π΅Π½Π·ΠΈΠ½ II Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½Π°Ρ гипСртония Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠ΅ Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ Π°Π½Π³ΠΈΠΎΡ‚Π΅Π½Π·ΠΈΠ½-ΠΏΡ€Π΅Π²Ρ€Π°Ρ‰Π°ΡŽΡ‰ΠΈΠΉ Ρ„Π΅Ρ€ΠΌΠ΅Π½Ρ‚ Π±Π»ΠΎΠΊΠ°Ρ‚ΠΎΡ€ Ρ€Π΅Ρ†Π΅ΠΏΡ‚ΠΎΡ€ΠΎΠ² Π°Π½Π³ΠΈΠΎΡ‚Π΅Π½Π·ΠΈΠ½Π° врСмя ΠΈΠ·ΠΎΠ²ΠΎΠ»ΡŽΠΌΠΈΡ‡Π΅ΡΠΊΠΎΠ³ΠΎ расслаблСния гипСртрофичСская кардиомиопатия гипСртрофия Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ° диастоличСская дисфункция Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ заклинивания Π»Ρ‘Π³ΠΎΡ‡Π½ΠΎΠΉ Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΈ дилатационная кардиомиопатия диастоличСская функция ΠΈΠ½Π³ΠΈΠ±ΠΈΡ‚ΠΎΡ€ Π°Π½Π³ΠΈΠΎΡ‚Π΅Π½Π·ΠΈΠ½-ΠΏΡ€Π΅Π²Ρ€Π°Ρ‰Π°ΡŽΡ‰Π΅Π³ΠΎ Ρ„Π΅Ρ€ΠΌΠ΅Π½Ρ‚Π° ΠΈΡˆΠ΅ΠΌΠΈΡ‡Π΅ΡΠΊΠ°Ρ болСзнь сСрдца ΠΈΠ½Ρ„Π°Ρ€ΠΊΡ‚ ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π° индСкс массы ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π° ΠΊΠΎΠ½Π΅Ρ‡Π½ΠΎ-диастоличСскоС Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ ΠΊΠΎΠ½Π΅Ρ‡Π½ΠΎ-диастоличСский объСм ΠΊΠΎΠ½Π΅Ρ‡Π½ΠΎ-диастоличСский Ρ€Π°Π·ΠΌΠ΅Ρ€ ΠΊΠΎΠ½Π΅Ρ‡Π½ΠΎ-систоличСскоС Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ ΠΊΠΎΠ½Π΅Ρ‡Π½ΠΎ-систоличСский ΠΎΠ±ΡŠΡ‘ΠΌ ΠΊΠΎΠ½Π΅Ρ‡Π½ΠΎ-систоличСский Ρ€Π°Π·ΠΌΠ΅Ρ€ Π»Π΅Π²Ρ‹ΠΉ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡Π΅ΠΊ Π»Π΅Π²ΠΎΠ΅ прСдсСрдиС ΠΌΠ΅Ρ€Ρ†Π°Ρ‚Π΅Π»ΡŒΠ½Π°Ρ аритмия масса ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π° мСТТСлудочковая ΠΏΠ΅Ρ€" ΠΎΡ€ΠΎΠ΄ΠΊΠ° матриксная ΠΌΠ΅Ρ‚Π°Π»Π»ΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠΏΠ°Π·Π° остроС Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠ΅ ΠΌΠΎΠ·Π³ΠΎΠ²ΠΎΠ³ΠΎ кровообращСния ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½Π°Ρ Ρ‚ΠΎΠ»Ρ‰ΠΈΠ½Π° стСнок ΠΏΡ€Π°Π²Ρ‹ΠΉ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡Π΅ΠΊ почСчная Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒ Ρ€Π΅Π½ΠΈΠ½-Π°Π½Π³ΠΈΠΎΡ‚Π΅Π½Π·ΠΈΠ½-Π°Π»ΡŒΠ΄ΠΎΡΡ‚Π΅Ρ€ΠΎΠ½ΠΎΠ²Π°Ρ систСма рСстриктивная кардиомиопатия сСрдСчный выброс сахарный Π΄ΠΈΠ°Π±Π΅Ρ‚ систоличСскоС Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ Π² Π»Ρ‘Π³ΠΎΡ‡Π½ΠΎΠΉ Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΈ ΡΠΊΠΎΡ€ΠΎΡΡ‚ΡŒ ΠΊΠ»ΡƒΠ±ΠΎΡ‡ΠΊΠΎΠ²ΠΎΠΉ Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ†ΠΈΠΈ сСрдСчная Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒ сСрдСчная Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒ с ΡΠΎΡ…Ρ€Π°Π½Π΅Π½Π½ΠΎΠΉ Ρ„Ρ€Π°ΠΊΡ†ΠΈΠ΅ΠΉ выброса Ρ‚ΠΊΠ°Π½Π΅Π²ΠΎΠ΅ допплСровскоС исслСдованиС

    Π’Π¨Π  Ρ‚ΠΊΠ°Π½Π΅Π²ΠΎΠΉ ΠΈΠ½Π³ΠΈΠ±ΠΈΡ‚ΠΎΡ€ матриксных ΠΌΠ΅Ρ‚Π°Π»Π»ΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ½Π°Π· Ρ‚ΠΌΠΊ Ρ‚Ρ€Π°Π½ΡΠΌΠΈΡ‚Ρ€Π°Π»ΡŒΠ½Ρ‹ΠΉ ΠΊΡ€ΠΎΠ²ΠΎΡ‚ΠΎΠΊ

    ВОИ-Π  Π’Ρ€Π°Π½ΡΡ„ΠΎΡ€ΠΌΠΈΡ€ΡƒΡŽΡ‰ΠΈΠΉ ростовой Ρ„Π°ΠΊΡ‚ΠΎΡ€-^

    УО ΡƒΠ΄Π°Ρ€Π½Ρ‹ΠΉ ΠΎΠ±ΡŠΡ‘ΠΌ

    Π€Π’ Ρ„ракция выброса

    ЀК Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½Ρ‹ΠΉ класс хсн хроничСская сСрдСчная Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒ чсс частота сСрдСчных сокращСний

    Π­Ρ…ΠΎ-ΠšΠ“ эхокардиография

    А ΠΌΠ°ΠΊΡΠΈΠΌΠ°Π»ΡŒΠ½Π°Ρ ΡΠΊΠΎΡ€ΠΎΡΡ‚ΡŒ наполнСния Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ° Π² ΡΠΈΡΡ‚ΠΎΠ»Ρƒ прСдсСрдий

    А Ρ1ΠΈΠ³ ΠΏΡ€ΠΎΠ΄ΠΎΠ»ΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ наполнСния Π² ΡΠΈΡΡ‚ΠΎΠ»Ρƒ прСдсСрдий

    Аг ΠΌΠ°ΠΊΡΠΈΠΌΠ°Π»ΡŒΠ½Π°Ρ ΡΠΊΠΎΡ€ΠΎΡΡ‚ΡŒ диастоличСского Ρ€Π΅Ρ‚Ρ€ΠΎΠ³Ρ€Π°Π΄Π½ΠΎΠ³ΠΎ ΠΊΡ€ΠΎΠ²ΠΎΡ‚ΠΎΠΊΠ° Π² Π»Ρ‘Π³ΠΎΡ‡Π½Ρ‹Ρ… Π²Π΅Π½Π°Ρ…

    Аг Ρ1ΠΈΠ³ ΠΏΡ€ΠΎΠ΄ΠΎΠ»ΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ ΠΎΠ±Ρ€Π°Ρ‚Π½ΠΎΠ³ΠΎ диастоличСского ΠΊΡ€ΠΎΠ²ΠΎΡ‚ΠΎΠΊΠ° Π² Π»Π΅Π³ΠΎΡ‡Π½Ρ‹Ρ… Π²Π΅Π½Π°Ρ…

    Π¬ ΠΊΠΎΡΡ„Ρ„ΠΈΡ†ΠΈΠ΅Π½Ρ‚ Тёсткости Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ°

    Π‘1Π’Π  Π‘-ΠΊΠΎΠ½Ρ†Π΅Π²ΠΎΠΉ Ρ‚Π΅Π»ΠΎΠΏΠ΅ΠΏΡ‚ΠΈΠ΄ ΠΊΠΎΠ»Π»Π°Π³Π΅Π½Π° Ρ‚ΠΈΠΏΠ° I

    Π‘ ΠΌΠ°ΠΊΡΠΈΠΌΠ°Π»ΡŒΠ½Π°Ρ ΡΠΊΠΎΡ€ΠΎΡΡ‚ΡŒ диастоличСского Π°Π½Ρ‚Π΅Π³Ρ€Π°Π΄Π½ΠΎΠ³ΠΎ ΠΊΡ€ΠΎΠ²ΠΎΡ‚ΠΎΠΊΠ° Π² Π»Ρ‘Π³ΠΎΡ‡Π½Ρ‹Ρ… Π²Π΅ΠΏΠ°Ρ…

    Π‘Π’ Π²Ρ€Π΅ΠΌΡ замСдлСния ΠΊΡ€ΠΎΠ²ΠΎΡ‚ΠΎΠΊΠ° Ρ€Π°Π½Π½Π΅Π³ΠΎ диастоличСского наполнСния Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ°

    ОВо врСмя замСдлСния Π°Π½Ρ‚Π΅Π³Ρ€Π°Π΄Π½ΠΎΠ³ΠΎ диастоличСского ΠΊΡ€ΠΎΠ²ΠΎΡ‚ΠΎΠΊΠ° Π² Π»Ρ‘Π³ΠΎΡ‡Π½Ρ‹Ρ… Π²Π΅Π½Π°Ρ…

    Π• ΠΌΠ°ΠΊΡΠΈΠΌΠ°Π»ΡŒΠ½Π°Ρ ΡΠΊΠΎΡ€ΠΎΡΡ‚ΡŒ Ρ€Π°Π½Π½Π΅Π³ΠΎ диастоличСского наполнСния Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ° максимальная ΡΠΊΠΎΡ€ΠΎΡΡ‚ΡŒ ΠΏΠΎΠ΄ΡŠΡ‘ΠΌΠ° основания Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ° Π² Ρ€Π°Π½Π½ΡŽΡŽ диастолу ΠΏ Ρ‡ΠΈΡΠ»ΠΎ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Π² Π³Ρ€ΡƒΠΏΠΏΠ΅

    Π«Π’-Ρ€Π³ΠΎΠ’Π«Π  Π«-ΠΊΠΎΠ½Ρ†Π΅Π²ΠΎΠΉ Ρ„Ρ€Π°Π³ΠΌΠ΅Π½Ρ‚ ΠΏΡ€Π΅Π΄ΡˆΠ΅ΡΡ‚Π²Π΅Π½Π½ΠΈΠΊΠ° ΠΌΠΎΠ·Π³ΠΎΠ²ΠΎΠ³ΠΎ натринурСтичСского Π³ΠΎΡ€ΠΌΠΎΠ½Π°

    Π  Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅

    Π 1Π  Π‘-ΠΊΠΎΠ½Ρ†Π΅Π²ΠΎΠΉ ΠΏΡ€ΠΎΠΏΠ΅ΠΏΡ‚ΠΈΠ΄ ΠΏΡ€ΠΎΠΊΠΎΠ»Π»Π°Π³Π΅Π½Π° Ρ‚ΠΈΠΏΠ° I Π³ ΠΊΠΎΡΡ„Ρ„ΠΈΡ†ΠΈΠ΅Π½Ρ‚ коррСляции

    Π‘ ΠΌΠ°ΠΊΡΠΈΠΌΠ°Π»ΡŒΠ½Π°Ρ ΡΠΊΠΎΡ€ΠΎΡΡ‚ΡŒ систоличСского ΠΊΡ€ΠΎΠ²ΠΎΡ‚ΠΎΠΊΠ° Π² Π»Ρ‘Π³ΠΎΡ‡Π½Ρ‹Ρ… Π²Π΅Π½Π°Ρ…

    Π’ (Π΅—") ΠΈΠ½Ρ‚Π΅Ρ€Π²Π°Π»Π° ΠΌΠ΅ΠΆΠ΄Ρƒ Π½Π°Ρ‡Π°Π»ΠΎΠΌ Π’ΠœΠšΠ— ΠΈ Π½Π°Ρ‡Π°Π»ΠΎΠΌ диастоличСского ΠΏΠΎΠ΄ΡŠΡ‘ΠΌΠ° основания Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ°

    V ΠΎΠ±ΡŠΡ‘ΠΌ

    Π£Ρ€ ΡΠΊΠΎΡ€ΠΎΡΡ‚ΡŒ распространСния Ρ€Π°Π½Π½Π΅Π³ΠΎ диастоличСского ΠΊΡ€ΠΎΠ²ΠΎΡ‚ΠΎΠΊΠ° Π² Π»Π΅Π²ΠΎΠΌ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ΅ Ρ‚ ΠΏΠΎΡΡ‚оянная Π²Ρ€Π΅ΠΌΠ΅Π½ΠΈ падСния давлСния Π² Π»Π΅Π²ΠΎΠΌ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ΅ Π² Ρ„Π°Π·Ρƒ ΠΈΠ·ΠΎΠ²ΠΎΠ»ΡŽΠΌΠΈΡ‡Π΅ΡΠΊΠΎΠ³ΠΎ расслаблСния

    Бписок сокращСний.

    ВлияниС Π±Π»ΠΎΠΊΠ°Ρ‚ΠΎΡ€ΠΎΠ² Π°Π½Π³ΠΈΠΎΡ‚Π΅Π½Π·ΠΈΠ½ΠΎΠ²Ρ‹Ρ… Ρ€Π΅Ρ†Π΅ΠΏΡ‚ΠΎΡ€ΠΎΠ² ΠΈ антагонистов Π°Π»ΡŒΠ΄ΠΎΡΡ‚Π΅Ρ€ΠΎΠ½Π° Π½Π° клиничСскоС Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅, Π΄ΠΈΠ°ΡΡ‚ΠΎΠ»ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΡŽ Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ° ΠΈ содСрТаниС биохимичСских ΠΌΠ°Ρ€ΠΊΠ΅Ρ€ΠΎΠ² баланса ΠΊΠΎΠ»Π»Π°Π³Π΅Π½Π° Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½ (Ρ€Π΅Ρ„Π΅Ρ€Π°Ρ‚, курсовая, Π΄ΠΈΠΏΠ»ΠΎΠΌ, ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½Π°Ρ)

    ЦСль исслСдования.7.

    Π—Π°Π΄Π°Ρ‡ΠΈ исслСдования.7.

    Научная Π½ΠΎΠ²ΠΈΠ·Π½Π°.7.

    ΠŸΡ€Π°ΠΊΡ‚ΠΈΡ‡Π΅ΡΠΊΠ°Ρ Π·Π½Π°Ρ‡ΠΈΠΌΠΎΡΡ‚ΡŒ.8.

    Π“Π»Π°Π²Π° I. ΠžΠ±Π·ΠΎΡ€ Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Ρ‹.9.

    Π’Ρ‹Π²ΠΎΠ΄Ρ‹:

    1. Π’ΡΠΆΠ΅ΡΡ‚ΡŒ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½Ρ‹Ρ… расстройств ΠΈ ΠΊΠ°Ρ‡Π΅ΡΡ‚Π²ΠΎ ΠΆΠΈΠ·Π½ΠΈ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с Π‘НБЀВ соотносятся с Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ΠΌ наполнСния Π›Π– (ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠ΅ΠΌ Π•/Ρ‘). ΠŸΡ€ΠΈ этом, Ρ‡Π΅ΠΌ Π²Ρ‹ΡˆΠ΅ Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ наполнСния, Ρ‚Π΅ΠΌ Π² Π±ΠΎΠ»ΡŒΡˆΠ΅ΠΉ стСпСни баланс ΠΊΠΎΠ»Π»Π°Π³Π΅Π½Π° смСщён Π² ΡΡ‚ΠΎΡ€ΠΎΠ½Ρƒ Ρ„ΠΈΠ±Ρ€ΠΎΠ·Π°.

    2. Π£ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с Π‘НБЀВ допилСровскоС ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠ΅ Π•/Ρ‘ Π±ΠΎΠ»Π΅Π΅ Ρ‚ΠΎΡ‡Π½ΠΎ ΠΎΡ‚Ρ€Π°ΠΆΠ°Π΅Ρ‚ Ρ‚ΡΠΆΠ΅ΡΡ‚ΡŒ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½Ρ‹Ρ… расстройств ΠΈ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½ΠΎΡΡ‚ΡŒ Ρ„ΠΈΠ±Ρ€ΠΎΠ·Π° сСрдца ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с «Ρ‚Ρ€Π°Π΄ΠΈΡ†ΠΈΠΎΠ½Π½ΠΎΠΉ» ΠΎΡ†Π΅Π½ΠΊΠΎΠΉ тяТСсти, Π›Π” ΠΏΠΎ Ρ‚ΠΈΠΏΡƒ наполнСния Π›Π– (ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΡŽ Π•/А).

    3. Π‘ΠΎΠ»ΡŒΠ½Ρ‹Π΅ с ΠœΠ ΠΈ Π‘НБЀВ ΠΈΠΌΠ΅ΡŽΡ‚ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½ΡƒΡŽ Π”Π” Π›Π–: ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌΠΈ с ΡΠΈΠ½ΡƒΡΠΎΠ²Ρ‹ΠΌ Ρ€ΠΈΡ‚ΠΌΠΎΠΌ ΠΈ Π½Π΅Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ Π”Π” Ρƒ Π½ΠΈΡ… тяТСлСС БН, большС Ρ€Π°Π·ΠΌΠ΅Ρ€ Π›ΠŸ, Π²Ρ‹ΡˆΠ΅ ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ Π«Π’-Ρ€Π³ΠΎΠ’Π«Π  ΠΈ Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ наполнСния Π›Π– (Π²Ρ‹ΡˆΠ΅ ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠ΅ Π•/Π΅), Π° Ρ‚Π°ΠΊΠΆΠ΅ отмСчаСтся Π±ΠΎΠ»Π΅Π΅ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½ΠΎΠ΅ смСщСниС баланса ΠΊΠΎΠ»Π»Π°Π³Π΅Π½Π° Π² ΡΡ‚ΠΎΡ€ΠΎΠ½Ρƒ Ρ„ΠΈΠ±Ρ€ΠΎΠ·Π°.

    4. ΠŸΡ€ΠΈΡ‘ΠΌ кандСсартана Π² ΡΠΎΡ‡Π΅Ρ‚Π°Π½ΠΈΠΈ со ΡΠΏΠΈΡ€ΠΎΠ½ΠΎΠ»Π°ΠΊΡ‚ΠΎΠ½ΠΎΠΌ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с Π‘НБЀВ оказался ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ бСзопасным: нСсмотря Π½Π° Π΄ΠΎΡΡ‚ΠΎΠ²Π΅Ρ€Π½ΠΎΠ΅ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ срСднСго уровня ΠΊΡ€Π΅Π°Ρ‚ΠΈΠ½ΠΈΠ½Π° ΠΈ ΠΊΠ°Π»ΠΈΡ Π² ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ΅, ΠΎΡ‚ΠΊΠ»ΠΎΠ½Π΅Π½ΠΈΠ΅ этих ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ ΠΎΡ‚ Π½ΠΎΡ€ΠΌΡ‹ Π±Ρ‹Π»ΠΎ выявлСно лишь Ρƒ 6% Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ….

    5. Π£ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с Π‘НБЀВ Ρ‚ΠΎΠ»ΡŒΠΊΠΎ комбинация кандСсартана со ΡΠΏΠΈΡ€ΠΎΠ½ΠΎΠ»Π°ΠΊΡ‚ΠΎΠ½ΠΎΠΌ ΠΏΡ€ΠΈΠ²ΠΎΠ΄ΠΈΠ»Π° ΠΊ ΡƒΠ»ΡƒΡ‡ΡˆΠ΅Π½ΠΈΡŽ Π€Πš Π₯БН (Π² ΡΡ€Π΅Π΄Π½Π΅ΠΌ Π½Π° 21%, Ρ€<0,05), замСдлСнию прогрСссирования ΠΈΠ»ΠΈ ΡƒΠ»ΡƒΡ‡ΡˆΠ΅Π½ΠΈΡŽ Π”Π€ (сниТСниС Π•/ Ρ‘ Π½Π° 15%, Ρ€<0,05 ΠΏΡ€ΠΈ тяТСлой ДА) ΠΈ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΡŽ уровня β„–Π“Ρ€Π³ΠΎΠ’Π«Π  (Π½Π° 15%, Ρ€<0,05). Π˜Π·ΠΎΠ»ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹ΠΉ ΠΏΡ€ΠΈΠ΅ΠΌ кандСсартана Π½Π΅ ΡΠΎΠΏΡ€ΠΎΠ²ΠΎΠΆΠ΄Π°Π»ΡΡ достовСрным сниТСниСм ЀКΠ₯БН, уровня Π«Π’-Ρ€Π³ΠΎΠ’Π«Π  ΠΈ Π½Π΅ ΡΠ΄Π΅Ρ€ΠΆΠΈΠ²Π°Π» прогрСссирования Π”А.

    6. Π›ΠΈΡˆΡŒ Π² Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ кандСсартаном ΠΈ ΡΠΏΠΈΡ€ΠΎΠ½ΠΎΠ»Π°ΠΊΡ‚ΠΎΠ½ΠΎΠΌ наблюдалась рСвСрсия Ρ„ΠΈΠ±Ρ€ΠΎΠ·Π° ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π°, Ρ‡Ρ‚ΠΎ ΠΏΡ€ΠΎΡΠ²Π»ΡΠ»ΠΎΡΡŒ ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΠ΅ΠΌ ММР-1 ΠΈ Π‘1Π’Π  (Π½Π° 81% ΠΈ 22%, соотвСтствСнно, Ρ€<0,1 для ΠΊΠ°ΠΆΠ΄ΠΎΠ³ΠΎ) ΠΈ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ΠΌ Π’1МР (Π½Π° 12%, Ρ€<0,05). Π˜Π·ΠΎΠ»ΠΈΡ€ΠΎΠ²Π°Π³ΠΏIΡ‹ΠΉ ΠΏΡ€ΠΈΠ΅ΠΌ кандСсартана достовСрного влияния Π½Π° Π±Π°Π»Π°Π½Ρ ΠΊΠΎΠ»Π»Π°Π³Π΅Π½Π° ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π° Π½Π΅ ΠΎΠΊΠ°Π·Ρ‹Π²Π°Π».

    ΠŸΡ€Π°ΠΊΡ‚ΠΈΡ‡Π΅ΡΠΊΠΈΠ΅ Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°Ρ†ΠΈΠΈ:

    1. Π₯отя сочСтанный ΠΏΡ€ΠΈΡ‘ΠΌ кандСсартана ΠΈ ΡΠΏΠΈΡ€ΠΎΠ½ΠΎΠ»Π°ΠΊΡ‚ΠΎΠ½Π° Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с Π‘НЀВ ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ бСзопасСн ΠΈ Π½Π΅ ΠΏΡ€ΠΈΠ²ΠΎΠ΄ΠΈΡ‚ ΠΊ Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΡŽ клиничСски Π·Π½Π°Ρ‡ΠΈΠΌΡ‹Ρ… Π³ΠΈΠΏΠ΅Ρ€ΠΊΠ°Π»ΠΈΠ΅ΠΌΠΈΠΈ ΠΈ/ΠΈΠ»ΠΈ ΠΊΡ€Π΅Π°Ρ‚ΠΈΠ½ΠΈΠ½Π΅ΠΌΠΈΠΈ, ΠΎΠ΄Π½Π°ΠΊΠΎ с ΡƒΡ‡Ρ‘Ρ‚ΠΎΠΌ достовСрного ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΡ срСднСго уровня ΠΊΡ€Π΅Π°Ρ‚ΠΈΠ½ΠΈΠ½Π° ΠΈ ΠΊΠ°Π»ΠΈΡ Π² ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ΅ Π΄Π°Π½Π½ΡƒΡŽ Ρ‚Π΅Ρ€Π°ΠΏΠΈΡŽ ΠΌΠΎΠΆΠ½ΠΎ Π½Π°Π·Π½Π°Ρ‡Π°Ρ‚ΡŒ лишь Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌ с Π½ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½Ρ‹ΠΌ содСрТаниСм калия Π² ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ΅ ΠΈ Π±Π΅Π· дисфункции ΠΏΠΎΡ‡Π΅ΠΊ.

    2. Π£ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с Π‘НБЀВ ΠΈΠ·ΠΎΠ»ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ΅ Π½Π°Π·Π½Π°Ρ‡Π΅Π½ΠΈΠ΅ БРА ΠΌΠΎΠΆΠ½ΠΎ Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄ΠΎΠ²Π°Ρ‚ΡŒ лишь Π½Π° ΡΡ‚Π°Π΄ΠΈΠΈ Π½Π΅Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ ΠΠ” (Π·Π°ΠΌΠ΅Π΄Π»Π΅Π½Π½ΠΎΠΌ расслаблСнии) ΠΈ ΠΏΡ€ΠΈ ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠΈ Π•/Ρ‘ <13. ΠŸΡ€ΠΈ Π±ΠΎΠ»Π΅Π΅ тяТёлой Π”Π” (ΠΏΡΠ΅Π²Π΄ΠΎΠ½ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½ΠΎΠΌ ΠΈΠ»ΠΈ рСст-Ρ€ΠΈΠΊΡ‚ΠΈΠ²Π½ΠΎΠΌ Ρ‚ΠΈΠΏΠ΅ наполнСния Π›Π–, хроничСской МА, ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠΈ Π•/Ρ‘ >13) ΠΈΡ… ΡΠ»Π΅Π΄ΡƒΠ΅Ρ‚ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Ρ‚ΡŒ Π² ΡΠΎΡ‡Π΅Ρ‚Π°Π½ΠΈΠΈ с ΠΠ›, ΠΏΠΎΡΠΊΠΎΠ»ΡŒΠΊΡƒ лишь Π² ΡΡ‚ΠΎΠΌ случаС удаётся ΠΏΡ€Π΅Π΄ΠΎΡ‚Π²Ρ€Π°Ρ‚ΠΈΡ‚ΡŒ прогрСссированиС Π”Π” ΠΈ Π΄ΠΎΠ±ΠΈΡ‚ΡŒΡΡ рСвСрсии Ρ„ΠΈΠ±Ρ€ΠΎΠ·Π°.

    3. ΠŸΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹ с ΠœΠ, БНБЀВ ΠΈΠΌΠ΅ΡŽΡ‚ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½ΡƒΡŽ Π”Π” ΠΈ Ρ‚Π°ΠΊΡ‚ΠΈΠΊΠ° лСчСния Ρ‚Π°ΠΊΠΈΡ… ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Π΄ΠΎΠ»ΠΆΠ½Π° Π±Ρ‹Ρ‚ΡŒ Ρ‚Π°ΠΊΠΎΠΉ ΠΆΠ΅, Ρ‡Ρ‚ΠΎ ΠΈ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ΡΠΈΠ½ΡƒΡΠΎΠ²Ρ‹ΠΌ Ρ€ΠΈΡ‚ΠΌΠΎΠΌ ΠΈ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½ΠΎΠΉ Π”Π”ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ со ΠΌΠ΅Ρ‚Π°Π½Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ кандСсартаном ΠΈ ΡΠΏΠΈ-Ρ€ΠΎΠ½ΠΎΠ»Π°ΠΊΡ‚ΠΎΠ½ΠΎΠΌ.

    ΠŸΠΎΠΊΠ°Π·Π°Ρ‚ΡŒ вСсь тСкст

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