ТЕХНИЧЕСКИЕ, КЛИНИЧЕСКИЕ И ПРОГНОСТИЧЕСКИЕ АСПЕКТЫ ГИПЕРТЕНЗИВНОЙ РЕТИНОПАТИИ

  • Н. Я. Доценко Запорожская медицинская академия последипломного образования Министерства здравоохранения Украины, Запорожье, Украина http://orcid.org/0000-0003-4858-1791
  • С. С. Боев Запорожская медицинская академия последипломного образования Министерства здравоохранения Украины, Запорожье, Украина http://orcid.org/0000-0003-0416-1605
  • Л. В. Герасименко Запорожская медицинская академия последипломного образования Министерства здравоохранения Украины, Запорожье, Украина http://orcid.org/0000-0002-1250-7162
  • И. А. Шехунова Запорожская медицинская академия последипломного образования Министерства здравоохранения Украины, Запорожье, Украина http://orcid.org/0000-0001-7661-4904
Ключевые слова: фундоскопия, гипертензивная ретинопатия, артериальная гипертензия

Аннотация

Изменения подходов к ведению пациентов с артериальной гипертензией, отраженные в рекомендациях международного уровня, касающиеся в том числе и диагностики, определения сердечно-сосудистого риска, потребовало вновь вернуться к вопросу о месте фундоскопии в рутинной клинической практике. В последних исследованиях уточнена распространенность разных вариантов ретинопатии с использованием новых, высокоточных инструментов. Большое число работ посвящено изучению прогностической роли фундоскопии, и здесь мнение исследователей однозначно: обнаружение признаков начальных стадий ретинопатии слабо влияет на ведение пациентов. Следует согласиться с мнением экспертов европейского кардиологического общества, что проведение фундоскопии в основном показано у пациентов с трудно контролируемой или резистентной артериальной гипертензией, но не рекомендуется у лиц с мягкой и умеренной гипертензией, не страдающих диабетом, за исключением молодых пациентов.

Литература

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2021-04-09
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Доценко НЯ, Боев СС, Герасименко ЛВ, Шехунова ИА. ТЕХНИЧЕСКИЕ, КЛИНИЧЕСКИЕ И ПРОГНОСТИЧЕСКИЕ АСПЕКТЫ ГИПЕРТЕНЗИВНОЙ РЕТИНОПАТИИ. Журнал ГрГМУ (Journal GrSMU) [Интернет]. 9 апрель 2021 г. [цитируется по 17 апрель 2024 г.];18(5):624-31. доступно на: http://journal-grsmu.by/index.php/ojs/article/view/2487