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Современная ревматология

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Уратснижающая терапия при сердечной недостаточности

https://doi.org/10.14412/1996-7012-2019-3-109-115

Аннотация

Сердечная недостаточность (СН) — одна из основных проблем общественного здравоохранения развитых стран. Гиперурикемия (ГУ) часто обнаруживается у пациентов с хронической СН (ХСН) и является известным независимым предиктором смертности и повторной госпитализации из-за прогрессирования СН. Связь ГУ с худшими клиническими исходами у пациентов с ХСН может объясняться воздействием мочевой кислоты (МК) и фермента ксантиноксидазы (КСО) на эндотелий сосудов, что ведет к высвобождению воспалительных цитокинов и активных форм кислорода. Наличие такого механизма обусловливает интерес к изучению потенциальных преимуществ ингибирования КСО у пациентов с СН. Ингибиторы КСО, вероятно, могут стать новым средством, позволяющим улучшить прогноз у этих больных.

Об авторах

О. В. Желябина
Научно-исследовательский институт ревматологии им. В.А. Насоновой
Россия

115522, Москва, Каширское шоссе, 34А.



М. С. Елисеев
Научно-исследовательский институт ревматологии им. В.А. Насоновой
Россия

Елисеев Максим Сергеевич.

115522, Москва, Каширское шоссе, 34А.



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ISSN 1996-7012 (Print)
ISSN 2310-158X (Online)