New approaches to the treatment of patients with arterial hypertension with comorbid pathology living in the environmental conditions of the south of Western Siberia
https://doi.org/10.18470/1992-1098-2021-3-119-126
Abstract
Aim. The aim of the study was to study the effectiveness of complex treatment of arterial hypertension comorbid with dorsopathy depending on the severity of atherosclerotic lesions of the carotid arteries.
Material and Methods. The object of the study were 80 patients with arterial hypertension comorbid with dorsopathy, admitted for examination and treatment at the clinic of Federal Research Centre of Fundamental and Translational Medicine (FRC FTM.) in Novosibirsk. Patients were men and women aged 18 to 75 years. They underwent clinical, laboratory and functional examination in the inpatient facility of the FRC FTM. Assessment of the degree of atherosclerotic lesions of the carotid arteries was carried out using ultrasound duplex scanning of arteries.
Results. It was found that in patients with hypertension combined with dorsopathy and atherosclerotic lesions of the carotid arteries without hemodynamically significant stenosis and signs of instability of atherosclerotic plaques, complex treatment with the use of SMT therapy or magnetotherapy more effectively reduces systolic blood pressure than treatment without hardware physiotherapy and more quickly stabilises blood pressure on targets.
Conclusion. In patients with hypertension accounting for the presence of comorbidities in the form of dorsopathy of the cervical spine and atherosclerosis of the carotid arteries that allows the personalization of the therapy of such patients using methods of physiotherapy, reducing the time to achieve the therapeutic effect improved the quality of life of patients.
About the Authors
Yu. A. Nikolaev
Federal Research Centre for Fundamental and Translational Medicine
Russian Federation
Russian Federation
Yuriy A. Nikolaev
Novosibirsk
V. Ya. Polyakov
Federal Research Centre for Fundamental and Translational Medicine
Russian Federation
Russian Federation
Vladimir Ya. Polyakov, Doctor of Medical Sciences, Leading Researcher, Laboratory of Pathogenesis of Somatic Diseases, Department of Medical and Ecological Research
2 Timakova St, Novosibirsk, 630117
Теl. +79639423525
M. G. Magomedov
Dagestan State Medical University
Russian Federation
Russian Federation
Magomed G. Magomedov
Makhachkala
E. V. Sevostyanova
Federal Research Centre for Fundamental and Translational Medicine
Russian Federation
Russian Federation
Evgeniya V. Sevostyanova
Novosibirsk
References
1. Nikolaev Yu.A., Mitrofanov I.M., Polyakov V.Ya., Dolgova N.A., Polyakova M.G., Anikina E.V. Regional features of risk factors occurrence of chronic non‐communicable diseases in patients with arterial hypertension combined with biliary tract disease. Fundamental'nye issledovaniya [Fundamental research]. 2014, vol. 10, no. 2, pp. 333‐338. (In Russian)
2. Polyakov V.Ya., Nikolaev Yu.A. Role of geoecological rhythms in adaptive processes of cardio‐vascular system in patients with arterial hypertension. Ehkologiya cheloveka [Human ecology]. 2011, no. 5, pp. 36‐42. (In Russian)
3. Melnikov V.N., Polyakov V.Ya., Krivoschekov S.G., Baranov V.I., Rechkina S.Yu. Structural‐functional characteristics of brachiocephalic vessels in hypertensive patients under changed atmospheric pressure. Human Physiology. 2016, vol. 42, no. 7, pp. 95‐98.
4. Sevost'yanova E.V., Nikolaev Yu.A., Mitrofanov I.M., Polyakov V.Ya., Dolgova N.A. The role of risk factors of chronic non‐communicable diseases in the development of transnosological polymorbidity in a modern therapeutic clinic. Кlinicheskaya meditsina [Сlinical medicine]. 2017, vol. 95, no. 8, pp. 735‐741. (In Russian)
5. Belyalov F.I. Lechenie boleznei serdtsa v usloviyakh komorbidnosti [The treatment of heart disease in the context of comorbidity]. Irkutsk, 2014, 311 p. (In Russian)
6. Fortin M., Lapointe L., Hudon C., Vanasse A., Ntetu A.L., Maltais D. Multimorbidity and quality of life in primary care: systematic review. Health Qual Life Outcomes. 2004, vol. 2, pp. article: 51. DOI: 10.1186/1477‐7525‐2‐51
7. Nikolaev Yu.A., Mitrofanov I.M., Polyakov V.Ya., Dolgova N.А. Аrterial hypertension associated with somatic pathology in present‐day practice of internal diseases. Health, 2014, vol. 6, no. 1, pp. 94‐98. DOI: 10.4236/health.2014.61015
8. Savenkov M.P., Ivanova S.V. Hypertension in the pathology of the cervical spine. Rossiiskii kardiologicheskii zhurnal [Russian journal of cardiology]. 2006, vol. 11, no. 5, pp. 65‐69. (In Russian) DOI:10.15829/1560‐4071‐2006-0‐65‐69
9. Yunonin I.E., Khrustalev O.A., Kurapin E.V., Yunonina L.V. Arterial hypertension and cervical spine osteochondrosis: problems, solutions. Rossiiskii kardiologicheskii zhurnal [Russian journal ofcardiology]. 2003, no. 4, pp. 88‐94. (In Russian)
10. Carretero O.A., Oparil S. Essential hypertension. Part I: definition and etiology. Circulation, 2000, vol. 101, no. 3, pp. 329‐335. DOI: 10.1161/01.CIR.101.3.329
11. Chazova I.E., Ratova L.G., Boitsov S.A., Nebieridze D.V., Karpov Yu.A., Belousov Yu.B., Volkova E.G., Galyavich A.S., Grinshtein Yu.I., Eregin S.Ya., Zykov K.A., Karpov R.S., Kislyak O.A., Kobalava Zh.D., Kukharchuk V.V., Litvin A.Yu., Lopatin Yu.M., Martynov A.I., Medvedeva I.V., Milyagin V.A., Mychka V.B., Nedbaikin A.M., Nedogoda S.V., Nikitin Yu.P., Oganov R.G., Ostroumova O.D., Oshchepkova E.V., Perepech N.B., Podzolkov V.I., Pozdnyakov Yu.M., Rogoza A.N., Simonova G.I., Skvortsova V.I., Skibitskii V.V., Tereshchenko S.N., Tkacheva O.N., Tuev A.V., Tyurina T.V., Fomin V.V., Chikhladze N.M., Chumakova G.A., Shalaev S.V., Shal'nova S.A., Shestakova M.V., Yakushin S.S. Diagnostics and treatment of arterial hypertension (Recommendations of the Russian Medical Society for Arterial Hypertension and the Russian Scientific Society of Cardiology). Sistemnye gipertenzii [Systemic hypertension]. 2010, no. 3, pp. 5‐26. (In Russian)
12. Damulin I.V. Mild cognitive impairment. Consilium medicum [Consilium medicum]. 2004, vol. 6, no. 2, pp. 149‐153. (In Russian)
13. Tu S.T., Wang I.W., Lin H.F., Liao Y‐Ch., Lin R‐T., Liu ChS., SHH J. Carotid intima‐media thickness and stiffness are independent risk factor of atherosclerotic disease. J Investig Med, 201, no. 6, pp. 786‐790. DOI: 10.2310/JIM.0b013e3181e8019d
14. Erdakova T.K., Salamatina L.V., Buganov A.A. Features of endothelial function in patients with hypertension in the Far North. Profilaktika zabolevaniy i ukrepleniye zdorovia [Disease prevention and health promotion]. 2007, no. 2, pp. 34‐38. (In Russian)
15. Nagano M., Nakamura M., Sato K., Tanaka F., Segawa T., Hiramori K. Association between serum C‐reactive protein levels and pulse wave velocity: a population‐based cross‐sectional study in a general population. Atherosclerosis, 2005, vol. 180, no. 1, pp. 189‐195. DOI: 10.1016/j.atherosclerosis.2004.11.019
16. Pietri P., Vyssoulis G., Vlachopoulos C., Zervoudaki A., Gialernios T., Aznaouridis K., Stefanadis C. Relationship between low‐grade inflammation and arterial stiffness in patients with essential hypertension. J Hypertens, 2006, vol. 24, no. 11, pp. 2231‐2238. DOI: 10.1097/01.hjh.0000249701.49854.21
17. Coll B., Betriu A., Feinstein S.B., Valdivielso J.M., Zamorano J.L., Fernández E. The role of carotid ultrasound in assessing carotid atherosclerosis in individuals at low‐to-intermediate cardiovascular risk. Rev Esp Cardiol (Engl Ed), 2013, vol. 66, no. 12, pp. 929‐934. DOI: 10.1016/j.rec.2013.05.030
18. Blinova V.V., Skvortsov Yu.I., Martynova Ey.U. Optimization of dispensary monitoring of patients with arterial hypertension and metabolic disorders. Saratovskiy nauch.‐med. zhurn [Saratov sci‐med. Journ.]. 2010, vol. 6, no. 2, pp. 325‐328. (In Russian)
19. Markova E.N., Nikolaev Yu.A., Mitrofanov I.M., Polyakov V.Ya., Pospelova T.I., Dolgova N.A. Life quality of patients with hypertension in the application of pulse electrotherapy and sodium chloride bath. Byulleten SO RAMN [SB RAMS Bulletin]. 2014, vol. 34, no. 4, pp. 67‐72. (In Russian)
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For citations:
Nikolaev Yu.A., Polyakov V.Ya., Magomedov M.G., Sevostyanova E.V. New approaches to the treatment of patients with arterial hypertension with comorbid pathology living in the environmental conditions of the south of Western Siberia. South of Russia: ecology, development. 2021;16(3):119‐126. (In Russ.) https://doi.org/10.18470/1992-1098-2021-3-119-126
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