nidНефрология и диализNephrology and Dialysis1680-44222618-9801Российское диализное обществоnid-1006Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESО целевых значениях артериального давления у больных ХБП (Обзор литературы)On the target blood pressure in patients with CKD ReviewЕрмоленкоВ. М.ErmolenkoV. M.nephrology@mail.ruФилатоваН. Н.FilatovaN. N.noemail@neicon.ruКафедра нефрологии и гемодиализа ГОУ ДПО РМАПО Росздрава, МоскваРоссияChair of Nephrology and Haemodialysis of the Russian Academy of Postgraduate Medical Education, Ministry of Health, MoscowRussian Federation201017062025124238241Copyright © Ермоленко В.М., Филатова Н.Н., 20252025Ермоленко В.М., Филатова Н.Н.Ermolenko V.M., Filatova N.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephro.ru/jour/article/view/1006

В кратком обзоре обсуждаются вопросы целевых значений АД у больных хронической болезнью почек. Анализ немногочисленных рандомизированных контролируемых исследований свидетельствует, что декларируемые в зарубежных и отечественных рекомендациях целевые значения АД (<130/80 мм рт. ст.) оптимальны в плане замедления прогрессирования нефропатий и профилактики сердечно-сосудистых осложнений. В то же время, умеренные отклонения у некоторых категорий пациентов от целевых значений АД не влияют на прогноз, тогда как чрезмерная антигипертензивная терапия чревата развитием серьезных осложнений.

The short review discusses the target blood pressure (BP) in patients with chronic kidney disease (CKD). Analysis of a few randomized controlled trials indicates that the target BP of <130/80 mm Hg that is declared in international and Russian national recommendations are optimal for slowing down the progression of nephropathy and cardiovascular complications. On the other hand moderate deviations from the target BP values for some categories of patients do not affect the prognosis while an extreme antihypertensive therapy could be associated with the development of serious complications.

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The authors declare that there are no conflicts of interest present.