rpcardioRational Pharmacotherapy in CardiologyРациональная Фармакотерапия в Кардиологии1819-64462225-3653«SILICEA-POLIGRAF» LLC10.20996/1819-6446-2010-6-6-853-858rpcardio-931Research ArticlePOINT OF VIEWТОЧКА ЗРЕНИЯTHE EYE — MIRROR OF CARDIOVASCULAR DISORDERS. EVOLUTION OF PERCEPTION ABOUT HYPERTENSIVE RETINOPATHYГЛАЗ — ЗЕРКАЛО СЕРДЕЧНО-СОСУДИСТОЙ ПАТОЛОГИИ. ЭВОЛЮЦИЯ ПРЕДСТАВЛЕНИЙ О ГИПЕРТОНИЧЕСКОЙ РЕТИНОПАТИИЗадионченкоВ. С.ZadionchenkoV. S.

д.м.н., профессор, зав. кафедрой терапии и семейной медицины 

127473, Москва, ул. Делегатская, д.20/1 

Delegatskaya ul. 20/1, Moscow, 127473

АдашеваТ. В.AdashevaT. V.

д.м.н., профессор кафедры терапии и семейной медицины 

127473, Москва, ул. Делегатская, д.20/1 

Delegatskaya ul. 20/1, Moscow, 127473

adashtv@mail.ruШамшиноваА. М.ShamshinovaA. M.АракелянМ. А.ArakelyanM. A.

к.м.н., н.с. лаборатории клинической физиологии зрения им. С.В. Кравкова

105062, Москва, ул. Садовая-Черногрязская 14/19

Sadovaya-Chernogryazskaya 14/19, Moscow, 105062

Московский государственный медико-стоматологической университетРоссияMoscow State University of Medicine and DentistryRussian FederationМосковский научно-исследовательский институт глазных болезней им. ГельмгольцаРоссияThe Helmholtz Moscow Research Institute of Eye DiseasesRussian Federation20102001201666853858Copyright © Zadionchenko V.S., Adasheva T.V., Shamshinova A.M., Arakelyan M.A., 20162016Задионченко В.С., Адашева Т.В., Шамшинова А.М., Аракелян М.А.Zadionchenko V.S., Adasheva T.V., Shamshinova A.M., Arakelyan M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rpcardio.online/jour/article/view/931

Published data often contain conflicting views on the relationship of retina changes in arterial hypertension (HT) with cardiovascular disorders and target organs lesions. Along with the classification and pathophysiology of hypertensive retinopathy, evidence for its association with the HT course, target organ lesions and prognosis is presented. Functional disorders of the eyes point at the involvement of retina into the pathological process even in HT early stages and are able to reflect the severity of hypertension. This supports a close relationship of HT with eye disease as a target organ. Available data support also possibility to assess changes on the eye fundus in patients with uncomplicated HT, indicating that it was premature decision to exclude eyes from the list of target organs in HT.

Данные литературы содержат подчас противоречивые точки зрения относительно связи изменений сетчатки при артериальной гипертонии (АГ) с сердечно-сосудистыми нарушениями и поражением органов-мишеней. Наряду с классификацией и патофизиологией гипертонической ретинопатии представлены данные, подтверждающие ее связь с течением АГ, поражением органов-мишеней и прогнозом. Функциональные нарушения органа зрения свидетельствуют о вовлеченности сетчатки в патологический процесс даже на ранних стадиях АГ и могут отражать тяжесть АГ. Это подтверждает тесную связь заболевания с поражением глаза как органа-мишени при АГ. Имеющиеся данные подтверждают возможность оценки изменений на глазном дне у больных неосложненной АГ, что свидетельствует о преждевременности исключения органа зрения из списка органов-мишеней при АГ.

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Является ли глаз органом-мишенью при артериальной гиперто- нии? Системные гипертензии 2008; 4: 52-59).Adasheva T.V., Zadionchenko V.S., Shamshinova A.M., Arakelyan M.A. Functional status of the retina — a criterion for the effectiveness of antihypertensive therapy. Sistemnye gipertenzii 2009;1:45-Adasheva T.V., Zadionchenko V.S., Shamshinova A.M., Arakelyan M.A. Functional status of the retina — a criterion for the effectiveness of antihypertensive therapy. Sistemnye gipertenzii 2009;1:45-Russian (Адашева Т.В., Задионченко В.С., Шамшинова А.М., Аракелян М.А. Функциональное состояние сетчатки — критерий эффективности антигипертензивной терапии. Системные гипертензии 2009;1:45-49).Russian (Адашева Т.В., Задионченко В.С., Шамшинова А.М., Аракелян М.А. Функциональное состояние сетчатки — критерий эффективности антигипертензивной терапии. Системные гипертензии 2009;1:45-49).

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