ARTERIAL HYPERTENSION IN THE PRESENCE OF OVERWEIGHT AND OBESITY. THE CAPABILITIES OF AMLODIPINE AND LISINOPRIL COMBINATION. Part 2. Antihypertensive and Organoprotective Effects of Amlodipine/Lisinopril Fixed-Dose Combination in Patients with Arterial Hypertension in the Presence of Overweight and Obesity
https://doi.org/10.20996/1819-6446-2017-13-6-841-850
Abstract
Advantages of amlodipine, lisinopril and their fixed-dose combination are presented regarding to antihypertensive effect and target-organs protection in patients with arterial hypertension in the presence of obesity. Abnormalities in myocardial strain, increased stiffness of the left heart chambers, left ventricular hypertrophy are considered as "new" risk factors in hypertensive patients along with disturbances in some parameters of blood pressure and its daily profile. Current data about various pathophysiological mechanisms of the favorable impact of calcium channel blockers, as well as angiotensin-converting enzyme inhibitors, are described, in particular, lisinopril-mediated beneficial effects on myocardial stiffness and regression of myocardial hypertrophy.
About the Authors
O. D. OstroumovaRussian Federation
Olga D. Ostroumova – MD, PhD, Professor, Chair of Faculty Therapy and Occupational Diseases, A.I. Evdokimov Moscow State University of Medicine and Dentistry; Chair of Clinical Pharmacology and Propaedeutics of Internal Diseases, I.M. Sechenov First Moscow State Medical University
Trubetskaya ul. 8, Moscow, 119991
A. I. Kochetkov
Russian Federation
Alexey I. Kochetkov – MD, Assistant, Chair of Faculty Therapy and Occupational Diseases
Delegatskaya ul. 20-1, Moscow, 127473
I. I. Kopchjonov
Russian Federation
Ivan I. Kopchjonov – MD, PhD, Associate Professor, Chair of Faculty Therapy and Occupational Diseases
Delegatskaya ul. 20-1, Moscow, 127473
V. M. Fomina
Russian Federation
Vera M. Fomina – MD, PhD, Associate Professor, Chair of Faculty Therapy and Occupational Diseases
Delegatskaya ul. 20-1, Moscow, 127473
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Review
For citations:
Ostroumova O.D., Kochetkov A.I., Kopchjonov I.I., Fomina V.M. ARTERIAL HYPERTENSION IN THE PRESENCE OF OVERWEIGHT AND OBESITY. THE CAPABILITIES OF AMLODIPINE AND LISINOPRIL COMBINATION. Part 2. Antihypertensive and Organoprotective Effects of Amlodipine/Lisinopril Fixed-Dose Combination in Patients with Arterial Hypertension in the Presence of Overweight and Obesity. Rational Pharmacotherapy in Cardiology. 2017;13(6):841-850. (In Russ.) https://doi.org/10.20996/1819-6446-2017-13-6-841-850