Terapevticheskii arkhiv

Терапевтический архив

0040-36602309-5342

LLC Obyedinennaya Redaktsiya

31700

Editorial article

Передовая статья

Review Article

Renal dysfunction in patients with myocardial infarction concurrent with type 2 diabetes mellitus

Нарушение функции почек у больных инфарктом миокарда с сопутствующим сахарным диабетом 2-го типа

Evseeva

M V

Евсеева

М В

Karetnikova

V N

Каретникова

В Н

Barbarash

O L

Барбараш

О Л

ГБОУ ВПО "Кемеровская государственная медицинская академия" Минздрава России, Кемерово, Россия

ФГБУ "НИИ комплексных проблем сердечно-сосудистых заболеваний" СО РАМН, Кемерово, Россия

ГБОУ ВПО "Кемеровская государственная медицинская академия" Минздрава России, Кемерово, РоссияФГБУ "НИИ комплексных проблем сердечно-сосудистых заболеваний" СО РАМН, Кемерово, Россия

15012015

871

VOL 87, NO1 ()

ТОМ 87, №1 (2015)

10510810042020

2015

Consilium Medicum

ООО "Консилиум Медикум"

https://creativecommons.org/licenses/by-nc-sa/4.0

https://ter-arkhiv.ru/0040-3660/article/view/31700

Carbohydrate metabolic disturbances are an independent risk factor for not only the development, but also poor course of cardiovascular diseases, particularly those concurrent with renal dysfunction (RD). This factor acquires particular relevance due to the fact that the incidence of type 2 diabetes mellitus significantly continues to rise worldwide. The review considers the main mechanisms and common components of the pathogenesis of RD, as well as the constituents forming its basis in the presence of carbohydrate metabolic disturbances. Moreover, it highlights the timely detection of RD, a search for new biomarkers of prognostic value for cardiovascular events, and the early diagnosis of RD. The review unveils the present view of optimal diagnostic and management tactics for patients with myocardial infarction concurrent with background diseases.

Аннотация. Нарушения углеводного обмена представляют собой самостоятельный фактор риска не только развития, но и неблагоприятного течения сердечно-сосудистых заболеваний, особенно в сочетании с нарушением функции почек (НФП). Особую актуальность этот фактор приобретает в связи с продолжающимся значительным ростом в мире заболеваемости сахарным диабетом 2-го типа. В обзоре рассматриваются основные механизмы, общие звенья патогенеза, составляющие основу формирования НФП на фоне нарушения углеводного обмена. Кроме того, освещены проблемы своевременного выявления НФП, поиска новых биомаркеров, обладающих прогностической значимостью в отношении сердечно-сосудистых осложнений и ранней диагностики НФП. В обзоре раскрывается современный взгляд на проблему оптимальной диагностики и тактики лечения больных инфарктом миокарда в сочетании с фоновой патологией.

myocardial infarctionrenal dysfunctiondiabetes mellitus.

инфаркт миокарданарушение функции почексахарный диабет

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