Клинический случай успешного лечения неконтролируемой артериальной гипертензии препаратом каптоприла у пациента 67 лет

Abstract

Effective blood pressure (BP) control remains an actual problem – according to the results of the multicenter study ESSE-RF, only 11.3% of women and 7.6% of men achieve it. Inadequate treatment of arterial hypertension often leads to clinically significant increase of BP without signs of damage to target organs. Such patients should be treated in out-patient setting by oral antihypertensive medications according to modern algorithms. It is also necessary to prescribe medications for subsequent long-term control of BP, if the patient has not previously taken them, or to optimize this type of therapy, if it was initially inadequate. The article presents a clinical case, which demonstrates that timely personalized treatment of uncontrolled hypertension leads to stabilization of the patient’s condition. Teaching the patient to self-relieve episodes of increased BP is of paramount importance. Modern pharmacological drugs allow achievement of the main goal of treatment – improvement the life’s prognosis due to both keeping blood pressure values at the target level and positively influencing other risk factors for the development of cardiovascular diseases. Keywords: uncontrollable arterial hypertension, hypertensive crisis, captopril For citation: Pavlova TV, Dupliakov DV, Vorontsova SA, Guseva GN. Clinical case of a successful treatment of uncontrolled arterial hypertension in a 67-year-old patient with captopril. Consilium Medicum. 2021; 23 (1): 74–79. DOI: 10.26442/20751753.2021.1.200605