arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2020-26-2-124-132arthyper-1937Research ArticleСтатьиArticlesCOVID-19: каковы риски пациентов с артериальной гипертензией?COVID-19: what are the risks in hypertensive patients?https://orcid.org/0000-0001-7585-6012КоростовцеваЛ. С.KorostovtsevaL. S.

Коростовцева Людмила Сергеевна — кандидат медицинских наук, старший научный сотрудник группы по сомнологии научно-исследовательского отдела артериальной гипертензии, доцент кафедры кардиологии.

Ул. Аккуратова, д. 2, Санкт-Петербург, 197341. Тел.: 8(812)702-37-33

Lyudmila S. Korostovtseva - MD, PhD, Senior Researcher, Somnology Group, Research Department for Hypertension, Associate Professor, Faculty Department of Cardiology.

2 Akkuratov street, St Petersburg, 197341, Phone: 8(812)702-37-33

korostovtseva_ls@almazovcentre.ruhttps://orcid.org/0000-0002-5530-9772РотарьО. П.RotarO. P.

Ротарь Оксана Петровна — доктор медицинских наук, главный научный сотрудник научно-исследовательской лаборатории эпидемиологии неинфекционных заболеваний Института сердца и сосудов.

Ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Oxana P. Rotar - MD, PhD, DSc, Head, Scientific Laboratory of Epidemiology of Non-communicable Diseases.

2 Akkuratov street, St Petersburg, 197341

rotari_oxana@mail.ruhttps://orcid.org/0000-0001-8169-7812КонрадиА. О.KonradiA. O.

Конради Александра Олеговна — доктор медицинских наук, профессор, член-корреспондент РАН, заведующая кафедрой организации управления и экономики здравоохранения, заместитель генерального директора по научной работе.

Ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Aleksandra O. Konradi - MD, PhD, DSc, Professor, corresponding member of the Russian Academy of Sciences Head,Head, Faculty Department of Healthcare Management and Economics, Deputy General Director on Research.

2 Akkuratov street, St Petersburg, 197341

konradi_ao@almazovcentre.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Минздрава РоссииРоссияAlmazov National Medical Research CentreRussian Federation202005052020262124132Copyright © Коростовцева Л.С., Ротарь О.П., Конради А.О., 20202020Коростовцева Л.С., Ротарь О.П., Конради А.О.Korostovtseva L.S., Rotar O.P., Konradi A.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/1937

Принимая во внимание число жертв новой коронавирусной инфекции, вызываемой вирусом SARS-CoV-2 (COVID-19), 11 марта 2020 года Всемирная организация здравоохранения объявила пандемию. За период с декабря 2019 года, когда в Китае был выявлен первый случай атипичной пневмонии, появились первые данные об особенностях течения инфекции у пациентов с различными заболеваниями. В частности, появились сообщения о большей подверженности инфекции лиц с сердечно-сосудистыми заболеваниями и, в частности, с артериальной гипертензией, и существенно более высоком риске развития неблагоприятных исходов у этой группы пациентов. Мы приводим анализ имеющихся на настоящий момент публикаций, касающихся коронавирусной инфекции у лиц с артериальной гипертензией. В статье затрагиваются вопросы рисков у больных артериальной гипертензией на фоне коронавирусной инфекции, в том числе связанных с антигипертензивной терапией (включая блокаторы ренин-ангиотензин-альдо-стероновой системы), и подходы к ведению таких пациентов.

Considering the number of patients affected by SARS-CoV-2, the World Health Organization declared a pandemic on 11 March 2020. A number of publications regarding the course of COVID-19 infection and its relation to comorbidities have appeared since December 2019, when the first cases of atypical pneumonia were diagnosed in China. There is evidence of the higher susceptibility and higher risk of unfavourable outcomes in comorbid patients, including those with hypertension. We summarize the available data on the association with the COVID-19 infection and arterial hypertension, and discuss potential risks, e.g. the risks and benefits of antihypertensive therapy (in particular, related to the blockers of renin-angiotensin-aldosterone system) and the management approaches.

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