arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2020-26-2-133-145arthyper-1945Research ArticleСтатьиArticlesСосудистое старение в концепциях EVA и SUPERNOVA: непрерывный поиск повреждающих и протективных факторовEVA and SUPERNOVA concepts of vascular aging: ongoing research on damaging and protective risk factorshttps://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. Тел.: 8(812)702-37-56

Oxana Petrovna Rotar -MD, PhD, DSc, Head, Scientific Laboratory Epidemiology of Non-Communicable Diseases.

2 Akkuratov street, St Petersburg, 197341, Phone: 8(812)702-37-56

rotari_oxana@mail.ruhttps://orcid.org/0000-0002-2083-0947ТолкуноваК. М.TolkunovaK. M.

Толкунова Кристина Михайловна—клинический ординатор Института сердца и сосудов.

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

Kristina Mikhailovna Tolkunova - MD, Postgraduate Student.

2 Akkuratov street, St Petersburg, 197341

Kristimix@yandex.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииAlmazov National Medical Research Centre202005052020262133145Copyright © Ротарь О.П., Толкунова К.М., 20202020Ротарь О.П., Толкунова К.М.Rotar O.P., Tolkunova K.M.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/1945

В вопросах профилактики кардиометаболических заболеваний мы чаще всего опираемся на понятия риска и болезни, а не возможности сохранения здоровья. Концепция «сосудистого возраста» разработана для оценки биологического состояния артерий и выражения сердечно-сосудистого риска в годах для лучшего понимания врачом и пациентом. Преждевременное старение сосудов (на английском early vascular aging (EVA) синдром) изучается более 10 лет в рамках определения оптимальных критериев диагностики и терапевтических подходов лечения. В 2019 году ведущие эксперты в области изучения сосудистой жесткости предложили противоположную концепцию супернормального сосудистого старения (SUPERNOVA), при которой у пациентов наблюдаются чрезвычайно низкие показатели сосудистой жесткости для их возраста и пола. В настоящем обзоре обсуждаются новые данные о факторах, которые ускоряют или замедляют сосудистое старение.

Regarding prevention of cardiometabolic diseases, we often rely on the concepts of risk and disease, rather than the possibility of prevention. The concept of “vascular age” is developed to assess the biological state of arteries and to present cardiovascular risk in years for better understanding by the doctor and patient. Early vascular aging (EVA) syndrome has been studied for more than 10 years to determine the optimal diagnostic criteria and treatment approaches. In 2019, leading experts in the area of vascular stiffness suggested the opposite concept of supernomal vascular aging (SUPERNOVA), in which patients have extremely low vascular stiffness rates for their age and gender. This review discusses new data about factors that accelerate or slow vascular aging.

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