European guidelines on the diagnostics, management and prevention of arterial hypertension 2018: opinion of the members of the Russian Society of cardiology
D. V. Nebieridze,
L. I. Gapon,
O. P. Rotar,
A. S. Alieva,
L. S. Korostovtseva,
N. E. Zvartau,
Yu. V. Sviryaev,
N. G. Avdonina,
I. V. Emelyanov,
E. A. Medvedeva,
D. V. Duplyakov,
A. V. Barsukov,
E. V. Karelkina,
A. M. Moiseeva,
R. A. Libis,
V. N. Khirmanov https://doi.org/10.18705/1607-419X-2018-24-6-602-622
Abstract
In 2018, at the annual congresses of the European Society of Hypertension and European Society of Cardiology, the updated guidelines on the diagnostics, management and prevention of arterial hypertension were announced, followed by their publication in the European Heart Journal. The guidelines present a comprehensive overview on the definition and classification of arterial hypertension, approaches to the blood pressure measurement, assessment of the target organ damage, special patient subgroups and other issues. Despite a detailed analysis of various issues of the diagnostics and treatment of hypertension, some of the statements appear to be disputable and raise discussion among specialists in hypertension field. The diagnostic criteria, threshold and target blood pressure levels are the most debatable issues involving comparisons with the guidelines of the American Heart Association (2017). This paper gathers a number of comments on the less discussed questions of the diagnostics, treatment and prevention of hypertension. This collection of letters of the specialists, members of the Russian Society of Cardiology includes both personal expert opinions and well-known facts, reflects the controversy of the available evidence and indicates the blanks and gaps in hypertensiology giving perspective for potential future studies.
About the Authors
D. V. Nebieridze
National Medical Research Centre for Preventive Medicine.
Russian Federation
David V. Nebieridze, MD, PhD, DSc, Professor, Head, Department for Prevention of Metabolic Disorders.
Russian Federation
David V. Nebieridze, MD, PhD, DSc, Professor, Head, Department for Prevention of Metabolic Disorders.
L. I. Gapon
Tyumen Cardiology Research Center.
Russian Federation
Lyudmila I. Gapon, MD, PhD, DSc, Professor, Meritorious Scientist of the Russian Federation, Head, Department for Clinical Cardiology, Department for Hypertension and Coronary Heart Disease.
Russian Federation
Lyudmila I. Gapon, MD, PhD, DSc, Professor, Meritorious Scientist of the Russian Federation, Head, Department for Clinical Cardiology, Department for Hypertension and Coronary Heart Disease.
O. P. Rotar
Almazov National Medical Research Centre.
Russian Federation
Oxana P. Rotar, MD, PhD, DSc, Head, Research Laboratory for Epidemiology of Non-communicable Diseases.
Russian Federation
Oxana P. Rotar, MD, PhD, DSc, Head, Research Laboratory for Epidemiology of Non-communicable Diseases.
A. S. Alieva
Almazov National Medical Research Centre.
Russian Federation
Asiyat S. Alieva, MD, PhD, Head, Centre for Lipid Disorders.
Russian Federation
Asiyat S. Alieva, MD, PhD, Head, Centre for Lipid Disorders.
L. S. Korostovtseva
Almazov National Medical Research Centre.
Russian Federation
Lyudmila S. Korostovtseva, MD, PhD, Researcher, Somnology Laboratory, Research Department for Hypertension, Institute of the Heart and Vessels, Associate Professor, Cardiology Department.
Russian Federation
Lyudmila S. Korostovtseva, MD, PhD, Researcher, Somnology Laboratory, Research Department for Hypertension, Institute of the Heart and Vessels, Associate Professor, Cardiology Department.
N. E. Zvartau
Almazov National Medical Research Centre.
Russian Federation
Nadezhda E. Zvartau, MD, PhD, Head, Organizational-methodological Department on Cardiology and Angiology; Head, Organizational-methodological Department on Cardiology and Angiology.
Russian Federation
Nadezhda E. Zvartau, MD, PhD, Head, Organizational-methodological Department on Cardiology and Angiology; Head, Organizational-methodological Department on Cardiology and Angiology.
Yu. V. Sviryaev
Almazov National Medical Research Centre.
Russian Federation
Russian Federation
Yurii V. Sviryaev, MD, PhD, DSc, Head, Somnology Laboratory, Research Department for Hypertension, Institute of
the Heart and Vessels.
N. G. Avdonina
Almazov National Medical Research Centre.
Russian Federation
Natalia G. Avdonina, Researcher Research Department for Hypertension, Department Institute of the Heart and Vessels, Head, Telemedicine Department.
Russian Federation
Natalia G. Avdonina, Researcher Research Department for Hypertension, Department Institute of the Heart and Vessels, Head, Telemedicine Department.
I. V. Emelyanov
Almazov National Medical Research Centre.
Igor V. Emelyanov, MD, PhD, Senior Researcher, Research Department for Hypertension, Institute of the Heart and Vessels.
Igor V. Emelyanov, MD, PhD, Senior Researcher, Research Department for Hypertension, Institute of the Heart and Vessels.
E. A. Medvedeva
Almazov National Medical Research Centre.
Elena A. Medvedeva, MD, PhD, Associate Professor, Cardiology Department.
Elena A. Medvedeva, MD, PhD, Associate Professor, Cardiology Department.
D. V. Duplyakov
Samara Regional Clinical Cardiology Hospital.
Dmitry V. Duplyakov, MD, PhD, DSc, Deputy Head Doctor on Clinic.
Dmitry V. Duplyakov, MD, PhD, DSc, Deputy Head Doctor on Clinic.
A. V. Barsukov
Kirov Military Medical Academy.
Anton V. Barsukov, MD, PhD, DSc, Professor, Deputy Chief, Department for Internal Diseases.
Anton V. Barsukov, MD, PhD, DSc, Professor, Deputy Chief, Department for Internal Diseases.
E. V. Karelkina
Almazov National Medical Research Centre.
Elena V. Karelkina, MD, Researcher, Research Laboratory for Cardiomypathies.
Elena V. Karelkina, MD, Researcher, Research Laboratory for Cardiomypathies.
A. M. Moiseeva
Almazov National Medical Research Centre.
Olga M. Moiseeva, MD, PhD, DSc, Director, Institute of the Heart andVessels, Leading Researcher, Research Department for Non-Coronary Heart Diseases.
Olga M. Moiseeva, MD, PhD, DSc, Director, Institute of the Heart andVessels, Leading Researcher, Research Department for Non-Coronary Heart Diseases.
R. A. Libis
The Orenburg State Medical University.
Roman A. Libis, MD, PhD, DSc, Professor, Head, Department for Internal Diseases.
Roman A. Libis, MD, PhD, DSc, Professor, Head, Department for Internal Diseases.
V. N. Khirmanov
Nikiforov All-Russian Centre for Emergency and Radiation Medicine.
Vladimir N. Khirmanov, MD, PhD, DSc, Professor, Head, Department for Cardiovascular Pathology, Nikiforov All-Russian Centre for Emergency and Radiation Medicine.
Vladimir N. Khirmanov, MD, PhD, DSc, Professor, Head, Department for Cardiovascular Pathology, Nikiforov All-Russian Centre for Emergency and Radiation Medicine.
Review
For citations:
Nebieridze D.V., Gapon L.I., Rotar O.P., Alieva A.S., Korostovtseva L.S., Zvartau N.E., Sviryaev Yu.V., Avdonina N.G., Emelyanov I.V., Medvedeva E.A., Duplyakov D.V., Barsukov A.V., Karelkina E.V., Moiseeva A.M., Libis R.A., Khirmanov V.N. European guidelines on the diagnostics, management and prevention of arterial hypertension 2018: opinion of the members of the Russian Society of cardiology. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2018;24(6):602-622. (In Russ.) https://doi.org/10.18705/1607-419X-2018-24-6-602-622
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