milmedВоенная медицинаMilitary Medicine2074-5044Белорусский государственный медицинский университет10.51922/2074-5044.2023.1.79milmed-232Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESАнтигипертензивная терапия у пациентов с сахарным диабетом в период пандемии COVID-19Correction of cardiovascular risk factors in patients with arterial hypertension and diabetes mellitus in a time of COVID-19 pandemicБоваА. А.BovaA. A.ГромоваЮ. М.GromovaY. M.МетельскийС. М.MetelskyS. M.Кафедра военно-полевой терапии Военно-медицинский институт в УО «Белорусский государственный медицинский университет»Belarus202325082026017986Copyright © Бова А.А., Громова Ю.М., Метельский С.М., 20262026Бова А.А., Громова Ю.М., Метельский С.М.Bova A.A., Gromova Y.M., Metelsky S.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://milmed.ejournal.by/jour/article/view/232

Артериальная гипертензия и сахарный диабет установленные большие факторы риска сердечно-сосудистых заболеваний, ассоциированных с атеросклерозом, являются одними из наиболее распространенных коморбидных состояний у пациентов с коронавирусной инфекцией. Каждая из патологий, а тем более их сочетание, увеличивает сердечно-сосудистый риск, а в случае инфицирования SARS-Cov-2 риск тяжелого течения инфекции и летального исхода. В статье рассмотрены механизмы взаимного отягощения коронавирусной инфекции, артериальной гипертензии и сахарного диабета, приведена новая концепция активации иммунной системы при гипертонии, рассмотрены современные подходы к антигипертензивной терапии у пациентов с сахарным диабетом.

Arterial hypertension and diabetes mellitus established large risk factors for cardiovascular diseases associated with atherosclerosis are among the most common comorbidities in patients with coronavirus infection. Each of the pathologies, and especially their combination increases the cardiovascular risk, and in case of SARS-Cov-2 infection, the risk of severe course of infection and mortality. The article discusses the mechanisms of mutual burden of coronavirus infection, arterial hypertension and diabetes mellitus, provides a new concept of activating the immune system in hypertension, considers modern approaches to antihypertensive therapy in patients with diabetes mellitus.

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