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[Problem of a comorbidity of arterial hypertension and acid-dependent diseases]
Insights
This review examines arterial hypertension (AH) and acid-dependent diseases (ADD), highlighting their shared risk factors, clinical presentations, and diagnostic challenges. It explores therapeutic strategies for managing concurrent AH and ADD, focusing on gastrointestinal health.
Area of Science:
- Internal Medicine
- Gastroenterology
- Cardiology
Context:
- Arterial hypertension (AH) and acid-dependent diseases (ADD) are highly prevalent conditions.
- Their co-occurrence presents unique clinical challenges and diagnostic complexities.
- Understanding the interplay between AH and ADD is crucial for effective patient management.
Purpose:
- To review the literature on the comorbidity of arterial hypertension and acid-dependent diseases.
- To analyze the prevalence, etiology, pathogenesis, and clinical features of these concurrent conditions.
- To discuss diagnostic difficulties and therapeutic approaches for patients with both AH and ADD.
Summary:
- The review synthesizes data on the shared etiological and pathogenetic factors of AH and ADD.
- It details the clinical, morphological, and hemodynamic characteristics of patients with concurrent AH and gastrointestinal diseases.
- Specific features of autonomic regulation, diurnal blood pressure, and central hemodynamics in this comorbidity are examined.
Impact:
- Provides insights into the complex relationship between hypertension and acid-related gastrointestinal disorders.
- Informs clinical practice regarding the diagnosis and management of patients with comorbid AH and ADD.
- Highlights the importance of considering gastrointestinal effects in antihypertensive therapy for patients with ADD.
Abstract:
The paper presents a concise literature review on the concomitant course of the most common nosological entities in the population, such as arterial hypertension (AH) and acid-dependent diseases (ADD). Data on the prevalence, commonness of etiological and pathogenetic factors, the specific features of a clinical course, and diagnostic difficulties are analyzed in persons with AH associated with ulcerative and gastrointestinal reflux diseases. The causes and consequences of these nosological entities are shown; their clinical, morphological, and hemodynamic features are covered. The results of investigations characterizing the specific features of autonomic regulation, diurnal blood pressure variations, and the central hemodynamics in the comorbidity of the diseases in question are given. The rational antihypertensive therapy of AH concurrent with ADD is presented in terms of their impact on gastrointestinal tract disease.
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