Вторичная профилактика ишемической болезни сердца и ингибиторы PCSK9
DOI: https://dx.doi.org/10.18565/therapy.2021.2.105-111
А.А. Кузнецов, Г.С. Маль
1) ГБУЗ МО «Московская областная больница им. проф. Розанова В.Н.», Московская область, г. Пушкино;
2) ФГБОУ ВО «Курский государственный медицинский университет» Минздрава России
Аннотация. Ишемическая болезнь сердца (ИБС) на протяжении многих лет является основной причиной смертности населения во всем мире. Длительное время ведущим методом вторичной профилактики гиперхолестеринемии служило применение ингибиторов синтеза холестерина в печени – статинов. Однако только 70% пациентов достигали целевого уровня атерогенных липидов на фоне их приема, поэтому долгие годы проводился поиск новых более эффективных гиполипидемических препаратов. В 2015 г. впервые были одобрены для клинического применения ингибиторы плазменного белка PCSK9, применение которых позволяет достичь целевой уровень липидных показателей более чем у 90% пациентов
Ключевые слова: ингибиторы PCSK9, ишемическая болезнь сердца, атеросклероз, алирокумаб, эвалокумаб
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Об авторах / Для корреспонденции
Андрей Александрович Кузнецов, врач-кардиолог ГБУЗ МО «Московская областная больница им. проф. Розанова В.Н.». Адрес: 141206, Московская область, г. Пушкино, ул. Авиационная, д. 35. Тел.: 8 (977) 684-27-15. E-mail: dr.cardiologist.kuznetsov@yandex.ru
Галина Сергеевна Маль, д.м.н., профессор, зав. кафедрой фармакологии ФГБОУ ВО «Курский государственный медицинский университет» Минздрава России. Адрес: 305003, г. Курск, ул. К. Маркса, д. 3. Тел.: 8 (960) 676-16-98. E-mail: mgalina.2013@mail.ru