Консенсус по ведению пациентов с гиперурикемией и высоким сердечно-сосудистым риском: 2022

Со времени выхода первого консенсуса по ведению пациентов с гиперурикемией и высоким сердечно-сосудистым риском прошло 3 года. За это время появились новые данные, которые подтверждают важность контроля мочевой кислоты как фактора риска сердечно-сосудистых осложнений и позволяют оптимизировать алгоритм ведения таких пациентов. Исследования, проведенные после выхода первого консенсуса, позволили определить новые пороговые значения гиперурикемии в отношении сердечно-сосудистого риска. Настоящий консенсус регламентирует назначение уратснижающей терапии в зависимости от тяжести выявленной гиперурикемии. Однако несмотря на то, что большая совокупность данных демонстрирует положительное влияние уратснижающей терапии на сердечно-сосудистый прогноз, есть необходимость в дополнительных доказательствах в поддержку лечения бессимптомной гиперурикемии.

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