Modern Approaches To The Treatment Of Cardiovascular Diseases, A Systematic Review Of Clinical Recommendations And Practices

Abstract

The article is devoted to a systematic review of modern approaches to drug and non-drug therapy of cardiovascular diseases based on current clinical recommendations and data on real clinical practice in the Russian Federation.

The consistency of national recommendations with international documents is analyzed, as well as the specifics of their adaptation to Russian conditions. Special attention is paid to therapeutic strategies for arterial hypertension, coronary artery disease and chronic heart failure as the most common nosological forms.

It is shown that the national clinical guidelines approved by the Ministry of Health of the Russian Federation and the Russian Society of Cardiology generally reflect the concept of evidence-based medicine and the priority of early initiation of combination therapy, enhanced control of risk factors and widespread use of drugs with proven effects on prognosis. At the same time, evidence from actual practice studies indicates incomplete implementation of recommendations, continued underuse of certain classes of drugs, regional differences, and significant influence of organizational and socio-economic factors.

Based on an interdisciplinary analysis, the directions for improving the therapeutic therapy of cardiovascular diseases in the Russian Federation are formulated, including optimizing patient routing, increasing adherence to therapy, developing preferential drug provision programs and strengthening interaction between levels of medical care.