PROBLEMS AND PROSPECTS OF OPTIMAL MANAGEMENT OF ARTERIAL HYPERTENSION IN PATIENTS WITH ACUTE CORONARY SYNDROME AND MYOCARDIAL INFARCTION

Abstract

SUMMARY. Arterial hypertension (AH) is one of the main risk factors for acute coronary syndrome (ACS) and myocardial infarction (MI). From a clinical perspective, blood pressure (BP) should be closely monitored in patients with acute coronary syndrome for many reasons, primarily to prevent further target organ damage and complications. However, there is currently no single point of view regarding the target BP levels in certain categories of patients in different phases of recovery treatment of myocardial infarction. Hypertension in the anamnesis of patients with myocardial infarction is most associated with a worse prognosis. In contrast, some studies have suggested that increased systolic blood pressure in the acute phase of MI has a compensatory and protective effect and is associated with lower 1-year mortality from coronary occlusion. Therefore, the search for optimal programs for the management of arterial hypertension in patients with acute coronary syndrome and myocardial infarction is currently an urgent and promising task.