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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">kurskvest</journal-id><journal-title-group><journal-title xml:lang="ru">Человек и его здоровье</journal-title><trans-title-group xml:lang="en"><trans-title>Humans and their health</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1998-5746</issn><issn pub-type="epub">1998-5754</issn><publisher><publisher-name>Kursk State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">kurskvest-1102</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>Уровень матриксной металлопротеиназы 12 типа в крови больных артериальной гипертонией с высоким сердечно-сосудистым риском на фоне терапии статинами</article-title><trans-title-group xml:lang="en"><trans-title></trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5398-9727</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Михин</surname><given-names>Вадим Петрович</given-names></name></name-alternatives><bio xml:lang="ru"><p>д-р мед. наук, профессор, зав. кафедрой внутренних болезней №2, КГМУ, г.Курск</p></bio><email xlink:type="simple">mikinvp@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5715-4452</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воротынцева</surname><given-names>Валерия Вадимовна</given-names></name></name-alternatives><bio xml:lang="ru"><p>аспирант кафедры внутренних болезней №2, КГМУ, г.Курск</p></bio><email xlink:type="simple">leravorotyntseva@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7987-9000</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Николенко</surname><given-names>Тамара Александровна</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук, доцент кафедры внутренних болезней №2, КГМУ, г.Курск</p></bio><email xlink:type="simple">tomik7@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4609-5191</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Савельева</surname><given-names>Валентина Владимировна</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук, доцент кафедры внутренних болезней №2, КГМУ, г.Курск</p></bio><email xlink:type="simple">sav923@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0691-6357</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чернятина</surname><given-names>Марина Александровна</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук, доцент, доцент кафедры внутренних болезней №2, КГМУ, г.Курск</p></bio><email xlink:type="simple">mchernyatina@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0107-6707</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Громнацкий</surname><given-names>Николай Ильич</given-names></name></name-alternatives><bio xml:lang="ru"><p>д-р мед. наук, профессор кафедры внутренних болезней № 2, КГМУ, г. Курск</p></bio><email xlink:type="simple">gromnackijni@kursksmu.net</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Курский государственный медицинский университет (КГМУ)</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2022</year></pub-date><volume>25</volume><issue>4</issue><fpage>28</fpage><lpage>35</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Михин В.П., Воротынцева В.В., Николенко Т.А., Савельева В.В., Чернятина М.А., Громнацкий Н.И., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Михин В.П., Воротынцева В.В., Николенко Т.А., Савельева В.В., Чернятина М.А., Громнацкий Н.И.</copyright-holder><copyright-holder xml:lang="en">Михин В.П., Воротынцева В.В., Николенко Т.А., Савельева В.В., Чернятина М.А., Громнацкий Н.И.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.kursk-vestnik.ru/jour/article/view/1102">https://www.kursk-vestnik.ru/jour/article/view/1102</self-uri><abstract><p>Цель работы: оценить особенности изменения содержания металлопротеи-назы-12 (ММР-12) в сыворотке крови у больных артериальной гипертонией (АГ) с высоким сердечно-сосудистым риском (ССР) на фоне терапии аторвастатином (20 мг/сут) либо розувастатином (10 мг/сут; 20 мг/сут; 40 мг/сут) в составе комплексной терапии. Материалы и методы. В исследование включено 140 больных АГ II стадии, с частично контролируемым АД, продолжительность болезни 5 - 12 лет, которые на фоне гипотензивной терапии (эналаприл 20-40 мг/сут, индапамид ретард 1,5 мг/сут, метопролол 100-150 мг/сут) получали аторвастатин (Липримар) 20 мг/сут в течение 1 года, в последующем он был заменен на розувастатин (Розукард)10, 20, 40 мг/сут. Дозовый режим определялся достижением целевого уровня холестерина липопротеидов низкой плотности (ХС ЛПНП) и холестерина (ХС). Результаты. На фоне терапии аторвастатином в каждой из трех групп со-держание ММР-12 не изменилось. В группе пациентов, принимавших ро-зувастатин 10 мг/сут, в течение 18 мес. содержание ММП-12 не изменялось В группе пациентов, принимавших розувастин 20 мг/сут снижение ММП-12 наблюдалось лишь к 12 мес. терапии - на 26,8%, к 18 месяцам - на 30,4% (p&lt;0,05) При приеме розуваститна 40 мг/сут снижение ММР-12 наблюдалось уже к 6 мес на 24,1%, к 12 месяцам - на 35,3%, к 18 месяцам - на 37,1% (p&lt;0,05). Заключение. У пациентов с АГ с высоким ССР розувастатин в составе комплексной терапии оказывал неоднозначное влияние на содержание в крови ММР-12, наибольшее снижение уровня ММР-12 регистрировалось при приеме 40 мг/сут розувастатина.</p></abstract><kwd-group xml:lang="ru"><kwd>артериальная гипертония</kwd><kwd>сердечно-сосудистый риск</kwd><kwd>статины</kwd><kwd>матриксные металлопротеиназы</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Ткачева О.Н., Шарашкина Н.В., Барабашкина А.В., Новикова И.М., Мишина И.Е. 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