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<article article-type="review-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">russjcardiol</journal-id><journal-title-group><journal-title xml:lang="ru">Российский кардиологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal of Cardiology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1560-4071</issn><issn pub-type="epub">2618-7620</issn><publisher><publisher-name>«SILICEA-POLIGRAF» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15829/1560-4071-2025-6096</article-id><article-id custom-type="edn" pub-id-type="custom">PJMOAU</article-id><article-id custom-type="elpub" pub-id-type="custom">russjcardiol-6096</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>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Нужны ли в клинической и научной практике индексы "нагрузки давлением" при его амбулаторном мониторировании: обзор предметного поля</article-title><trans-title-group xml:lang="en"><trans-title>Does clinical and scientific practice require blood pressure load indices from ambulatory monitoring: a scoping review</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2381-0351</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Посохов</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Posokhov</surname><given-names>I. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Игорь Николаевич Посохов — д. м. н., профессор кафедры терапии.</p><p>Москва</p></bio><bio xml:lang="en"><p>ScD, Professor of the Department of Therapy of Burnazyan Federal Medical Biophysical Center; Visiting professor of West Kazakhstan Marat Ospanov Medical University.</p><p>Moscow</p></bio><email xlink:type="simple">igor@posohov.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/0000-0002-9523-5966</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Праскурничий</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Praskurnichiy</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Евгений Аркадьевич Праскурничий — д. м. н., профессор, зав. кафедрой терапии.</p><p>Москва</p></bio><bio xml:lang="en"><p>ScD, Professor, Head of the Department of Therapy of Burnazyan Federal Medical Biophysical Center; Head of the Department of Therapy of Biomedicine Faculty of Pirogov Russian National Research Medical University.</p><p>Moscow</p></bio><email xlink:type="simple">praskurnichey@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/0000-0002-5165-1044</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Железняк</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Zheleznyak</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елена Ивановна Железняк — к. м. н., ассистент кафедры внутренних болезней № 2.</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>PhD, assistant. Department of Internal medicine N 2.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">mazhel@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0912-2568</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Карташова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kartashova</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елена Александровна Карташова — к. м. н., доцент кафедры внутренних болезней № 2.</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>PhD, assistant professor. Department of Internal medicine N 2.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">ea82kar@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ Государственный научный центр РФ — Федеральный медицинский биофизический центр им. Бурназяна ФМБА России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Burnazyan Federal Medical Biophysical Center</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО Ростовский государственный медицинский университет Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rostov State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>06</day><month>05</month><year>2025</year></pub-date><volume>30</volume><issue>6S</issue><issue-title>Обзоры литературы, мнения по проблеме</issue-title><fpage>6096</fpage><lpage>6096</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Посохов И.Н., Праскурничий Е.А., Железняк Е.И., Карташова Е.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Посохов И.Н., Праскурничий Е.А., Железняк Е.И., Карташова Е.А.</copyright-holder><copyright-holder xml:lang="en">Posokhov I.N., Praskurnichiy E.A., Zheleznyak E.I., Kartashova E.A.</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://russjcardiol.elpub.ru/jour/article/view/6096">https://russjcardiol.elpub.ru/jour/article/view/6096</self-uri><abstract><p>Целью обзора являлся поиск ответа на вопрос, есть ли необходимость в индексах "нагрузки давлением" (ИНД), получаемых при амбулаторном мониторировании артериального давления (АД), в клинической и научной практике.</p><p>Методом идентификации публикаций, подходящих для решения данного вопроса, был поиск в базах данных Pubmed, eLibrary, elpub и метод "снежного кома". Найдено 264 публикации. Затем исключались публикации, в которых термин "нагрузка давлением" находился вне контекста суточного мониторирования АД, обзоры и исследования с количеством наблюдений &lt;21. Всего отобрано 69 публикаций, которые классифицированы на исследования исходов, исследования поражений органов-мишеней и факторов риска, исследования в специальных группах и исследования эффективности вмешательств.</p><p>Анализ литературы показал, что нет исследований, методология которых обеспечила бы доказательство четкой дополнительной ценности ИНД по сравнению со средними показателями АД. Напротив, исследования с большой статистической мощностью, которые специально были направлены на изучаемый вопрос, показали отсутствие такой ценности в предсказании как исходов, так и поражений органов-мишеней в общих и специальных группах населения. Нет также доказательств того, что какое-либо вмешательство, которое было бы основано на целевых значениях ИНД, превосходит лечение, ориентирующееся на обычное АД. Исходя из результатов выполненного обзора, вычислять ИНД нет никакой необходимости, а при принятии клинических решений в рутинной практике следует ориентироваться только на обычные величины АД, и сопоставлять их с пороговыми, принятыми медицинскими научными обществами в клинических рекомендациях.</p></abstract><trans-abstract xml:lang="en"><p>The aim of this review was to answer the question of whether clinical and research practice require blood pressure load indices from ambulatory BP monitoring data.</p><p>To identify related publications, a search of Pubmed, eLibrary, elpub databases and snowball sampling were used. A total of 264 publications were found. Then, publications were excluded in which the term "blood pressure load" stayed out of the context of 24-hour BP monitoring, as well as reviews and studies with fewer than 21 observations. A total of 69 publications selected were classified as follows: outcome studies; studies on target organ damage and risk factors; studies in special groups; intervention studies.</p><p>The literature review showed that there are no studies with methodology provided evidence of a clear additional value of BP load compared to mean BP values. In contrast, studies with high statistical power specifically aimed at the question under study showed lack of predictive power of BP loads for either outcome or target organ damage in general and special populations. There is also no evidence that any intervention based on target BP loads is superior to treatment based on standard BP. The results of our review suggest that there is no need to calculate BP loads. Routine clinical decision-making should be based only on standard BP values compared with the thresholds adopted by medical scientific societies in clinical guidelines.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>артериальная гипертензия</kwd><kwd>суточное мониторирование артериального давления</kwd><kwd>нагрузка давлением</kwd></kwd-group><kwd-group xml:lang="en"><kwd>hypertension</kwd><kwd>24-hour blood pressure monitoring</kwd><kwd>pressure load</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">Посохов И. Н. К истории суточного мониторирования артериального давления. Клинический вестник ФМБЦ им. А. И. Бурназяна. 2023;4:62-5. doi:10.33266/2782-6430-2023-4-62-65.</mixed-citation><mixed-citation xml:lang="en">Posokhov IN. On the history of 24-hour blood pressure monitoring. A. I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2023.4:62-5. 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