Минеральные и костные нарушения при хронической сердечной недостаточности

У многих пациентов с ХСН имеется сопутствующая хроническая болезнь почек (ХБП). Практически у всех больных с терминальной ХБП и у многих пациентов на ранних стадиях ХБП появляются различные нарушения минерального и костного обмена (МКН), связанные с общей летальностью и высоким риском развития сердечно-сосудистых осложнений. В этом обзоре рассматриваются имеющиеся в настоящее время данные о нарушениях минерального и костного обмена у больных ХСН, в том числе гипокальциемии, гиперфосфатемии, дефиците /недостаточности витамина D, вторичном гиперпаратиреозе, изменениях уровней FGF23, Klotho, остеопорозе, остеопении, их клиническом и прогностическом значении, возможностях их коррекции.

хроническая сердечная недостаточность, хроническая болезнь почек, минеральные и костные нарушения, гиперфосфатемия, гиперпаратиреоз, недостаточность витамина D, остеопороз, кальцификация, FGF23, Клото, chronic heart failure, chronic kidney disease, mineral and bone disorders in chronic heart failure, hyperphosphatemia, hyperparathyroidism, vitamin B deficiency, osteoporosis, calcification, FGF23, Klotho

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