Al.B. Danilov
Sechenov First Moscow State Medical University (Sechenov University)
E.N. Dudinskaya
Russian Clinical and Research Center of Gerontology — Pirogov Russian National Research Medical University
A.V. Rozanov
Russian Clinical and Research Center of Gerontology — Pirogov Russian National Research Medical University
Influence of chronic pain in osteoarthritis on the risk of cardiovascular diseases and modern methods of drug prevention
Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2023;123(5): 20‑30
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To cite this article:
Sarvilina IV, Danilov AlB, Tkacheva ON, Gromova OA, Solovieva EYu, Dudinskaya EN, Rozanov AV, Kartashova EA. Influence of chronic pain in osteoarthritis on the risk of cardiovascular diseases and modern methods of drug prevention. S.S. Korsakov Journal of Neurology and Psychiatry.
2023;123(5):20‑30. (In Russ.)
https://doi.org/10.17116/jnevro202312305120
The purpose of the review of scientific medical literature was to evaluate the data of the epidemiology of osteoarthritis (OA) and cardiovascular diseases (CVD) with the analysis of risk factors, pathophysiological and pathobiochemical mechanisms of the relationship between OA and the risk of developing CVD in the presence of chronic pain, modern strategies for screening and management of this cohort of patients, the mechanism of action and pharmacological effects of chondroitin sulfate (CS). Conclusions were drawn about the need for additional clinical and observational studies of the efficacy and safety of the parenteral form of CS (Chondroguard) in patients with chronic pain in OA and CVD, improvement of clinical recommendations for the treatment of chronic pain in patients with OA and cardiovascular risk, with special attention to interventions that eliminate mobility restrictions in patients and the inclusion of basic and adjuvant therapy with DMOADs to achieve the goals of multipurpose monotherapy in patients with contraindications to standard therapy drugs.
Keywords:
Authors:
Al.B. Danilov
Sechenov First Moscow State Medical University (Sechenov University)
E.N. Dudinskaya
Russian Clinical and Research Center of Gerontology — Pirogov Russian National Research Medical University
A.V. Rozanov
Russian Clinical and Research Center of Gerontology — Pirogov Russian National Research Medical University
Received:
03.05.2023
Accepted:
11.05.2023
List of references:
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