geriatrРоссийский журнал гериатрической медициныRussian Journal of Geriatric Medicine2686-86362686-8709Сайт издателя10.37586/2686-8636-1-2023-14-28geriatr-330Research ArticleЭКСПЕРТНОЕ МНЕНИЕEXPERT OPINIONПрофилактика падений у пациентов пожилого и старческого возраста с сердечно-сосудистыми заболеваниямиPrevention of falls in the elderly and senile patients with cardiovascular diseaseshttps://orcid.org/0000-0002-4193-688XТкачеваО. Н.TkachevaO. N.

Ткачева Ольга Николаевна, член-корреспондент РАН,д-р мед. наук, профессор, директор

телефон: +7(499)187-64-67

Москва

Tkacheva Olga N., MD, PhD, professor, correspondingmember of the Russian Academy of Sciences, DirectorMoscow

tkacheva@rgnkc.ruhttps://orcid.org/0000-0002-1628-5093КотовскаяЮ. В.KotovskayaYu. V.

Котовская Юлия Викторовна, д-р мед. наук, профессор, заместитель директора по научной работе

Москва

Kotovskaya Yulia V., MD, PhD, professor, Deputy Director

Moscow

kotovskaya_yv@rgnkc.ruhttps://orcid.org/0000-0003-0048-268XЕруслановаК. А.EruslanovaK. A.

Ерусланова Ксения Алексеевна, канд. мед. наук, заведующая лабораторией сердечно-сосудистого старения

Москва

Eruslanova Ksenia A., MD, PhD, Head of  Laboratory of  Cardiovascular Aging

Moscow

Eruslanova_KA@rgnkc.ruhttps://orcid.org/0000-0002-4497-1277АлимоваЕ. Р.AlimovaE. R.

Алимова Екатерина Ринатовна, врач-кардиолог, младший научный сотрудник лаборатории сердечно-сосудистого старения

Москва

Alimova Ekaterina R., MD, cardiologist, junior researcher, Laboratory of  Cardiovascular Aging

Moscow

atka22@rambler.ruhttps://orcid.org/0000-0001-5272-0454РунихинаН. К.RunikhinaN. K.

Рунихина Надежда Константиновна, д-р мед. наук, заместитель директора по гериатрической работе

Москва

Runikhina Nadezhda K., MD, PhD, professor, Deputy Director

Moscow

nkrunihina@rgnkc.ruhttps://orcid.org/0000-0002-6253-621XНаумовА. В.NaumovA. V.

Наумов Антон Вячеславович, д-р мед. наук, профессор кафедры болезней старения, зав. лабораторией заболеваний костно-мышечной системы 

Москва

Naumov Anton V., MD, PhD, Head of Bone and Muscular Diseases Laboratory

Moscow

naumov_av@rgnkc.ruhttps://orcid.org/0000-0002-5569-5175ФроловаЕ. В.FrolovaE. V.

Фролова Елена Владимировна, д-р мед. наук, профессор кафедры семейной медицины

 Санкт-Петербург

Frolova Elena V., MD, PhD, professor, Department of Family Medicine

Saint Petersburg

efrolovamd@yandex.ruФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центрРоссияPirogov National Research Medical University, Russian Gerontology Research and Clinical CentreRussian FederationФГБОУ ВО «Северо-Западный государственный медицинский университет имени И.И. Мечникова» Минздрава РоссииРоссияThe North-Western State Medical University named after I.I. MechnikovRussian Federation202305042023011428Copyright © Ткачева О.Н., Котовская Ю.В., Ерусланова К.А., Алимова Е.Р., Рунихина Н.К., Наумов А.В., Фролова Е.В., 20232023Ткачева О.Н., Котовская Ю.В., Ерусланова К.А., Алимова Е.Р., Рунихина Н.К., Наумов А.В., Фролова Е.В.Tkacheva O.N., Kotovskaya Y.V., Eruslanova K.A., Alimova E.R., Runikhina N.K., Naumov A.V., Frolova E.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.geriatr-news.com/jour/article/view/330

Падение — происшествие, при котором человек внезапно оказывается на земле или на другой низкой поверхности, за  исключением случаев, являющихся следствием нанесенного удара, потери сознания, внезапного паралича или эпилептического припадка [1]. Падения и  страх падения являются серьезными проблемами для здоровья, что в свою очередь связано с высоким уровнем травматизма, негативным влиянием на качество жизни и высоким уровнем затрат на медицинскую помощь. Пациенты пожилого и старческого возраста с сердечнососудистыми заболеваниями (ССЗ) имеют высокий риск падения. Однако распространенность падений и риски падений недостаточно изучены и недооцениваются врачами и самими пациентами в клинической практике. Повышенный риск падения ассоциирован с  различными факторами, например приемом лекарственных средств, структурными заболеваниями сердца, ортостатической гипотензией и аритмиями, а также с нарушением походки и равновесия, физической слабостью, нарушениями чувствительности. Эти риски особенно важно учитывать в связи с растущим числом пожилых людей с сердечно-сосудистыми заболеваниями. Все врачи, которые участвуют в лечении пациентов с ССЗ, должны уделять внимание оценке, профилактике и лечению падений у взрослых с сердечными заболеваниями, а также лечению сердечно-сосудистых заболеваний у пациентов, подверженных риску падений.

A fall is defined as an event, which results in a person coming to rest inadvertently on the ground or floor or other lower level, except in cases, which are the result of a blow, loss of consciousness, sudden paralysis or an epilepsy [1]. Falls and fear of falling cause serious health problems, which, in turn are associated with high injury rate, high medical costs and a negative impact on quality of life. Older and senile patients with cardiovascular disease (CVD) are at high risk of falling. However, in clinical practice, the prevalence of falls and the risks of falls are not well understood and underestimated by physicians and patients themselves. An increased risk of falling is associated with various factors, such as drugs, structural heart disease, orthostatic hypotension and arrhythmias, as well as gait and balance disorders, physical weakness, sensory disturbances. These risks are especially important with the growing number of older people with cardiovascular disease. All physicians involved in  the care of  patients with CVD should pay attention to  the assessment, prevention and treatment of falls in adults with heart disease, and the treatment of cardiovascular disease in patients at risk of falls.

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The authors declare that there are no conflicts of interest present.