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<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2687-0940</journal-id><journal-title-group><journal-title>Challenges in modern medicine</journal-title></journal-title-group><issn pub-type="epub">2687-0940</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.52575/2687-0940-2025-48-4-443-456</article-id><article-id pub-id-type="publisher-id">263</article-id><article-categories><subj-group subj-group-type="heading"><subject>INTERNAL DISEASES</subject></subj-group></article-categories><title-group><article-title>&lt;strong&gt;Clinical Manifestations of Post-COVID Syndrome and the Role of Genes in their Development in Patients with Arterial Hypertension and Obesity&lt;/strong&gt;</article-title><trans-title-group xml:lang="en"><trans-title>&lt;strong&gt;Clinical Manifestations of Post-COVID Syndrome and the Role of Genes in their Development in Patients with Arterial Hypertension and Obesity&lt;/strong&gt;</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Osipov</surname><given-names>Alexander V.</given-names></name><name xml:lang="en"><surname>Osipov</surname><given-names>Alexander V.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Efremova</surname><given-names>Olga A.</given-names></name><name xml:lang="en"><surname>Efremova</surname><given-names>Olga A.</given-names></name></name-alternatives><email>efremova@bsu.edu.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Kamyshnikova</surname><given-names>Lyudmila A.</given-names></name><name xml:lang="en"><surname>Kamyshnikova</surname><given-names>Lyudmila A.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Fentisov</surname><given-names>Vitaly V.</given-names></name><name xml:lang="en"><surname>Fentisov</surname><given-names>Vitaly V.</given-names></name></name-alternatives><email>fentisov@bsuedu.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Payudis</surname><given-names>Alexey N.</given-names></name><name xml:lang="en"><surname>Payudis</surname><given-names>Alexey N.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Pavlova</surname><given-names>Yulia S.</given-names></name><name xml:lang="en"><surname>Pavlova</surname><given-names>Yulia S.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Semikina</surname><given-names>Maria V.</given-names></name><name xml:lang="en"><surname>Semikina</surname><given-names>Maria V.</given-names></name></name-alternatives></contrib></contrib-group><pub-date pub-type="epub"><year>2025</year></pub-date><volume>48</volume><issue>4</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2025/4/АПМ_2025_Том_48__4_443-456.pdf" /><abstract xml:lang="ru"><p>Though arterial hypertension (AH) and obesity (O) exacerbate the course of acute respiratory syndrome coronavirus 2 (SARS-CoV-2), their contribution to the development of post-COVID syndrome has been insufficiently studied. The aim of this review was to explore published scientific data with a view to identifying clinical syndromes and symptoms, as well as genes and their polymorphisms, underlying post-COVID syndrome in patients with AH and O. Materials and methods. A search for and evaluation of bibliographic databases (Pubmed, Scopus, Google Scholar, eLibrary.ru) for the past 5 years of observations was conducted, reflecting both the main complaints of patients with post-COVID syndrome and the current understanding of the influence produced by gene polymorphisms on the development of post-COVID syndrome in patients with AH and O. Based on the results, the main clinical syndromes and symptoms in patients with AH and O were identified, and their development mechanisms were proposed. Genes responsible for the course of long COVID in patients with AH and O include АроЕ- ꜫ4, АСЕ2, F2 и F5, AGT, AHSG, TNF. Therefore, studying the functional effects of the identified gene polymorphisms and their contribution to the development and maintenance of the main syndromes of post-COVID syndrome in patients with AH and O will help prevent the development of post-COVID syndrome and implement various preventive strategies and therapeutic approaches.</p></abstract><trans-abstract xml:lang="en"><p>Though arterial hypertension (AH) and obesity (O) exacerbate the course of acute respiratory syndrome coronavirus 2 (SARS-CoV-2), their contribution to the development of post-COVID syndrome has been insufficiently studied. The aim of this review was to explore published scientific data with a view to identifying clinical syndromes and symptoms, as well as genes and their polymorphisms, underlying post-COVID syndrome in patients with AH and O. Materials and methods. A search for and evaluation of bibliographic databases (Pubmed, Scopus, Google Scholar, eLibrary.ru) for the past 5 years of observations was conducted, reflecting both the main complaints of patients with post-COVID syndrome and the current understanding of the influence produced by gene polymorphisms on the development of post-COVID syndrome in patients with AH and O. Based on the results, the main clinical syndromes and symptoms in patients with AH and O were identified, and their development mechanisms were proposed. Genes responsible for the course of long COVID in patients with AH and O include АроЕ- ꜫ4, АСЕ2, F2 и F5, AGT, AHSG, TNF. Therefore, studying the functional effects of the identified gene polymorphisms and their contribution to the development and maintenance of the main syndromes of post-COVID syndrome in patients with AH and O will help prevent the development of post-COVID syndrome and implement various preventive strategies and therapeutic approaches.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>COVID-19</kwd><kwd>post-COVID syndrome</kwd><kwd>arterial hypertension</kwd><kwd>obesity</kwd><kwd>comorbidity</kwd><kwd>gene polymorphism</kwd><kwd>genetics</kwd><kwd>single nucleotide polymorphism</kwd></kwd-group><kwd-group xml:lang="en"><kwd>COVID-19</kwd><kwd>post-COVID syndrome</kwd><kwd>arterial hypertension</kwd><kwd>obesity</kwd><kwd>comorbidity</kwd><kwd>gene polymorphism</kwd><kwd>genetics</kwd><kwd>single nucleotide polymorphism</kwd></kwd-group></article-meta></front><back><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Abdulghani Sh., Efremova O.A., Chernobai P.E. 2021. 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