ARTERIAL STIFFNESS PARAMETERS IN PATIENTS WITH MODERATE/HIGH CARDIOVASCULAR RISK DURING LISINOPRIL AND SIMVASTATIN TREATMENT
https://doi.org/10.20996/1819-6446-2009-5-3-14-18
Abstract
Aim. To evaluate parameters of arterial stiffness by non-invasive arteriography in patients with moderate/high cardiovascular risk receiving lisinopril and simvastatin.
Material and methods. 20 patients (aged 50-55 y.o.) with arterial hypertension of the 1st degree and dislipidemia are included in the study. All patients had pulse wave velocity (PWV) ≥ 10 m/s and/or the corrected index of pulse wave augmentation (AI × 80) ≥ -10% according to non-invasive arteriography data; and moderate-high cardiovascular risk (≥ 3%). Patients received therapy with lisinopril and simvastatin. Blood pressure (BP) levels and lipid profiles were assessed before therapy and in 1, 2, 6 and 12 month of the observation. Non-invasive arteriography was performed before therapy and in 2, 6 and 12 months later.
Results. BP target levels were reached within 1 month of treatment as well as improvement of lipid profile was reached within 2 months in majority of the patients. Reference PWV and AI were reached in 85,7% of patients within one year of treatment.
Conclusion. Arterial stiffness parameters help to evaluate cardiovascular risk changes accurately as the results of treatment.About the Authors
V. N. IsakovaRussian Federation
Amursky bul. 57, Khabarovsk, 680021
ul. Muravyeva-Amurskogo 35, Khabarovsk, 680000
O. G. Garbuzova
Russian Federation
Amursky bul. 57, Khabarovsk, 680021
ul. Muravyeva-Amurskogo 35, Khabarovsk, 680000
E. V. Klinkova
Russian Federation
Amursky bul. 57, Khabarovsk, 680021
E. V. Bandurko
Russian Federation
Amursky bul. 57, Khabarovsk, 680021
References
1. Диагностика и лечение артериальной гипертензии. Рекомендации Российского медицинского общества по артериальной гипертонии и Всероссийского научного общества кардиологов. Кардиоваскулярная терапия и профилактика 2008;7(6 приложение 2):3-32.
2. Asmar R., Rudnichi A., Blacher J. et al. Pulse pressure and aortic pulse wave are markers of cardiovascular risk in hypertensive populations. Am J Hypertens 2001;14(2): 91-7.
3. van Popele N.M., Grobbee D.E., Bots M.L. et al. Association between arterial stiffness and atherosclerosis: the Rotterdam Study. Stroke 2001;32(2):454-60.
4. Mancia G., De Backer G., Dominiczak A., et al. 2007 Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2007;25:1105-87.
5. Wilkinson I.B., Prasad K., Hall I.R. et al. Increased central pulse pressure and augmentation index in subjects with hypercholesterolemia. J Am Coll Cardiol 2002; 39(6):1005-11.
6. Henri R.M., Kostence P.J., Spijkerman A.M., et al. Arterial stiffness increases with deteriorating glucose tolerance status: the Hoom Study. Circulation 2003;107(16):2089-95.
7. Erdogan D., Gullu H., Caliskan M. et al. Relationship of serum uric acid to measures of endothelial function and atherosclerosis in healthy adults. Int J Clin Pract 2005; 59(11):1276-82.
8. Илюхин О.В., Илюхина М.В., Калганова Е.Л. и др. Скорость распространения пульсовой волны в оценке эндотелиальной дисфункции у больных с хронической сердечной недостаточностью ишемической этиологии. Сердечная недостаточность 2005;6(1):16-8.
9. Cernes R., Zimlichman R., Shargorodsky M. Arterial elasticity in cardiovascular disease: focus on hypertension, metabolic syndrome and diabetes. Adv Cardiol 2008;45:65-81.
10. Laurent S., Katsahian S., Fassot C. et al. Aortic stiffness is an independent predictor of total stroke in essential hypertension. Stroke 2003; 34(5): 1203-1206.
11. Chirinos J.A., Zambrano J.P., Chakko S. et al. Aortic pressure augmentation predicts adverse cardiovascular events in patients with established coronary artery disease. Hypertension 2005;45(5):980-5.
12. Олейников В.Э., Матросова И.Б., Борисочева Н.В. Клиническое значение исследования ригидности артериальной стенки. Часть I. Кардиология 2009;(1);59-64.
13. Кочкина М.С., Затейщиков Д.А., Сидоренко Б.А. Измерение жесткости артерий и ее клиническое значение. Кардиология 2005;(1):63-71.
14. Орлова А.Я., Агеев Ф.Т. Жесткость артерий как интегральный показатель сердечно – сосудистого риска: физиология, методы оценки и медикаментозной коррекции. Сердце 2006;2(26); 65-69.
15. Laurent S., Cockcroft J., Van Bortel L. et al. Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 2006;27(21):2588–605.
16. McEniery C.M., Yasmin, Hall I.R. et al. Normal vascular aging: differential effects on wave reflection and aortic pulse wave velocity: the Anglo-Cardiff Collaborative Trial (ACCT). J Am Coll Cardiol 2005;46(9):1753-60.
17. Boutouyrie P., Tropeano A.I., Asmar R. et al. Aortic stiffness is an independent predictor of primary coronary events in hypertensive patients: a longitudinal study. Hypertension 2002;39(1):10- 5.
18. Illyes М., Beres J. Apparatus and method for measuring hemodynamic parameters. Patent Pub. No. WO/2005/077265; International Application No.: PCT/HU2005/000012; Publication Date: 25.08.2005.
19. Hlimonenko I., Meigas K., Viigimaa M., Temitski K. Assessment of Pulse Wave Velocity and Augmentation Index in different arteries in patients with severe coronary heart disease. Conf Proc IEEE Eng Med Biol Soc. 2007;2007:1703-6.
20. Mallareddy M., Parikh C.R., Peixoto A.J. Effect of angiotensin-converting enzyme inhibitors on arterial stiffness in hypertension: systematic review and meta-analysis. J Clin Hypertens (Greenwich) 2006; 8(6):398-403.
21. Илюхин О.В., Калганова Е.Л., Бабкин А.А., Лопатин Ю.М. Изменения упругих свойств магистральных артерий у больных ишемической болезнью сердца на фоне терапии аторвастатином и симвастатином. Кардиология 2005;45(12):31-4.
22. Magometschnigg D. Blood pressure and arterial stiffness. A comparison of two devices for measuring augmentationindex and pulse wave velocity (in German). Wien Med Wochenschr. 2005;155(17-18):404-10.
Review
For citations:
Isakova V.N., Garbuzova O.G., Klinkova E.V., Bandurko E.V. ARTERIAL STIFFNESS PARAMETERS IN PATIENTS WITH MODERATE/HIGH CARDIOVASCULAR RISK DURING LISINOPRIL AND SIMVASTATIN TREATMENT. Rational Pharmacotherapy in Cardiology. 2009;5(3):14-18. (In Russ.) https://doi.org/10.20996/1819-6446-2009-5-3-14-18