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Noliprel and endothelial dysfunction correction in metabolic syndrome patients

Abstract

Aim. To study endothelial functional status dynamics in metabolic syndrome (MS) patients receiving Noliprel® therapy.
Material and methods. In 39 patients with diagnosed MS, endothelial functional status (reactive hyperemia and nitroglycerin tests), microcirculation (MC) and 24-hour blood pressure monitoring (BPM) parameters were assessed during 6-month Noliprel ® therapy.
Results. After 6 month of Noliprel® therapy, systolic and diastolic BP levels significantly decreased (р<0.01 and р<0.05, respectively), 24-hour BPM parameters improved. Endothelium-dependent vasodilatation increased, that was a symptom of endothelial function improvement. MC parameters also improved, initially reduced prostacyclin level increased (р<0.01), and initially increased thromboxane concentration decreased (р<0.01). Microalbuminuria and proteinuria levels significantly reduced (р<0.01).
Conclusion. Noliprel® improved endothelial function in MS patients. Endothelial dysfunction correction changed vascular reactivity to vasoconstrictors, regardless of vessel size, and therefore, improved hemodynamic and hemostatic parameters.

About the Authors

V. V. Trusov
Izhevsk State Medical Academy, Izhevsk
Russian Federation


M. A. Filimonov
Izhevsk State Medical Academy, Izhevsk
Russian Federation


K. V. Aksenov
Izhevsk State Medical Academy, Izhevsk
Russian Federation


References

1. Визир В.А., Березин А.Е. Перспективы реверсии эндотелиальной функции у больных с застойной сердечной недостаточностью. Клин мед 2000; 7: 36-9.

2. Волков В.С., Аникин В.В., Троцюк В.В. Состояние микроциркуляции у больных стенокардией. Кардиология 1977; 5: 41-4.

3. Жмеринский К.В. Состояние микроциркуляции и влияние на нее даларгина у больных сахарным диабетом. Автореф канд мед наук. Хабаровск 2001.

4. Иванова О.В., Рогоза А.Н., Балахонова Т.В. Определение чувствительности плечевой артерии к напряжению сдвига на эндотелии как метод оценки состояния эндотелий-зависимой вазодилатации с помощью ультразвука высокого разрешения у больных артериальной гипертензией. Кардиология 1998; 3: 37-41.

5. Berk BC, Alexander RW. Biology of the vascular wall in hypertension. In: Renner RM, ed. The Kidney. Philadelphia: WB Saunders 1996; 2049-70.

6. Bouziz H, Benetos A, Safar ME. Effects of indapamid in Daht rats interationwith bradykinin. Jris Report 1992; 65: 2000-13.

7. Boulanger CM, Mombouli JV, Vanhoutte PM. Indapamide inhibits endothelium dependent contractious in the aorta of the spontaneously hypertensive rat. Fundan Clin Pharmacol 1993; 7: 443-8.

8. Celermajer DS, Sorensen KE, Gooch VM, Spiegelhalter DJ. Non-invasive detectio of endothelial dysfunction in children and adults at risk atherosclerosis. Lancet 1992; 340: 1111-5.

9. Cerasola G. Microalbuminuria, renal dysfunction and cardiovascular complication in essential hypertension. J Hypertens 1996; 14: 915-20.

10. Dittmar S, Polanowska-Grabowska R, Gear ARL. Platelet adhesion to collagen under flow conditions in diabetes mellitus. Thromb Res 1999; 74: 273-83.

11. Giugliano D, Marfella R, Acampora R. Endothelial dysfunction in patient’s wits diabetes and hypertension: effect of perindopril and carvedilol. 5th International Symposium on Ace Inhibition and Other Inhibitors of the Renin-Angiotensin System 1997; 58.

12. Stirlan AO, Suta R, Rosenkranzer A, et al. Complex vessel dysfunction following a physiological fest meat challenge in Type 2 diabetes mellitus. Eur Assoc for the study of Diabetes 2002; Abs 1191, A 384.

13. Uehara Y, Kamabata Y, Shirahuse H, Wada K. Radical scavenging proper ties of idapamide and renal protection in Dahl salt-sensitive rat. Hypertens Res 1992; 15: 17-26


Review

For citations:


Trusov V.V., Filimonov M.A., Aksenov K.V. Noliprel and endothelial dysfunction correction in metabolic syndrome patients. Cardiovascular Therapy and Prevention. 2005;4(6, ч.I):62-66. (In Russ.)

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ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)