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Losartan therapy and hyperuricemia correction in patients with metabolic syndrome and arterial hypertension

https://doi.org/10.15829/1728-8800-2011-6-24-29

Abstract

Aim. To assess the potential of the angiotensin II receptor antagonist losartan for the correction of hyperuricemia (HU) in patients with arterial hypertension (AH) and metabolic syndrome (MS).
Material and methods. This open, randomised, controlled comparative study in parallel groups included 60 AH patients with MS and HU. The patients received losartan or standard therapy for 12 weeks.
Results. Throughout the follow-up period, no significant difference in antihypertensive effect was observed between the losartan and standard therapy groups. Losartan group patients demonstrated a more pronounced decrease in uric acid levels (-34,7 % vs. -7,8 % in the standard therapy group; p<0,05). In addition, losartan therapy, compared to the standard treatment, was associated with improved vascular elasticity, as manifested by the pulse wave velocity decrease (-27,8 % vs. -8,1 % for carotid-femoral index, and -30,2 % vs. -12,6 % for carotidradial index, respectively; both p<0,05).

About the Authors

S. V. Nedogoda
Volgograd State Medical University
Russian Federation
Volgograd


E. V. Chumachok
Volgograd State Medical University
Russian Federation
Volgograd


A. A. Ledyaeva
Volgograd State Medical University
Russian Federation
Volgograd


V. V. Tsoma
Volgograd State Medical University
Russian Federation
Volgograd


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For citations:


Nedogoda S.V., Chumachok E.V., Ledyaeva A.A., Tsoma V.V. Losartan therapy and hyperuricemia correction in patients with metabolic syndrome and arterial hypertension. Cardiovascular Therapy and Prevention. 2011;10(6):24-29. (In Russ.) https://doi.org/10.15829/1728-8800-2011-6-24-29

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