scholarly journals Nocturnal blood pressure but not insulin resistance influences endothelial function in treated hypertensive patients

2010 ◽  
Vol 25 (1) ◽  
pp. 18-24 ◽  
Author(s):  
T Konrad ◽  
S Franke ◽  
F Schneider ◽  
F Bär ◽  
G Vetter ◽  
...  
2019 ◽  
Vol 20 (3) ◽  
pp. 147032031986889 ◽  
Author(s):  
Piotr Ruszkowski ◽  
Anna Masajtis-Zagajewska ◽  
Michał Nowicki

Background: The aim of this study was to compare the influence of 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors on endothelial function and blood pressure in patients with essential hypertension on long-term angiotensin-converting enzyme inhibitor therapy. Method: The study was designed as a prospective, double-blind, randomised, placebo controlled, crossover clinical trial. Twenty patients with essential hypertension were treated with an angiotensin-converting enzyme inhibitor; the control group included 10 healthy subjects. Hypertensive patients received in random order 80 mg of fluvastatin daily or placebo for 6 weeks. The following parameters were assessed at baseline and after each treatment period: serum lipids, flow-mediated vasodilation, activity of von Willebrand factor, concentration of vascular endothelial growth factor, C-reactive protein and 24-hour blood pressure profile. Results: Hypertensive patients did not differ from healthy subjects with respect to age, body mass and biochemical parameters, with the exception of C-reactive protein, which was higher in hypertensive patients ( P=0.02). After statin therapy, low-density lipoprotein cholesterol ( P<0.0001), C-reactive protein ( P=0.03), von Willebrand factor ( P=0.03) and vascular endothelial growth factor ( P<0.01) decreased and flow-mediated vasodilation improved ( P<0.001). Statins had no significant effect on blood pressure. Conclusions: Statins added to angiotensin-converting enzyme inhibitors may improve endothelial function and ameliorate inflammation independently of blood pressure.


2005 ◽  
Vol 7 (3) ◽  
pp. 246-253 ◽  
Author(s):  
A. N. Faria ◽  
F. F. Ribeiro Filho ◽  
N. E. Kohlmann ◽  
S. R. Gouvea Ferreira ◽  
M. T. Zanella

Hypertension ◽  
2008 ◽  
Vol 51 (3) ◽  
pp. 635-641 ◽  
Author(s):  
Empar Lurbe ◽  
Isabel Torro ◽  
Francisco Aguilar ◽  
Julio Alvarez ◽  
Jose Alcon ◽  
...  

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