Statin Improves Flow-Mediated Vasodilation in Chronic Kidney Diseases
Joint Authors
Suzuki, Hiromichi
Takenaka, Tsuneo
Watanabe, Yusuke
Takane, Hiroshi
Kikuta, Tomohiro
Source
International Journal of Hypertension
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-11
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Numbers of drugs are required to manage patients with chronic kidney disease (CKD).
Drug adherence is relatively poor in this population.
Methods.
In 36 CKD patients with hypertension and dyslipidemia, who were prescribing amlodipine 5 mg and atorvastatin 10 mg daily, the influences of exchanging to a combination drug containing equivalent doses of amlodipine and atorvastatin were observed for 6 months.
Results.
At the baseline, flow-mediated dilation (FMD) was reduced (2.4 ± 0.3%), and proteinuria was significantly contributed to decrements of FMD (R2=0.38, F=3.7, df (6,29), and P<0.01).
Six months later from exchanging to combination drug, total cholesterol (TC, 197 ± 5 to 183 ± 3 mg/dL, P<0.01) and triglycerides (142 ± 14 to 129 ± 10 mg/dL, P<0.05) were decreased, but high density lipoprotein cholesterol (53 ± 3 to 56 ± 3 mg/dL, P<0.05) was increased.
FMD was slightly albeit significantly improved to 2.7 ± 0.3% (P<0.05).
No serious adverse effects were seen by the combination drug.
Subanalysis for the patients with considerable reductions of TC demonstrated that the combination drug decreased proteinuria and high sensitive CRP (P<0.05 for both).
Conclusion.
Our data indicate that proteinuria constitutes a determinant of a reduced FMD.
The present results implicate that combination drug is useful to improve adherence and suggest that atorvastatin refines endothelium function as well as lipid profiles in CKD patients.
American Psychological Association (APA)
Takenaka, Tsuneo& Takane, Hiroshi& Kikuta, Tomohiro& Watanabe, Yusuke& Suzuki, Hiromichi. 2013. Statin Improves Flow-Mediated Vasodilation in Chronic Kidney Diseases. International Journal of Hypertension،Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-505520
Modern Language Association (MLA)
Takenaka, Tsuneo…[et al.]. Statin Improves Flow-Mediated Vasodilation in Chronic Kidney Diseases. International Journal of Hypertension No. 2013 (2013), pp.1-9.
https://search.emarefa.net/detail/BIM-505520
American Medical Association (AMA)
Takenaka, Tsuneo& Takane, Hiroshi& Kikuta, Tomohiro& Watanabe, Yusuke& Suzuki, Hiromichi. Statin Improves Flow-Mediated Vasodilation in Chronic Kidney Diseases. International Journal of Hypertension. 2013. Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-505520
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-505520