Why the study?
Does combined therapy with lisinopril and simvastatin improve arterial stiffness parameters in patients with moderate/high cardiovascular risk?
Does combined therapy with lisinopril and simvastatin improve arterial stiffness parameters in patients with moderate/high cardiovascular risk?
Treatment with lisinopril and simvastatin effectively normalizes arterial stiffness parameters in the majority of patients with moderate-to-high cardiovascular risk over one year.
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May support combined lisinopril-simvastatin for arterial stiffness in moderate/high-risk patients; hypothesis-generating, needs RCTs before practice change.
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.
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Исакова et al. (2009) studied this question.
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