Spirapril effectiveness and organo-protection in patients with metabolic syndrome and arterial hypertension

In this 24-week study, spirapril antihypertensive effect and organo-protection was assessed inpatients with metabolic syndrome (MS) and arterial hypertension (AH). Parameters of 24-hour blood pressure (BP) monitoring (systolic and diastolic BP - 24 hours, daytime, nighttime) and pulse BP were signif...

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Main Authors: V. E. Oleynikov, A. S. Gerasimova, I. B. Matrosova, Yu. A. Tomashevskaya
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2007-08-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/2184
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author V. E. Oleynikov
A. S. Gerasimova
I. B. Matrosova
Yu. A. Tomashevskaya
author_facet V. E. Oleynikov
A. S. Gerasimova
I. B. Matrosova
Yu. A. Tomashevskaya
author_sort V. E. Oleynikov
collection DOAJ
description In this 24-week study, spirapril antihypertensive effect and organo-protection was assessed inpatients with metabolic syndrome (MS) and arterial hypertension (AH). Parameters of 24-hour blood pressure (BP) monitoring (systolic and diastolic BP - 24 hours, daytime, nighttime) and pulse BP were significantly higher in MS patients than in AH individuals. Seventy-five per cent of MS patients had pathological circadian BP profile, with non-dippers' prevalence. In the same group, more advanced target organ pathology was observed (left ventricular hypertrophy, increased vascular stiffness, microalbuminuria). Spirapril therapy was associated with target BP level achievement, circadian BP profile normalization, target organ pathology regression, and was potentially linked to insulin resistance reduction. Therefore, spirapril can be recommended for MS treatment, as well as for preventing target organ damage in MS and AH.
format Article
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institution Matheson Library
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2618-7620
language Russian
publishDate 2007-08-01
publisher «FIRMA «SILICEA» LLC
record_format Article
series Российский кардиологический журнал
spelling doaj-art-3aaf7f59d6e74bf39e787727c3f4bfd62025-08-04T13:00:01Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202007-08-010437431936Spirapril effectiveness and organo-protection in patients with metabolic syndrome and arterial hypertensionV. E. Oleynikov0A. S. Gerasimova1I. B. Matrosova2Yu. A. Tomashevskaya3Пензенский медицинский институт при ПГУПензенский медицинский институт при ПГУПензенский медицинский институт при ПГУПензенский медицинский институт при ПГУIn this 24-week study, spirapril antihypertensive effect and organo-protection was assessed inpatients with metabolic syndrome (MS) and arterial hypertension (AH). Parameters of 24-hour blood pressure (BP) monitoring (systolic and diastolic BP - 24 hours, daytime, nighttime) and pulse BP were significantly higher in MS patients than in AH individuals. Seventy-five per cent of MS patients had pathological circadian BP profile, with non-dippers' prevalence. In the same group, more advanced target organ pathology was observed (left ventricular hypertrophy, increased vascular stiffness, microalbuminuria). Spirapril therapy was associated with target BP level achievement, circadian BP profile normalization, target organ pathology regression, and was potentially linked to insulin resistance reduction. Therefore, spirapril can be recommended for MS treatment, as well as for preventing target organ damage in MS and AH.https://russjcardiol.elpub.ru/jour/article/view/2184arterial hypertensionmetabolic syndromeinsulin resistancetarget organ damagespirapril
spellingShingle V. E. Oleynikov
A. S. Gerasimova
I. B. Matrosova
Yu. A. Tomashevskaya
Spirapril effectiveness and organo-protection in patients with metabolic syndrome and arterial hypertension
Российский кардиологический журнал
arterial hypertension
metabolic syndrome
insulin resistance
target organ damage
spirapril
title Spirapril effectiveness and organo-protection in patients with metabolic syndrome and arterial hypertension
title_full Spirapril effectiveness and organo-protection in patients with metabolic syndrome and arterial hypertension
title_fullStr Spirapril effectiveness and organo-protection in patients with metabolic syndrome and arterial hypertension
title_full_unstemmed Spirapril effectiveness and organo-protection in patients with metabolic syndrome and arterial hypertension
title_short Spirapril effectiveness and organo-protection in patients with metabolic syndrome and arterial hypertension
title_sort spirapril effectiveness and organo protection in patients with metabolic syndrome and arterial hypertension
topic arterial hypertension
metabolic syndrome
insulin resistance
target organ damage
spirapril
url https://russjcardiol.elpub.ru/jour/article/view/2184
work_keys_str_mv AT veoleynikov spiraprileffectivenessandorganoprotectioninpatientswithmetabolicsyndromeandarterialhypertension
AT asgerasimova spiraprileffectivenessandorganoprotectioninpatientswithmetabolicsyndromeandarterialhypertension
AT ibmatrosova spiraprileffectivenessandorganoprotectioninpatientswithmetabolicsyndromeandarterialhypertension
AT yuatomashevskaya spiraprileffectivenessandorganoprotectioninpatientswithmetabolicsyndromeandarterialhypertension