Simvastatin therapy in elderly patients with chronic heart failure: potential cardiodepressive effects

Aim. To study the effects of simvastatin (20 mg/d) on cardiac hemodynamics and chronic heart failure (CHF) clinical course in elderly patients.Material and methods. The study included 180 elderly patients (mean age 80,8±5,8 years) with Functional Class (FC) II-III CHF, left ventricular (LV) systolic...

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Main Authors: A. L. Pirogov, T. I. Vlasova
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2008-10-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/1086
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author A. L. Pirogov
T. I. Vlasova
author_facet A. L. Pirogov
T. I. Vlasova
author_sort A. L. Pirogov
collection DOAJ
description Aim. To study the effects of simvastatin (20 mg/d) on cardiac hemodynamics and chronic heart failure (CHF) clinical course in elderly patients.Material and methods. The study included 180 elderly patients (mean age 80,8±5,8 years) with Functional Class (FC) II-III CHF, left ventricular (LV) systolic and diastolic dysfunction. All participants were divided into 2 equally sized groups, receiving standard CHF treatment, or standard treatment plus simvastatin (20 mg/d). The follow-up period lasted for 12 months, with intermediate control assessment after 3 months of the treatment. Clinical status, Doppler echocardiography, lipid profile parameters, and tumor necrosis factor-alpha (TNF-alpha) level were controlled. End-points included CHF death or any acute vascular event.Results. Starting from the first month of the treatment, there was a significant difference in end-point number (р=0,028), CHF FC (p<0,001), angina FC (р<0,0001) and TNF-alpha level (p<0,05). Simvastatin therapy was not associated with reduced LV pump function.
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publisher «SILICEA-POLIGRAF» LLC
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series Кардиоваскулярная терапия и профилактика
spelling doaj-art-3edfc8e3c86c44d5b1b4d6d2ff5e6f3a2025-08-04T12:50:13Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252008-10-01754955798Simvastatin therapy in elderly patients with chronic heart failure: potential cardiodepressive effectsA. L. Pirogov0T. I. Vlasova1Chelyabinsk Region Clinical Therapy Hospital for War Veterans. ChelyabinskChelyabinsk Region Clinical Therapy Hospital for War Veterans. ChelyabinskAim. To study the effects of simvastatin (20 mg/d) on cardiac hemodynamics and chronic heart failure (CHF) clinical course in elderly patients.Material and methods. The study included 180 elderly patients (mean age 80,8±5,8 years) with Functional Class (FC) II-III CHF, left ventricular (LV) systolic and diastolic dysfunction. All participants were divided into 2 equally sized groups, receiving standard CHF treatment, or standard treatment plus simvastatin (20 mg/d). The follow-up period lasted for 12 months, with intermediate control assessment after 3 months of the treatment. Clinical status, Doppler echocardiography, lipid profile parameters, and tumor necrosis factor-alpha (TNF-alpha) level were controlled. End-points included CHF death or any acute vascular event.Results. Starting from the first month of the treatment, there was a significant difference in end-point number (р=0,028), CHF FC (p<0,001), angina FC (р<0,0001) and TNF-alpha level (p<0,05). Simvastatin therapy was not associated with reduced LV pump function.https://cardiovascular.elpub.ru/jour/article/view/1086elderly agesimvastatinchronic heart failureheart pump functionoutcomes
spellingShingle A. L. Pirogov
T. I. Vlasova
Simvastatin therapy in elderly patients with chronic heart failure: potential cardiodepressive effects
Кардиоваскулярная терапия и профилактика
elderly age
simvastatin
chronic heart failure
heart pump function
outcomes
title Simvastatin therapy in elderly patients with chronic heart failure: potential cardiodepressive effects
title_full Simvastatin therapy in elderly patients with chronic heart failure: potential cardiodepressive effects
title_fullStr Simvastatin therapy in elderly patients with chronic heart failure: potential cardiodepressive effects
title_full_unstemmed Simvastatin therapy in elderly patients with chronic heart failure: potential cardiodepressive effects
title_short Simvastatin therapy in elderly patients with chronic heart failure: potential cardiodepressive effects
title_sort simvastatin therapy in elderly patients with chronic heart failure potential cardiodepressive effects
topic elderly age
simvastatin
chronic heart failure
heart pump function
outcomes
url https://cardiovascular.elpub.ru/jour/article/view/1086
work_keys_str_mv AT alpirogov simvastatintherapyinelderlypatientswithchronicheartfailurepotentialcardiodepressiveeffects
AT tivlasova simvastatintherapyinelderlypatientswithchronicheartfailurepotentialcardiodepressiveeffects