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Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
[Treatment for dyslipidemias in patients with arterial hypertension]
Insights
Rozuvastatin effectively improves lipid profiles and lowers blood pressure in patients with hypertension and dyslipidemia. A 10 mg daily dose was sufficient for most patients to normalize their lipid levels.
Area of Science:
- Cardiology
- Pharmacology
- Internal Medicine
Background:
- Arterial hypertension (AH) and dyslipidemia are common comorbidities.
- Effective management requires addressing both lipid profiles and blood pressure.
Purpose of the Study:
- To evaluate the combined effects of non-drug measures and rozuvastatin on lipid spectrum and blood pressure in patients with AH and dyslipidemia.
Main Methods:
- A multicenter, open-labeled, prospective study involving 279 patients (aged 56.7 ± 8.7 years) with AH and dyslipidemia.
- Patients received rozuvastatin therapy for 12 weeks, alongside non-drug measures.
- Blood pressure and lipid parameters were monitored throughout the study.
Main Results:
- Rozuvastatin significantly reduced total cholesterol, LDL cholesterol, triglycerides, and the atherogenicity index, while increasing HDL cholesterol.
- Target LDL cholesterol levels were achieved in 61% of patients, HDL in 70%, and TG in 73%.
- Significant reductions in body mass, BMI, waist circumference, and blood pressure (12.1/4.1 mm Hg) were observed.
Conclusions:
- Rozuvastatin is effective in improving lipid profiles and reducing blood pressure in patients with concurrent AH and dyslipidemia.
- A daily dose of 10 mg rozuvastatin was sufficient to normalize lipid profiles in the majority of patients (83%).
- Starting rozuvastatin therapy at 10 mg/day is recommended.
Aim:
To evaluate a combination of the effects of non-drug measures and rozuvastatin on the lipid spectrum and blood pressure (BP) in patients with treated arterial hypertension (AH) concurrent with dyslipidemia.
Materials And Methods:
The multicenter open-labeled prospective program included 299 patients from 19 cities and towns of Russia. Two hundred and eighty-eight patients completed phase 1 of the program; out of them 279 patients (149 males and 130 females) aged 58-80 years (56.7 +/- 8.7 years) with a mean AH history of 10.3 +/- 8.4 years. Phase 1 of the program involved 3 visits and it was over 12 weeks after rozuvastatin therapy. Phase 2 (including a visit 12 weeks following the termination of Phase 1) is being continued.
Results:
Rozuvastatin therapy resulted in a reduction in the levels of total cholesterol (TC) by 2.5 +/- 0.8 mmol/l (p < 0.001), low-density lipoprotein (LDL) cholesterol by 2.2 +/- 0.8 mmol/l (p < 0.001), triglycerides (TG) by 0.8 +/- 0.9 mmol/l (p < 0.001), and atherogenicity index (AI) by 2.8 +/- 1.4 (p < 0.001) and an increase in the content of high-density lipoprotein (HDL) cholesterol by 0.2 +/- 0.2 mmol/l (p < 0.001), which produced the target levels of LDL cholesterol in 61% of the patients, HDL cholesterol in 70%, and TG in 73%. During unaltered antihypertensive therapy there were also decreases in body mass by 1.5 +/- 2.8 mmol/l (p < 0.001), body mass index by 0.5 +/- 1.0 kg/ m2 (p < 0.001), waist circumference by 1.0 +/- 3.2 cm (p < 0.001), and BP by 72 +/- 14.2/4.1 +/- 8.6 mm Hg (p < 0.001). There was an increase in the activity of aspartate aminotransferase and alanine aminotransferase, and creatine phosphokinase; however, this was clinically significant in none patients.
Conclusion:
Rozuvastatin significantly lowers the levels of TC, LDL cholesterol, TG, and AI and elevates the concentration of HDL cholesterol. In the majority (83%) of the patients, rozuvastatin used in a dose of 10 mg/day was sufficient to normalize the lipid profile, which makes it possible to recommend that rozuvastatin therapy should be started from this dose.
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