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The effects of perindopril on aortic elasticity and inflammatory markers in hypertensive patients
Cem Koz1, Oben Baysan, Mehmet Yokusoglu
1Department of Cardiology, Gulhane Military Medical School, Etlik, Ankara, Turkey.
Insights
Perindopril therapy improved aortic elasticity and reduced inflammation in hypertensive patients. This study shows perindopril
Area of Science:
- Cardiovascular Medicine
- Pharmacology
Background:
- Inflammation is a key factor in hypertension and atherosclerosis.
- Early inflammatory changes can increase arterial stiffness, even in prehypertension.
- Perindopril's effects on inflammation and aortic elasticity were investigated.
Purpose of the Study:
- To evaluate the impact of perindopril on aortic elastic properties.
- To assess perindopril's effect on inflammatory markers in hypertensive patients.
Main Methods:
- 109 hypertensive patients, treatment-naive, were enrolled.
- Measurements included aortic strain, distensibility, stiffness index, and inflammatory markers (CRP, IL-1α, IL-1β, TNF-α).
- Assessments were conducted before and after 20 weeks of perindopril treatment.
Main Results:
- Perindopril significantly increased aortic strain and distensibility.
- Aortic stiffness index and inflammatory markers showed significant decreases.
- CRP, IL-1α, IL-1β, and TNF-α levels were reduced post-treatment.
Conclusions:
- Perindopril therapy enhances aortic elastic properties in hypertensive individuals.
- Perindopril treatment leads to an attenuation of the inflammatory status.
- Reduced inflammatory marker levels indicate a beneficial effect on inflammation.
Background:
Inflammation plays an important role in hypertension and in atherosclerosis. Inflammatory changes induced even in prehypertensive subjects can lead to increased arterial stiffness. The effects of perindopril on both inflammatory and aortic elasticity markers were tested in hypertensive patients.
Material/Methods:
One hundred nine hypertensive patients not taking any antihypertensive therapy were included in the study. Aortic strain, aortic distensibility, aortic stiffness index, and inflammatory markers, including CRP, IL-1alpha IL-1beta, and TNF-alpha, were measured in all patients before and after twenty weeks of perindopril therapy.
Results:
While aortic strain and distensibility showed statistically significant increases with perindopril therapy, the aortic stiffness index and inflammatory markers were found to decrease.
Conclusions:
Perindopril therapy resulted in an improvement in aortic elastic properties. There was also an attenuation of inflammatory status of the patients as reflected by lower inflammatory marker levels compared with pretreatment values.
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