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Published on: November 11, 2018
Asymmetric dimethylarginine--a determinant of the effect of the high dose Simvastatin
Lyudmila G Vladimirova-Kitova1, Tania Deneva-Koycheva
1Clinic of Cardiology, University of Medicine, 2 Alexander Eksarch Str., 4000 Plovdiv, Bulgaria. kitov@vip.bg
Objective:
Research of statins influence on flow induced vasodilatation reveals controversial results.
Design And Methods:
We analyze whether asymmetric dimethylarginine (ADMA) levels influence the effect of 80mg/day simvastatin on flow-mediated vasodilation (%FMD). A total of 200 hypercholesterolemic patients were enrolled. Biochemistry parameters were examined by routine methods. Determination of %FMD was performed with software MedicaSoft. Patients were assigned into two groups according to the ADMA level.
Results:
Simvastatin, 80mg/day for 1month, resulted in changes in routine lipid profile and apolipoproteins, but there was not reduction of ADMA and homocysteine. In the group with ADMA<1.03micromol/L a significant increase of %FMD was observed, whereas no such was found in the group with ADMA>or=1.03micromol/L. %FMD-change correlated significant with baseline level of Apo-capital VE, Cyrillic and capital A, CyrillicDMA.
Conclusion:
Asymmetric dimethylarginine level was found to determine the effect of high-dose simvastatin on %FMD.
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