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Updated: Mar 6, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
[Azilsartan Medoxomil Capabilities in Arterial Hypertension and Obesity]
Y A Vasyuk1, E Y Shupenina1, V V Nesvetov1
1A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.
Insights
Azilsartan medoxomil effectively lowers blood pressure and improves cardiovascular markers in patients with arterial hypertension and obesity. This study highlights its benefits beyond basic antihypertensive action.
Area of Science:
- Cardiology
- Endocrinology
- Nephrology
Background:
- Arterial hypertension (AH) is a prevalent cardiovascular disease.
- Angiotensin II (AT II) mediates negative effects via AT 1 receptors, targeted by Angiotensin Receptor Blockers (ARBs).
- Variations in AT 1 receptor dissociation influence ARB efficacy, with azilsartan medoxomil showing promise.
Observation:
- Preclinical studies suggest azilsartan offers benefits beyond blood pressure control, including improved insulin sensitivity and organ protection in obesity.
- This clinical case examines azilsartan medoxomil's impact on a patient with AH and obesity.
Findings:
- Azilsartan medoxomil positively influenced clinic and ambulatory blood pressure.
- Significant improvements were observed in 24-hour aortic stiffness and longitudinal left ventricular strain.
- The drug demonstrated beneficial effects in a patient with both arterial hypertension and obesity.
Implications:
- Azilsartan medoxomil may offer multifaceted benefits for patients with arterial hypertension and obesity.
- Further research into its pleiotropic effects could expand therapeutic applications.
- This case supports azilsartan medoxomil as a valuable option for managing complex cardiovascular cases.
Abstract:
Arterial hypertension (AH) is one of the most common cardiovascular disease. Angiotensin II (AT II), the hormone of renin-angiotensin-aldosterone system, realizes its negative effects through AT 1 receptors - application point of angiotensin receptor blockers (ARB). Due to different dissociation AT 1 receptors properties some ARBs are more effective than others. Multiply multicenter randomized and observational studies approve the effectiveness and safety of azilsartan medoxomil in patients with AH 1-2 grade. Several preclinical studies have shown the additional properties of azilsartan, including increase of insulin sensitivity, cardio- and nephron protection in obesity. In our clinical case we showed the positive influence of azilsartan medoxomil on clinic and ambulatory blood pressure, 24-hour aortic stiffness parameters, longitudinal left ventricular strain in patient with AH and obesity.
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