Dyslipidemia correction with atorvastatin in patients with coronary heart disease and arterial hypertension

Aim. To assess atorvastatin lipid-lowering effect and tolerability at the initial stage of lipid-lowering treatment. Material and methods. The study included 47 patients (14 women, 33 men; mean age 55,6±11,6 years). Inclusion criteria were: verified coronary heart disease, CHD (stable effort angina,...

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Main Authors: N. B. Amirov, M. V. Potapova, F. I. Ishkineev, G. V. Tukhvatullina, N. G. Efimova, L. F. Mingazutdinova
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 1970-01-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/1480
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author N. B. Amirov
M. V. Potapova
F. I. Ishkineev
G. V. Tukhvatullina
N. G. Efimova
L. F. Mingazutdinova
author_facet N. B. Amirov
M. V. Potapova
F. I. Ishkineev
G. V. Tukhvatullina
N. G. Efimova
L. F. Mingazutdinova
author_sort N. B. Amirov
collection DOAJ
description Aim. To assess atorvastatin lipid-lowering effect and tolerability at the initial stage of lipid-lowering treatment. Material and methods. The study included 47 patients (14 women, 33 men; mean age 55,6±11,6 years). Inclusion criteria were: verified coronary heart disease, CHD (stable effort angina, post-infarction cardiosclerosis), total cholesterol (TCH) level >5,0 mmol/l, low-density lipoprotein (LDL) CH level >3,0 mmol/l, triglycerides (TG) level _<3,5 mmol/l. CHD was verified in 31 patients (62%), including 17 with previous myocardial infarction (MI); 38 participants (76%) had arterial hypertension, 30 (60%) were overweight. All patients received atorvastatin (10 mg/d), individuals with CHD also received clopidogrel (75 mg/d). The follow-up period lasted for one month. After 14 days and one month of the therapy, lipid profile and liver function tests (LFT) were performed. Results. Thirty-day lipid-lowering therapy resulted in decreased TCH level (by 33,2%; p<0,01), reduced LDL-CH concentration (by 33,9%; p<0,05), elevated high-density lipoprotein (HDL) CH level (by 18,5%; p<0,05), and decreased atherogenicity index (by 38,4%; p<0,05). During one-month follow-up, no significant changes in LFT were observed. Conclusion. As early as during the first month of the treatment, lipid-lowering therapy with atorvastatin resulted in significant reduction in TCH, LDL-CH, and TG concentrations, together with increase in HDL-CH level. No effect on FLT was observed.
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spelling doaj-art-e10317d5f15d44dda9b01760ddffbc302025-08-20T02:55:48Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01251970-01-017755581198Dyslipidemia correction with atorvastatin in patients with coronary heart disease and arterial hypertensionN. B. Amirov0M. V. Potapova1F. I. Ishkineev2G. V. Tukhvatullina3N. G. Efimova4L. F. Mingazutdinova5Kazan State Medical University, Hospital No. 1, Tatar Republic Ministry of Internal Affairs, Kazan, Tatar RepublicKazan State Medical University, Hospital No. 1, Tatar Republic Ministry of Internal Affairs, Kazan, Tatar RepublicKazan State Medical University, Hospital No. 1, Tatar Republic Ministry of Internal Affairs, Kazan, Tatar RepublicKazan State Medical University, Hospital No. 1, Tatar Republic Ministry of Internal Affairs, Kazan, Tatar RepublicKazan State Medical University, Hospital No. 1, Tatar Republic Ministry of Internal Affairs, Kazan, Tatar RepublicKazan State Medical University, Hospital No. 1, Tatar Republic Ministry of Internal Affairs, Kazan, Tatar RepublicAim. To assess atorvastatin lipid-lowering effect and tolerability at the initial stage of lipid-lowering treatment. Material and methods. The study included 47 patients (14 women, 33 men; mean age 55,6±11,6 years). Inclusion criteria were: verified coronary heart disease, CHD (stable effort angina, post-infarction cardiosclerosis), total cholesterol (TCH) level >5,0 mmol/l, low-density lipoprotein (LDL) CH level >3,0 mmol/l, triglycerides (TG) level _<3,5 mmol/l. CHD was verified in 31 patients (62%), including 17 with previous myocardial infarction (MI); 38 participants (76%) had arterial hypertension, 30 (60%) were overweight. All patients received atorvastatin (10 mg/d), individuals with CHD also received clopidogrel (75 mg/d). The follow-up period lasted for one month. After 14 days and one month of the therapy, lipid profile and liver function tests (LFT) were performed. Results. Thirty-day lipid-lowering therapy resulted in decreased TCH level (by 33,2%; p<0,01), reduced LDL-CH concentration (by 33,9%; p<0,05), elevated high-density lipoprotein (HDL) CH level (by 18,5%; p<0,05), and decreased atherogenicity index (by 38,4%; p<0,05). During one-month follow-up, no significant changes in LFT were observed. Conclusion. As early as during the first month of the treatment, lipid-lowering therapy with atorvastatin resulted in significant reduction in TCH, LDL-CH, and TG concentrations, together with increase in HDL-CH level. No effect on FLT was observed.https://cardiovascular.elpub.ru/jour/article/view/1480dyslipidemiacoronary heart diseaselipid-lowering therapyatorvastatin
spellingShingle N. B. Amirov
M. V. Potapova
F. I. Ishkineev
G. V. Tukhvatullina
N. G. Efimova
L. F. Mingazutdinova
Dyslipidemia correction with atorvastatin in patients with coronary heart disease and arterial hypertension
Кардиоваскулярная терапия и профилактика
dyslipidemia
coronary heart disease
lipid-lowering therapy
atorvastatin
title Dyslipidemia correction with atorvastatin in patients with coronary heart disease and arterial hypertension
title_full Dyslipidemia correction with atorvastatin in patients with coronary heart disease and arterial hypertension
title_fullStr Dyslipidemia correction with atorvastatin in patients with coronary heart disease and arterial hypertension
title_full_unstemmed Dyslipidemia correction with atorvastatin in patients with coronary heart disease and arterial hypertension
title_short Dyslipidemia correction with atorvastatin in patients with coronary heart disease and arterial hypertension
title_sort dyslipidemia correction with atorvastatin in patients with coronary heart disease and arterial hypertension
topic dyslipidemia
coronary heart disease
lipid-lowering therapy
atorvastatin
url https://cardiovascular.elpub.ru/jour/article/view/1480
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AT fiishkineev dyslipidemiacorrectionwithatorvastatininpatientswithcoronaryheartdiseaseandarterialhypertension
AT gvtukhvatullina dyslipidemiacorrectionwithatorvastatininpatientswithcoronaryheartdiseaseandarterialhypertension
AT ngefimova dyslipidemiacorrectionwithatorvastatininpatientswithcoronaryheartdiseaseandarterialhypertension
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