The effects of treatment with atorvastatin versus rosuvastatin on endothelial dysfunction in patients with hyperlipidaemia

Autor: Vahit Demir, Yunus Çelik, Samet Yilmaz, Çağlar Alp, Nesligül Yildirim, Mehmet Tolga Dogru, Hüseyin Ede
Přispěvatelé: Kırıkkale Üniversitesi
Rok vydání: 2018
Předmět:
Adult
Male
medicine.medical_specialty
Time Factors
Brachial Artery
Endothelium
Atorvastatin
Hyperlipidemias
030204 cardiovascular system & hematology
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
endothelial function
Internal medicine
Humans
Medicine
Rosuvastatin
cardiovascular diseases
030212 general & internal medicine
Rosuvastatin Calcium
Endothelial dysfunction
Creatinine
Triglyceride
business.industry
Cardiovascular Topics
nutritional and metabolic diseases
Recovery of Function
atorvastatin
General Medicine
Middle Aged
medicine.disease
Lipids
Vasodilation
Treatment Outcome
medicine.anatomical_structure
chemistry
flow-mediated vasodilatation
Cardiology
Female
lipids (amino acids
peptides
and proteins)

Endothelium
Vascular

Hydroxymethylglutaryl-CoA Reductase Inhibitors
Cardiology and Cardiovascular Medicine
business
rosuvastatin
Body mass index
Biomarkers
medicine.drug
Lipoprotein
Zdroj: Cardiovascular Journal of Africa
ISSN: 1680-0745
1995-1892
Popis: Demir, Vahit/0000-0001-8349-6651 WOS: 000457728400007 PubMed: 29528361 Introduction: Statins can reduce cardiovascular events and improve endothelial function, However. differences in the effect of statins on endothelial dysfunction have not been researched sufficiently. Here. we aimed to compare the effects of atorvastatin Versus rosuvastatin on endothelial function via flow-mediated ',aid endothelial-independent dilation. Methods: Hyperlipidaemic subjects on treatment with statins for one year (either 20 mg/day atorvastatin or 10 mg/day rosuvastatin) were enrolled in the study. In accordance with the literature, flow-mediated dilation (FMD) and nitrate-mediated endothelium-independent dilation (EID) were measured by ultrasonography on the right brachial artery of each subject. Baseline and final measurements were compa red to each group and between the groups. Results: One hundred and four subjects (50 atorvastatin and 54 rosuvastatin users) were enrolled in the study. Fifty-eight subjects were female. The groups were statistically similar in terms of age and body mass index, and haemoglobin, creatinine, total cholesterol, triglyceride, high-density lipoprotein and low-density lipoprotein cholesterol levels. In each group, the mean final FMD and LID values were higher compared to their respective baseline values. but the mean changes in FMD and EID were statistically similar in both groups (p = 0.958 for FMD and 0.827 for EID). There was no statistically significant difference between the atorvastatin and rosuvastatin groups in terms of final FMD and EID values (p = 0.122 and 0.115. respectively). Conclusion: This study demonstrated that both one-year atorvastatin and rosuvastatin treatments significantly improved endothelial function, when assessed with FMD and FAD and measured by ultrasonography. However, the amount of improvement in endothelial dysfunction was similar in the two treatments.
Databáze: OpenAIRE