Simvastatin therapy in patients with hepatic disease
Aim. To assess effectiveness, safety, and tolerability of simvastatin (Vasilip) in patients with IIa and IIb dyslipidemia, as well as with hepatic disease. Material and methods. The analysis included 30 patients receiving Vasilip (20 mg/d). At baseline and after 3, 6, and 14 months of the treatment,...
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Format: | Article |
Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2007-10-01
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Series: | Кардиоваскулярная терапия и профилактика |
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Online Access: | https://cardiovascular.elpub.ru/jour/article/view/1359 |
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author | O. M. Drapkina A. V. Klimenkov I. I. Sukhovskaya V. T. Ivashkin |
author_facet | O. M. Drapkina A. V. Klimenkov I. I. Sukhovskaya V. T. Ivashkin |
author_sort | O. M. Drapkina |
collection | DOAJ |
description | Aim. To assess effectiveness, safety, and tolerability of simvastatin (Vasilip) in patients with IIa and IIb dyslipidemia, as well as with hepatic disease. Material and methods. The analysis included 30 patients receiving Vasilip (20 mg/d). At baseline and after 3, 6, and 14 months of the treatment, fasting levels of total cholesterol (TCH), triglycerides (TG), high-density lipoprotein CH (HDL-CH), low-density lipoprotein CH (LDL-CH), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) activity, bilirubin and creatinine were measured. Vasilip lipid-lowering effectiveness and tolerability was assessed during 12 months of the therapy. Results. After 12 months of Vasilip therapy, there was a significant reduction in TCH (17,5%), TG (26,3%), and LDL-CH (27,8%) levels; HDL-CH increase (23,3%) was not statistically significant. Atherogenicity index decreased by 36,7%. Vasilip therapy was well tolerated by individuals with hepatic pathology throughout the whole study. No significant increase in AST and ALT activity, glucose, creatinine or bilirubin levels was observed. Conclusion. Long-term (one-year) simvastatin therapy (20 mg/d) in patients with lipid hepatosis was both safe and clinically effective. |
first_indexed | 2024-04-10T03:40:07Z |
format | Article |
id | doaj.art-097418ff1d3b4fd2a250d7f2e8d3da58 |
institution | Directory Open Access Journal |
issn | 1728-8800 2619-0125 |
language | Russian |
last_indexed | 2024-04-10T03:40:07Z |
publishDate | 2007-10-01 |
publisher | «SILICEA-POLIGRAF» LLC |
record_format | Article |
series | Кардиоваскулярная терапия и профилактика |
spelling | doaj.art-097418ff1d3b4fd2a250d7f2e8d3da582023-03-13T07:23:14Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252007-10-016570751069Simvastatin therapy in patients with hepatic diseaseO. M. Drapkina0A. V. Klimenkov1I. I. Sukhovskaya2V. T. Ivashkin3Московская медицинская академия им. И.М. Сеченова, МоскваМосковская медицинская академия им. И.М. Сеченова, МоскваСтавропольский краевой клинический диагностический центр, СтавропольМосковская медицинская академия им. И.М. Сеченова, МоскваAim. To assess effectiveness, safety, and tolerability of simvastatin (Vasilip) in patients with IIa and IIb dyslipidemia, as well as with hepatic disease. Material and methods. The analysis included 30 patients receiving Vasilip (20 mg/d). At baseline and after 3, 6, and 14 months of the treatment, fasting levels of total cholesterol (TCH), triglycerides (TG), high-density lipoprotein CH (HDL-CH), low-density lipoprotein CH (LDL-CH), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) activity, bilirubin and creatinine were measured. Vasilip lipid-lowering effectiveness and tolerability was assessed during 12 months of the therapy. Results. After 12 months of Vasilip therapy, there was a significant reduction in TCH (17,5%), TG (26,3%), and LDL-CH (27,8%) levels; HDL-CH increase (23,3%) was not statistically significant. Atherogenicity index decreased by 36,7%. Vasilip therapy was well tolerated by individuals with hepatic pathology throughout the whole study. No significant increase in AST and ALT activity, glucose, creatinine or bilirubin levels was observed. Conclusion. Long-term (one-year) simvastatin therapy (20 mg/d) in patients with lipid hepatosis was both safe and clinically effective.https://cardiovascular.elpub.ru/jour/article/view/1359атеросклерозингибиторы 3–гидрокси–3–метилглутарил–коэнзим–а–редуктазысимвастатинжировой гепатоз печени |
spellingShingle | O. M. Drapkina A. V. Klimenkov I. I. Sukhovskaya V. T. Ivashkin Simvastatin therapy in patients with hepatic disease Кардиоваскулярная терапия и профилактика атеросклероз ингибиторы 3–гидрокси–3–метилглутарил–коэнзим–а–редуктазы симвастатин жировой гепатоз печени |
title | Simvastatin therapy in patients with hepatic disease |
title_full | Simvastatin therapy in patients with hepatic disease |
title_fullStr | Simvastatin therapy in patients with hepatic disease |
title_full_unstemmed | Simvastatin therapy in patients with hepatic disease |
title_short | Simvastatin therapy in patients with hepatic disease |
title_sort | simvastatin therapy in patients with hepatic disease |
topic | атеросклероз ингибиторы 3–гидрокси–3–метилглутарил–коэнзим–а–редуктазы симвастатин жировой гепатоз печени |
url | https://cardiovascular.elpub.ru/jour/article/view/1359 |
work_keys_str_mv | AT omdrapkina simvastatintherapyinpatientswithhepaticdisease AT avklimenkov simvastatintherapyinpatientswithhepaticdisease AT iisukhovskaya simvastatintherapyinpatientswithhepaticdisease AT vtivashkin simvastatintherapyinpatientswithhepaticdisease |