Effect of antihypertensive drugs on specific markers of inflammation and disorders of carbohydrate metabolism in metabolic syndrome

The potential of certain drugs to affect specific markers of progression of hypertension should be taken into account in the rational pharmacotherapy of arterial hypertension (AH) in patients with metabolic syndrome (MS). Pharmacodynamic effects of the beta-blocker (BB) nebivolol, the average daily...

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Main Authors: TE Morozova, TB Andruschishina, ER Kuzmina
Format: Article
Language:Russian
Published: Remedium Group LLC 2014-12-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/695
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author TE Morozova
TB Andruschishina
ER Kuzmina
author_facet TE Morozova
TB Andruschishina
ER Kuzmina
author_sort TE Morozova
collection DOAJ
description The potential of certain drugs to affect specific markers of progression of hypertension should be taken into account in the rational pharmacotherapy of arterial hypertension (AH) in patients with metabolic syndrome (MS). Pharmacodynamic effects of the beta-blocker (BB) nebivolol, the average daily dose 5,3 ± 2,5 mg, were studied in 29 patients with stage I - II hypertension with signs of MS (men - 15, women - 14; mean age 52, 4 ± 10,32 years). Nebivolol, along with a high antihypertensive efficacy (achievement of target blood pressure in 76% of patients) and good safety profile, provides a complex effect on specific markers of inflammation and disorders of carbohydrate metabolism. The study showed a decrease in the high-sensitivity C-reactive protein (hs-CRP) from 3.15 (2.0; 4.18) mg/l to 2.3 (1.18; 4.03) mg/l (p = 0.001), intercellular adhesion molecules (iCAM-1) from 330,23 (295.7; 387.3) ng/ml to 310.07 (252.72; 370.4) ng/ml (p = 0.044) with no adverse effect on insulin resistance, as well as a reduction in the adipokine activity and overall cardiovascular risk.
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spelling doaj.art-846cb7c7f71e4bfe83ae30886d7883ec2023-04-23T06:56:39ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902014-12-0101210010510.21518/2079-701X-2014-12-100-105695Effect of antihypertensive drugs on specific markers of inflammation and disorders of carbohydrate metabolism in metabolic syndromeTE Morozova0TB Andruschishina1ER Kuzmina2First Moscow State Medical University named after I.M.SechenovFirst Moscow State Medical University named after I.M.SechenovFirst Moscow State Medical University named after I.M.SechenovThe potential of certain drugs to affect specific markers of progression of hypertension should be taken into account in the rational pharmacotherapy of arterial hypertension (AH) in patients with metabolic syndrome (MS). Pharmacodynamic effects of the beta-blocker (BB) nebivolol, the average daily dose 5,3 ± 2,5 mg, were studied in 29 patients with stage I - II hypertension with signs of MS (men - 15, women - 14; mean age 52, 4 ± 10,32 years). Nebivolol, along with a high antihypertensive efficacy (achievement of target blood pressure in 76% of patients) and good safety profile, provides a complex effect on specific markers of inflammation and disorders of carbohydrate metabolism. The study showed a decrease in the high-sensitivity C-reactive protein (hs-CRP) from 3.15 (2.0; 4.18) mg/l to 2.3 (1.18; 4.03) mg/l (p = 0.001), intercellular adhesion molecules (iCAM-1) from 330,23 (295.7; 387.3) ng/ml to 310.07 (252.72; 370.4) ng/ml (p = 0.044) with no adverse effect on insulin resistance, as well as a reduction in the adipokine activity and overall cardiovascular risk.https://www.med-sovet.pro/jour/article/view/695артериальная гипертензияагметаболический синдромфармакотерапия агантигипертензивные препаратымаркеры воспаленияинсулинорезистентностьсердечно-сосудистый рискбета-адреноблокаторынебивололнебилетarterial hypertensionahmetabolic syndromeah therapyantihypertensive drugsinflammatory markersinsulin resistancecardiovascular riskbeta-blockersnebivololnebilet
spellingShingle TE Morozova
TB Andruschishina
ER Kuzmina
Effect of antihypertensive drugs on specific markers of inflammation and disorders of carbohydrate metabolism in metabolic syndrome
Медицинский совет
артериальная гипертензия
аг
метаболический синдром
фармакотерапия аг
антигипертензивные препараты
маркеры воспаления
инсулинорезистентность
сердечно-сосудистый риск
бета-адреноблокаторы
небиволол
небилет
arterial hypertension
ah
metabolic syndrome
ah therapy
antihypertensive drugs
inflammatory markers
insulin resistance
cardiovascular risk
beta-blockers
nebivolol
nebilet
title Effect of antihypertensive drugs on specific markers of inflammation and disorders of carbohydrate metabolism in metabolic syndrome
title_full Effect of antihypertensive drugs on specific markers of inflammation and disorders of carbohydrate metabolism in metabolic syndrome
title_fullStr Effect of antihypertensive drugs on specific markers of inflammation and disorders of carbohydrate metabolism in metabolic syndrome
title_full_unstemmed Effect of antihypertensive drugs on specific markers of inflammation and disorders of carbohydrate metabolism in metabolic syndrome
title_short Effect of antihypertensive drugs on specific markers of inflammation and disorders of carbohydrate metabolism in metabolic syndrome
title_sort effect of antihypertensive drugs on specific markers of inflammation and disorders of carbohydrate metabolism in metabolic syndrome
topic артериальная гипертензия
аг
метаболический синдром
фармакотерапия аг
антигипертензивные препараты
маркеры воспаления
инсулинорезистентность
сердечно-сосудистый риск
бета-адреноблокаторы
небиволол
небилет
arterial hypertension
ah
metabolic syndrome
ah therapy
antihypertensive drugs
inflammatory markers
insulin resistance
cardiovascular risk
beta-blockers
nebivolol
nebilet
url https://www.med-sovet.pro/jour/article/view/695
work_keys_str_mv AT temorozova effectofantihypertensivedrugsonspecificmarkersofinflammationanddisordersofcarbohydratemetabolisminmetabolicsyndrome
AT tbandruschishina effectofantihypertensivedrugsonspecificmarkersofinflammationanddisordersofcarbohydratemetabolisminmetabolicsyndrome
AT erkuzmina effectofantihypertensivedrugsonspecificmarkersofinflammationanddisordersofcarbohydratemetabolisminmetabolicsyndrome