Moxonidine for arterial hypertension treatment in menopausal women with metabolic syndrome

Aim. To investigate clinical effectiveness of imidazoline receptor agonist, moxonidine, in arterial hypertension (AH) treatment among women with menopausal metabolic syndrome (MMS). Material and methods. In total, 38 women (mean age 51,4±0,3 years) with MMS received moxonidine (0,2-0,6 mg/d, accordi...

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Main Authors: V. V. Trusov, K. V. Aksenov, T. E. Chernyshova
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2007-08-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/1278
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author V. V. Trusov
K. V. Aksenov
T. E. Chernyshova
author_facet V. V. Trusov
K. V. Aksenov
T. E. Chernyshova
author_sort V. V. Trusov
collection DOAJ
description Aim. To investigate clinical effectiveness of imidazoline receptor agonist, moxonidine, in arterial hypertension (AH) treatment among women with menopausal metabolic syndrome (MMS). Material and methods. In total, 38 women (mean age 51,4±0,3 years) with MMS received moxonidine (0,2-0,6 mg/d, according to antihypertensive effect) for 6 months. Detailed examination included: 24-hour blood pressure monitoring (BPM), electrocardiography (ECG), microcirculation and endothelial function, vasoactive hormone levels, and insulin resistance (HOMA IR) assessment. Carbohydrate and lipid metabolism parameters were also analyzed. None of the participants received hormone replacement therapy. Results. Moxonidine therapy was associated with decreased mean systolic and diastolic BP levels (р<0,01). Circadian BP profiles improved, and BP variability reduced (р<0,05), as well as morning BP surge (p<0,01). Six-month moxonidine treatment resulted in microcirculation improvement. Positive dynamics of endothelium-dependent brachial artery vasodilatation in reactive hyperemia test was observed (p<0,05). Moxonidine therapy was also associated with insulin resistance decrease (p<0,05), and body mass index reduction by 6 months. Conclusion. Moxonidine can be recommended as a basal antihypertensive medication in MMS patients.
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spelling doaj.art-88e6f40703e74241b4b6bb45a97e04d72024-10-17T12:21:25Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252007-08-01641319989Moxonidine for arterial hypertension treatment in menopausal women with metabolic syndromeV. V. Trusov0K. V. Aksenov1T. E. Chernyshova2Izhevsk State Medical Academy, IzhevskIzhevsk State Medical Academy, IzhevskIzhevsk State Medical Academy, IzhevskAim. To investigate clinical effectiveness of imidazoline receptor agonist, moxonidine, in arterial hypertension (AH) treatment among women with menopausal metabolic syndrome (MMS). Material and methods. In total, 38 women (mean age 51,4±0,3 years) with MMS received moxonidine (0,2-0,6 mg/d, according to antihypertensive effect) for 6 months. Detailed examination included: 24-hour blood pressure monitoring (BPM), electrocardiography (ECG), microcirculation and endothelial function, vasoactive hormone levels, and insulin resistance (HOMA IR) assessment. Carbohydrate and lipid metabolism parameters were also analyzed. None of the participants received hormone replacement therapy. Results. Moxonidine therapy was associated with decreased mean systolic and diastolic BP levels (р<0,01). Circadian BP profiles improved, and BP variability reduced (р<0,05), as well as morning BP surge (p<0,01). Six-month moxonidine treatment resulted in microcirculation improvement. Positive dynamics of endothelium-dependent brachial artery vasodilatation in reactive hyperemia test was observed (p<0,05). Moxonidine therapy was also associated with insulin resistance decrease (p<0,05), and body mass index reduction by 6 months. Conclusion. Moxonidine can be recommended as a basal antihypertensive medication in MMS patients.https://cardiovascular.elpub.ru/jour/article/view/1278moxonidinearterial hypertensionmetabolic syndromemenopause
spellingShingle V. V. Trusov
K. V. Aksenov
T. E. Chernyshova
Moxonidine for arterial hypertension treatment in menopausal women with metabolic syndrome
Кардиоваскулярная терапия и профилактика
moxonidine
arterial hypertension
metabolic syndrome
menopause
title Moxonidine for arterial hypertension treatment in menopausal women with metabolic syndrome
title_full Moxonidine for arterial hypertension treatment in menopausal women with metabolic syndrome
title_fullStr Moxonidine for arterial hypertension treatment in menopausal women with metabolic syndrome
title_full_unstemmed Moxonidine for arterial hypertension treatment in menopausal women with metabolic syndrome
title_short Moxonidine for arterial hypertension treatment in menopausal women with metabolic syndrome
title_sort moxonidine for arterial hypertension treatment in menopausal women with metabolic syndrome
topic moxonidine
arterial hypertension
metabolic syndrome
menopause
url https://cardiovascular.elpub.ru/jour/article/view/1278
work_keys_str_mv AT vvtrusov moxonidineforarterialhypertensiontreatmentinmenopausalwomenwithmetabolicsyndrome
AT kvaksenov moxonidineforarterialhypertensiontreatmentinmenopausalwomenwithmetabolicsyndrome
AT techernyshova moxonidineforarterialhypertensiontreatmentinmenopausalwomenwithmetabolicsyndrome