LEFT VENTRICULAR DIASTOLIC DYSFUNCTION IN CORONARY HEART DISEASE: ASSESSMENT OF TELMISARTAN AND ENALAPRIL EFFECTIVENESS

Aim: To assess enalapril and telmisartan effects on hemodynamic parameters and left ventricular (LV) diastolic dysfunction (DD) in patients with coronary heart disease (CHD) and arterial hypertension (AH). Material and methods: In total, 51 men with stable CHD (mean age 57,3+3,4 years) were examined...

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Main Authors: I. P. Tatarchenko, N. V. Pozdnyakova, S. A. Sekerko, K. V. Solovyeva
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2010-02-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/1419
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author I. P. Tatarchenko
N. V. Pozdnyakova
S. A. Sekerko
K. V. Solovyeva
author_facet I. P. Tatarchenko
N. V. Pozdnyakova
S. A. Sekerko
K. V. Solovyeva
author_sort I. P. Tatarchenko
collection DOAJ
description Aim: To assess enalapril and telmisartan effects on hemodynamic parameters and left ventricular (LV) diastolic dysfunction (DD) in patients with coronary heart disease (CHD) and arterial hypertension (AH). Material and methods: In total, 51 men with stable CHD (mean age 57,3+3,4 years) were examined. The methods included general clinical and laboratory examination, 24-hour blood pressure monitoring, Holter ECG monitoring, and echocardiography. Results: In patients with CHD and abnormal relaxation LVDD, telmisartan therapy improved transmitral diastolic blood flow parameters: IVRT increased to 25%, DT – to 13,4%, E/A ratio – to 23%. Diastolic function improvement was associated with decreased LV myocardial mass index (5,6%), reduced circadian duration of myocardial ischemia, increased LV ejection fraction (9,6%), and increased fraction of systolic LV antero-posterior shortening (17,2%). The beneficial effects of telmisartan could be explained by optimised LV relaxation and early and late diastolic filling.
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spelling doaj.art-adcc4ae91a2942228b84f9f4067255532025-03-02T11:42:26Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202010-02-010147531207LEFT VENTRICULAR DIASTOLIC DYSFUNCTION IN CORONARY HEART DISEASE: ASSESSMENT OF TELMISARTAN AND ENALAPRIL EFFECTIVENESSI. P. Tatarchenko0N. V. Pozdnyakova1S. A. Sekerko2K. V. Solovyeva3Пензенский институт усовершенствования врачей РосздраваМедико-санитарная часть №59Федерального медико-биологического агентства России, ПензаПензенский институт усовершенствования врачей РосздраваПензенский институт усовершенствования врачей РосздраваAim: To assess enalapril and telmisartan effects on hemodynamic parameters and left ventricular (LV) diastolic dysfunction (DD) in patients with coronary heart disease (CHD) and arterial hypertension (AH). Material and methods: In total, 51 men with stable CHD (mean age 57,3+3,4 years) were examined. The methods included general clinical and laboratory examination, 24-hour blood pressure monitoring, Holter ECG monitoring, and echocardiography. Results: In patients with CHD and abnormal relaxation LVDD, telmisartan therapy improved transmitral diastolic blood flow parameters: IVRT increased to 25%, DT – to 13,4%, E/A ratio – to 23%. Diastolic function improvement was associated with decreased LV myocardial mass index (5,6%), reduced circadian duration of myocardial ischemia, increased LV ejection fraction (9,6%), and increased fraction of systolic LV antero-posterior shortening (17,2%). The beneficial effects of telmisartan could be explained by optimised LV relaxation and early and late diastolic filling.https://russjcardiol.elpub.ru/jour/article/view/1419coronary heart diseaseleft ventricular diastolic dysfunctionangiotensin receptor antagonists
spellingShingle I. P. Tatarchenko
N. V. Pozdnyakova
S. A. Sekerko
K. V. Solovyeva
LEFT VENTRICULAR DIASTOLIC DYSFUNCTION IN CORONARY HEART DISEASE: ASSESSMENT OF TELMISARTAN AND ENALAPRIL EFFECTIVENESS
Российский кардиологический журнал
coronary heart disease
left ventricular diastolic dysfunction
angiotensin receptor antagonists
title LEFT VENTRICULAR DIASTOLIC DYSFUNCTION IN CORONARY HEART DISEASE: ASSESSMENT OF TELMISARTAN AND ENALAPRIL EFFECTIVENESS
title_full LEFT VENTRICULAR DIASTOLIC DYSFUNCTION IN CORONARY HEART DISEASE: ASSESSMENT OF TELMISARTAN AND ENALAPRIL EFFECTIVENESS
title_fullStr LEFT VENTRICULAR DIASTOLIC DYSFUNCTION IN CORONARY HEART DISEASE: ASSESSMENT OF TELMISARTAN AND ENALAPRIL EFFECTIVENESS
title_full_unstemmed LEFT VENTRICULAR DIASTOLIC DYSFUNCTION IN CORONARY HEART DISEASE: ASSESSMENT OF TELMISARTAN AND ENALAPRIL EFFECTIVENESS
title_short LEFT VENTRICULAR DIASTOLIC DYSFUNCTION IN CORONARY HEART DISEASE: ASSESSMENT OF TELMISARTAN AND ENALAPRIL EFFECTIVENESS
title_sort left ventricular diastolic dysfunction in coronary heart disease assessment of telmisartan and enalapril effectiveness
topic coronary heart disease
left ventricular diastolic dysfunction
angiotensin receptor antagonists
url https://russjcardiol.elpub.ru/jour/article/view/1419
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AT nvpozdnyakova leftventriculardiastolicdysfunctionincoronaryheartdiseaseassessmentoftelmisartanandenalaprileffectiveness
AT sasekerko leftventriculardiastolicdysfunctionincoronaryheartdiseaseassessmentoftelmisartanandenalaprileffectiveness
AT kvsolovyeva leftventriculardiastolicdysfunctionincoronaryheartdiseaseassessmentoftelmisartanandenalaprileffectiveness