Clinical effectiveness of pioglitazone in the combination treatment of patients with asthma concurrent with coronary heart disease

Aim. To investigate the clinical effectiveness of pioglitazone in the combination treatment of patients with asthma concurrent with coronary heart disease (CHD). Subjects and methods. Fifty patients aged 40-75 years with asthma concurrent with CHD were examined. External respiratory function (ERF),...

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Main Authors: O V Byelan, O A Borzykh, T V Mamontova, I P Kaidashev
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2015-09-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/view/31806
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author O V Byelan
O A Borzykh
T V Mamontova
I P Kaidashev
author_facet O V Byelan
O A Borzykh
T V Mamontova
I P Kaidashev
author_sort O V Byelan
collection DOAJ
description Aim. To investigate the clinical effectiveness of pioglitazone in the combination treatment of patients with asthma concurrent with coronary heart disease (CHD). Subjects and methods. Fifty patients aged 40-75 years with asthma concurrent with CHD were examined. External respiratory function (ERF), electrocardiograms, blood pressure (BP), and anthropometric measurements were assessed in all the patients. Blood and urine laboratory values and high-sensitivity C-reactive protein (hs-CRP) concentrations were estimated; endothelial function was determined measuring endothelium-dependent and endothelium-independent vasodilation (EDVD and EIVD). The patients were randomized into a comparison group receiving only standard therapy and a study group taking pioglitazone as part of combination therapy for 3 months. Results. At the randomization stage prior to pioglitazone combination therapy, the patient groups did not statistically significantly differ in basic clinical and anamnestic data. Three-month standard therapy resulted in stabilization of ERF and endothelial function. During the treatment, there were increases in the frequency of asthma symptoms and the duration of angina attacks, however, there was a decline in hs-CRP levels (p
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spelling doaj.art-b273ec2e813644c8b66e51fc2bb5ffea2022-12-21T18:14:28Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422015-09-01879445128822Clinical effectiveness of pioglitazone in the combination treatment of patients with asthma concurrent with coronary heart diseaseO V ByelanO A BorzykhT V MamontovaI P KaidashevAim. To investigate the clinical effectiveness of pioglitazone in the combination treatment of patients with asthma concurrent with coronary heart disease (CHD). Subjects and methods. Fifty patients aged 40-75 years with asthma concurrent with CHD were examined. External respiratory function (ERF), electrocardiograms, blood pressure (BP), and anthropometric measurements were assessed in all the patients. Blood and urine laboratory values and high-sensitivity C-reactive protein (hs-CRP) concentrations were estimated; endothelial function was determined measuring endothelium-dependent and endothelium-independent vasodilation (EDVD and EIVD). The patients were randomized into a comparison group receiving only standard therapy and a study group taking pioglitazone as part of combination therapy for 3 months. Results. At the randomization stage prior to pioglitazone combination therapy, the patient groups did not statistically significantly differ in basic clinical and anamnestic data. Three-month standard therapy resulted in stabilization of ERF and endothelial function. During the treatment, there were increases in the frequency of asthma symptoms and the duration of angina attacks, however, there was a decline in hs-CRP levels (phttps://ter-arkhiv.ru/0040-3660/article/view/31806asthmacoronary heart diseasepioglitazonesystemic inflammationendothelial dysfunction
spellingShingle O V Byelan
O A Borzykh
T V Mamontova
I P Kaidashev
Clinical effectiveness of pioglitazone in the combination treatment of patients with asthma concurrent with coronary heart disease
Терапевтический архив
asthma
coronary heart disease
pioglitazone
systemic inflammation
endothelial dysfunction
title Clinical effectiveness of pioglitazone in the combination treatment of patients with asthma concurrent with coronary heart disease
title_full Clinical effectiveness of pioglitazone in the combination treatment of patients with asthma concurrent with coronary heart disease
title_fullStr Clinical effectiveness of pioglitazone in the combination treatment of patients with asthma concurrent with coronary heart disease
title_full_unstemmed Clinical effectiveness of pioglitazone in the combination treatment of patients with asthma concurrent with coronary heart disease
title_short Clinical effectiveness of pioglitazone in the combination treatment of patients with asthma concurrent with coronary heart disease
title_sort clinical effectiveness of pioglitazone in the combination treatment of patients with asthma concurrent with coronary heart disease
topic asthma
coronary heart disease
pioglitazone
systemic inflammation
endothelial dysfunction
url https://ter-arkhiv.ru/0040-3660/article/view/31806
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AT tvmamontova clinicaleffectivenessofpioglitazoneinthecombinationtreatmentofpatientswithasthmaconcurrentwithcoronaryheartdisease
AT ipkaidashev clinicaleffectivenessofpioglitazoneinthecombinationtreatmentofpatientswithasthmaconcurrentwithcoronaryheartdisease