Metformin in metabolic syndrome treatment

Aim. To compare the influence of standard and complex (including metformin) antihypertensive therapy on 24- hour blood pressure monitoring (BPM), biochemical and hormonal parameters in patients with metabolic syndrome (MS). Material and Methods. The study included 54 patients with MS: 34 males and 2...

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Bibliographic Details
Main Authors: V. I. Podzolkov, D. A. Napalkov, V. I. Makolkin
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2005-06-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/952
Description
Summary:Aim. To compare the influence of standard and complex (including metformin) antihypertensive therapy on 24- hour blood pressure monitoring (BPM), biochemical and hormonal parameters in patients with metabolic syndrome (MS). Material and Methods. The study included 54 patients with MS: 34 males and 20 females aged 30-61, without manifested Type 2 diabetes mellitus (DM). Group A (28 MS patients) received antihypertensive drugs only – verapamil, if necessary combined with ACE inhibitors and diuretics. Group B (25 MS patients) was additionally administered metformin. At baseline and after 8-week therapy, 24-hour BPM was performed; basal levels of insulin, C-reactive protein (CRP), cholesterol, triglycerides (TG), high-density lipoproteins (HDL), and uric acid were measured. Results. In Group A, there was no significant dynamics in lipid and carbohydrate metabolism parameters. In Group B, basal levels of CRP (p<0.05), TG (p<0.1) had decreased, and HDL concentration has increased (p<0.01). Conclusion. In MS patients without DM, adding minimal therapeutic doses of metformin to standard antihypertensive treatment significantly improved lipid and carbohydrate metabolism parameters.
ISSN:1728-8800
2619-0125