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detection, elimination (PARADE): a position paper of the
30.3 � 10.5
hypertensive
this finding was unexpected, and further studies might be
the Kolmogorov–Smirnov test. To compare continuous
GROUP
patients with hypertension. J Int Med Res 2001; 29(4):270–279.
5–10 mg/day), for 12 weeks immediately after baseline
and cardiology outpatient clinics who had a newly diagnosed essential hypertension were included in the study. A
effect of 12 weeks of antihypertensive therapy with valsartan on lipid parameters is shown in Table 3.
BMI. Mean SBP and DBP were 156.05 � 9.3 and 92.3
associations and confirm their clinical relevance for macrovascular and microvascular morbidity and mortality.
role of valsartan in lipid-lowering function.
[29] Andrzejczak D, Gorska D, Czarnecka E. Influence of amlodipine
[24] Ahaneku J, Taylor G, Agbedana E, Walker O, Salako L. Changes
variables, independent samples t test or Mann–Whitney
and diuretics (7) have negative effects on lipid metabolism, whereas calcium channel blockers, particularly
93.8 � 8.7
2012. doi:10.3109/10641963.2012.681722. [Epub ahead of print].
cardiovascular disease independent of high-density lipoprotein
.084
Clinical and Experimental Hypertension, 2013; 35(6): 449–453
prevention of cardiovascular disease (4,5).
[7] Neutel J. Metabolic manifestations of low-dose diuretics. Am J
Although the mechanisms behind the drug-caused dyslipidemia is still uncertain, it has been said that valsartan
therapy on serum lipids. Ann Intern Med 1995; 122(2):133–141.
effects of valsartan with placebo in patients with mild to
levels and apolipoprotein A and B levels significantly in
88.3 � 4.8
the
5.0 � 0.94
Males/females
angiotensin II receptor blocker (valsartan, 80–320 mg/
INTRODUCTION
same assay. Fasting plasma glucose, total cholesterol
of
results of previous studies that examined the effects of
antihypertensive
Abbreviations: HDL – high density lipoprotein; LDL – low density
RESULTS
and LDL cholesterol levels in comparison to valsartan.
[12] Friedewald WT, Levy RI, Fredrickson DS. Estimation of the
As a result, in the treatment of hypertension, prior
(Prinzmetal’s angina and chronic stable angina pectoris),
chair for 10 minutes, and then the systolic blood pressure
Dis
[28] Delsing DJM, Jukema JW, Wiel MAVD, Princen HMG.
For personal use only.
P
on
patients
affect lipid metabolism but others are observed to have
elevated lipids and hypertension (AVALON) trial, coadministration of amlodipine (5 mg) and atorvastatin
these drugs are metabolically neutral and cause few lipoprotein alterations (24). In a previous study, significant
after treatment were 157.2 � 10.0 and 127.0 �
Hypertension 2006; 47(1):45–50.
.914
(SBP) and diastolic blood pressure (DBP) were recorded
BMI (kg/m2)
In the amlodipine group, there was a significant
be taken into consideration while prescribing antihypertensive drugs in patients with clear evidence of dyslipidemia.
154.2 � 57.2
said that it might potentiate the antiatherosclerotic effect
450
Pharmacol 1998; 31(4):576–580.
Table 1. Demographics, anthropometrics, baseline characteristics,
In an animal study, it was demonstrated that amlodipine treatment alone did not significantly reduce atherosclerotic lesion development, and in cotreatment, it was
.804
(LPS)-induced
For personal use only.
affect bradykinin or prostaglandin metabolism like
BP that is described as newly diagnosed essential hypertension aiming at the smaller time from the start point.
[16] Kirk JK. Angiotensin-II receptor antagonists: their place in therapy. Am Fam Physician 1999; 59(11):3140–3148.
Rajagopalan et al., the effects of valsartan and valsartanstatin combination were compared in hypertensive patients,
100.0
Diastolic BP (mm Hg)
for its positive or negative effects on the lipid profile.
1:6–11.
metabolic abnormalities—the role of insulin resistance and the
BP – blood pressure; MCV – mean corpuscular volume, MPV mean platelet volume, WBC – white blood cell, HDL – high density
Hypertensive patients, which constitute a group at high
207.4 � 33.1
Clin Exp Hypertens Downloaded from informahealthcare.com by Nyu Medical Center on 10/16/14
Currently, even for patients on antihyperlipidemic drug
[3] Hokanson J, Austin M. Plasma triglyceride level is a risk factor for
of amlodipine was coadministered with 10 mg of atorvastatin, the LDL level was reduced than that with 10 mg of
Systolic BP (mm Hg)
on serum lipids, or at least it may show no imrovement,
coefficient evaluated the degree of linear association
Creatinine (mg/dL)
were separated, and all plasma samples were run in the
patients. The aim of the present study was to investigate
measured before treatment and in the 12th week. None
(amlodipine,
the angiotensin II-receptor antagonist losartan in Japanese
characterized by high TG levels (14,15). Our study
on the lipid profile in patients with essential hypertension.
MCV (fL)
study by Preston et al., it was expressed that when 5 mg
.005
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