Electronic Resource

Improvement in arterial stiffness during hypolipidaemic therapy is offset by weight gain.

التفاصيل البيبلوغرافية
العنوان: Improvement in arterial stiffness during hypolipidaemic therapy is offset by weight gain.
المؤلفون: Hodgson J.M., Wahlqvist M.L., Marks S.J., Myers K.A., Matthews P.G.
بيانات النشر: Nature Publishing Group (Houndmills, Basingstoke, Hampshire RG21 6XS, United Kingdom) United Kingdom 2012-10-25
نوع الوثيقة: Electronic Resource
مستخلص: Fourteen patients with familial hypercholesterolaemia were managed with dietary advice and simvastatin for 12 months. Either nicotinic acid or cholestyramine resin was added to the regimen if serum cholesterol was not less than 5.5 mmol/l within 18 weeks. After dietary advice but before commencing pharmacotherapy for hyperlipidaemia, arterial stiffness was measured in the common carotid and common femoral arteries. These studies were repeated after 12 months on pharmacotherapy. The primary objective of this study was to determine whether arterial stiffness could be altered with total cholesterol and low density lipoprotein (LDL) cholesterol lowering. Over the 12 month interval, serum total cholesterol, LDL cholesterol and triglycerides fell significantly, whereas high density lipoprotein (HDL) cholesterol and body mass index (BMI) rose significantly. Mean supine blood pressure did not change significantly. Arterial stiffness in the common carotid artery decreased from 1.04 +/- 0.21 x 105 N/m2 to 0.63 +/- 0.06 x 105 N/m2 (T= -2.67, P< 0.01) over the interval. Stiffness of the common femoral artery decreased from 2.10 +/- 0.57 X 105 N/m2 to 0.83 +/- 0.15 x 105 N/m2 (T= -2.73, P<0.01). The change in arterial stiffness was not directly related to changes in circulating lipids or supine blood pressure. Increase in BMI, however, correlated with change in arterial stiffness in the common femoral artery (R(s) = 0.53, P < 0.05) but not in the common carotid artery. An increase in BMI was associated with a smaller decrease in common femoral arterial stiffness. Aggressive hypolipidaemic therapy was therefore associated with a favourable effect on arterial wall stiffness. However, in the common femoral artery this was offset by weight gain.
مصطلحات الفهرس: rigidity, supine position, triacylglycerol blood level, weight gain, antilipemic agent/cb [Drug Combination], antilipemic agent/dt [Drug Therapy], cholesterol/ec [Endogenous Compound], colestyramine/cb [Drug Combination], colestyramine/dt [Drug Therapy], high density lipoprotein cholesterol/ec [Endogenous Compound], low density lipoprotein cholesterol/ec [Endogenous Compound], nicotinic acid/cb [Drug Combination], nicotinic acid/dt [Drug Therapy], simvastatin/cb [Drug Combination], simvastatin/dt [Drug Therapy], triacylglycerol/ec [Endogenous Compound], priority journal, patient counseling, adult, aged, artery, article, blood pressure, body mass, cholesterol blood level, clinical article, common carotid artery, diet therapy, familial hypercholesterolemia/dt [Drug Therapy], familial hypercholesterolemia/th [Therapy], female, femoral artery, human, male, Article
URL: https://repository.monashhealth.org/monashhealthjspui/handle/1/34390
Click here for full text options
LibKey Link
الاتاحة: Open access content. Open access content
Copyright 2012 Elsevier B.V., All rights reserved.
Other Numbers: AUSHL oai:repository.monashhealth.org:1/34390
International Journal of Obesity. 17 (10) (pp 579-583), 1993. Date of Publication: 1993.
0307-0565
https://repository.monashhealth.org/monashhealthjspui/handle/1/34390
8242126 [http://www.ncbi.nlm.nih.gov/pubmed/?term=8242126]
23292196
(Matthews, Wahlqvist, Marks, Myers, Hodgson) Monash University Dept of Medicine, Monash Medical Centre, 246 Clayton Road, Clayton, Vic. 3168, Australia
1305130985
المصدر المساهم: MONASH HEALTH LIBRS
From OAIster®, provided by the OCLC Cooperative.
رقم الانضمام: edsoai.on1305130985
قاعدة البيانات: OAIster