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Zhu ML, Sun RL, Zhang HY, Zhao FR, Pan GP, Zhang C, Song P, Li P, Xu J, Wang S, Yin YL. Angiotensin II type 1 receptor blockers prevent aortic arterial stiffness in elderly patients with hypertension. Clin Exp Hypertens 2018; 41:657-661. [PMID: 30311805 DOI: 10.1080/10641963.2018.1529781] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Backgrounds and aims: Increased arterial stiffness may increase cardiovascular morbidity and mortality. Angiotensin II type 1 receptor blockers (ARBs) are potentially useful in controlling the central blood pressure and arterial stiffness in mild to moderate essential hypertension, while the effects of ARBs in aged patients with essential hypertension are not entirely investigated. Methods: The carotid-femoral arterial pulse wave velocity (PWV) was measured in aged patients with essential hypertension. Results: In a cross-sectional study, PWV value was significantly higher in these old patients with essential hypertension, compared to patients without essential hypertension. In correlation analysis, PWV was associated positively with age, hypertension duration, and carotid atherosclerosis. However, there was no relationship between PWV and gender in aged patients with essential hypertension. In a perspective study, 6-12 months administration of ARBs (losartan, 50 mg/day; telmisartan, 40 mg/day; valsartan 80 mg/day; irbesartan, 150 mg/day) remarkably reduced PWV in aged patients with essential hypertension. Regression analyses of multiple factors indicated that the effects of ARBs on arterial stiffness were not associated with the reduction of blood pressure. Conclusion: ARB treatment is a negative risk factor of arterial stiffness in aged patients with essential hypertension.
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Affiliation(s)
- Mo-Li Zhu
- a College of Pharmacy, Xinxiang Medical University , Xinxiang , China
| | - Rui-Li Sun
- b Henan Key Laboratory of Immunology and Targeted Therapy, Henan Collaborative Innovation Center of Molecular Diagnosis and Laboratory Medicine in Henan Province, School of Laboratory Medicine, Xinxiang Medical University , Xinxiang , China
| | - He-Yun Zhang
- a College of Pharmacy, Xinxiang Medical University , Xinxiang , China
| | - Fan-Rong Zhao
- a College of Pharmacy, Xinxiang Medical University , Xinxiang , China
| | - Guo-Pin Pan
- a College of Pharmacy, Xinxiang Medical University , Xinxiang , China
| | - Chong Zhang
- a College of Pharmacy, Xinxiang Medical University , Xinxiang , China
| | - Ping Song
- a College of Pharmacy, Xinxiang Medical University , Xinxiang , China
| | - Peng Li
- a College of Pharmacy, Xinxiang Medical University , Xinxiang , China
| | - Jian Xu
- a College of Pharmacy, Xinxiang Medical University , Xinxiang , China
| | - Shuangxi Wang
- a College of Pharmacy, Xinxiang Medical University , Xinxiang , China
| | - Ya-Ling Yin
- c School of Basic Medical Sciences, Xinxiang Medical University , Xinxiang , China
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