Effect of olmesartan medoxomil on cystatin C level, left ventricular hypertrophy and diastolic function
dc.contributor.author | Albayrak, Sinan | |
dc.contributor.author | Ordu, Serkan | |
dc.contributor.author | Özhan, Hakan | |
dc.contributor.author | Yazıcı, Mehmet | |
dc.contributor.author | Aydın, Mesut | |
dc.contributor.author | Alemdar, Recai | |
dc.contributor.author | Kaya, Ahmet | |
dc.date.accessioned | 2020-05-01T09:11:44Z | |
dc.date.available | 2020-05-01T09:11:44Z | |
dc.date.issued | 2009 | |
dc.department | DÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü | en_US |
dc.description | WOS: 000269389400004 | en_US |
dc.description | PubMed: 19521888 | en_US |
dc.description.abstract | Serum cystatin C concentration is an alternative measure of kidney function that is less affected by age, sex or muscle mass, and is a more sensitive indicator of early renal dysfunction than creatinine-based estimations of glomerular filtration rate. Cardiovascular sequela increases progressively with the increase in left ventricular mass. Our goal was to evaluate the effect of olmesartan medoxomil on cystatin C levels and left ventricular hypertrophy (LVH) in patients with hypertension. Forty-four newly diagnosed hypertensive patients (27 women and 17 men) were recruited in the study. Olmesartan medoxomil (20 mg/day) was started and the patients were followed up for 6 months. Baseline echocardiographic findings (i.e. left ventricular mass index), serum creatinine, urine albumin/creatinine ratio (ACR) and serum cystatin C levels were compared with the levels of these variables measured at the end of 6-month follow-up period. After 6 months of treatment with olmesartan medoxomil, there was a significant reduction in systolic and diastolic blood pressure (p < 0.001) and in urine ACR (p = 0.04). Mean serum cystatin C levels decreased from 1.61 +/- 0.24 mg/l to 1.31 +/- 0.29 mg/l (p < 0.001). Olmesartan medoxomil treatment also reduced left ventricular mass index (p < 0.001) and LVH (p < 0.001). Our findings indicate that olmesartan medoxomil decreases serum cystatin C levels, urine ACR and reduces LVH in patients with hypertension. To our knowledge, this study is the first to show that olmesartan medoxomil decreases serum cystatin C levels, indicating that in patients with essential hypertension it may counteract end organ damage. | en_US |
dc.identifier.doi | 10.1080/08037050903047236 | en_US |
dc.identifier.endpage | 191 | en_US |
dc.identifier.issn | 1651-1999 | |
dc.identifier.issue | 4 | en_US |
dc.identifier.scopusquality | Q3 | en_US |
dc.identifier.startpage | 187 | en_US |
dc.identifier.uri | https://doi.org/10.1080/08037050903047236 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12684/5743 | |
dc.identifier.volume | 18 | en_US |
dc.identifier.wos | WOS:000269389400004 | en_US |
dc.identifier.wosquality | Q3 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.language.iso | en | en_US |
dc.publisher | Taylor & Francis Ltd | en_US |
dc.relation.ispartof | Blood Pressure | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Cystatin C | en_US |
dc.subject | hypertension | en_US |
dc.subject | left ventricular hypertrophy | en_US |
dc.subject | microalbuminuria | en_US |
dc.title | Effect of olmesartan medoxomil on cystatin C level, left ventricular hypertrophy and diastolic function | en_US |
dc.type | Article | en_US |
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