Preview

Journal of Siberian Medical Sciences

Advanced search

INFLUENCE OF SPIRONOLACTONUM ON INDICATORS OF ENDOTHELIAL DYSFUNCTION AND MARKERS OF INFLAMMATIONS AT PATIENTS WITH PSEUDORHEUMATISM

Abstract

Indicators of endothelial regulation of vascular tonus, levels of molecule of intercellular adhesion and vascular endothelial factor of increase, and also immune and inflammatory markers before complex treatment with usage of Spironolactonum in dose of 25-50 mg per day within 12 months were investigated at 94 patients with pseudorheumatism with raised maintenance of Aldosteronum in blood. Complex therapy of pseudorheumatism improved indicators of endothelial regulation of vascular tonus on 15 % more effectively, promoted depression of concentration of ICAM-1 on 17 % and VEGF on 30%, reduced the level of S-reactive protein on 15 % and alpha tumor necrosis factor on 12% unlike standard therapy. Complex therapy allowed lowering an index of pseudorheumatism activity of DAS28 on 16 % more than standard therapy.

About the Author

E. B. Komarova
SE «Lugansk State Medical University»
Russian Federation


References

1. Cardiovascular disease in patients with rheumatoid arthritis: results from the QUEST_RA study / A. Naranjo [et al.] // Arthritis Res. Ther. - 2008. - Vol. 10. - P. 30.

2. Насонов Е. Л. Ревматология : клинические рекомендации / Е. Л. Насонов. - 2-е изд. - М. : ГЭОТАР-Медиа, 2010. - 345 с.

3. Ребров А. П. Факторы риска сердечно-сосудистой патологии у больных ревматоидным артритом / А. П. Ребров, Н. М. Никитина // Клин. медицина. - 2008. - № 2. - С. 56-59.

4. Лелюк В. Г. Ультразвуковая оценка состояния периферической артериальной системы в норме и при патологи : методическое руководство / В. Г. Лелюк, С. Э. Лелюк. - М., 2005. - 40 с.

5. Современные маркеры взаимосвязи сердечно-сосудистых заболеваний и метаболического синдрома [Электронный ресурс] / Е. Н. Воробьева [и др.] // Медицина и образование в Сибири : сетевое научное издание. - 2014. - № 2. - Режим доступа : (http://www.ngmu.ru/cozo/mos/article/text_full.php?id=1295). - Дата обращения : 30.03.2015.

6. Circulating endothelial cells and rheumatoid arthritis: relationship with plasma markers of endothelial damage/dysfunction. / W. Foster [et al.] // Rheumatology. - 2009. - Vol. 48 (3). - P. 285-288.

7. Soluble adhesion molecules (ICAM-1, VCAM-1, and E-selectin) and vascular endothelial growth factor (VEGF) in patients with distinct variants of rheumatoid synovitis / P. A. Klimiuk [et al.] // Rheum. Dis. - 2002. - Vol. 61. - P. 804-809.

8. Taylor P. C. Serum vascular markers and vascular imaging in assessment of rheumatoid arthritis disease activity and response to therapy / P. C. Taylor // Rheumat. - 2005. - Vol. 44 (6). - P. 721-728.

9. Aldosterone stimulates elastogenesis in cardiac fibroblasts via mineralocorticoid receptor-independent action involving the consecutive activation of Galpha13, c-Src, the insulin-like growth factor-I receptor, and phosphatidylinositol 3-kinase/Akt / S. Bunda [et al.] // J. Biol. Chem. - 2009. - Vol. 284 (24). - P. 16633-47.

10. Seredyuk V. Role of Aldosterone, Mitogenic Growth Factors, Apoptosis Inducers and Pulmonary Arterial Hypertension in the Formation and Progression of Chronic Pulmonary Heart Disease / V. Seredyuk // The Pharma Innovation Journal. - 2013. - Vol. 2 (5). - P. 36-40.

11. The effect of spironolactone on morbidity and mortality in patients with severe heart failure. Randomized Aldactone Evaluation Study Investigators / B. Pitt [et al.] // N. Engl. J. Med. - 1999. - Vol. 341. - P. 709-717.

12. Selective mineralocorticoid receptor blocker eplerenone reduces resistance artery stiffness in hypertensive patients / C. Savoia [et al.] // Hypertension. - 2008. - Vol. 51. - P. 432-439.

13. Atlas S. A. The Renin-Angiotensin Aldosterone System: Pathophysiological Role and Pharma cologic Inhibition / S. A. Atlas // J. Manag. Care Pharm. - 2007. - Vol. 13 (8) (Suppl. S-b). - P. S9-S20.

14. Ханмурзаева Н. Б. Взаимосвязь уровня цитокинов со степенью повышения артериального давления у больных эссенциальной артериальной гипертензией [Электронный ресурс] / Н. Б. Ханмурзаева, С. Н. Маммаев // Медицина и образование в Сибири : сетевое научное издание. - 2013. - № 6. - Режим доступа : (http://www.ngmu.ru/cozo/mos/article/text_full.php?id=1206). - Дата обращения : 30.03.2015.


Review

For citations:


Komarova E.B. INFLUENCE OF SPIRONOLACTONUM ON INDICATORS OF ENDOTHELIAL DYSFUNCTION AND MARKERS OF INFLAMMATIONS AT PATIENTS WITH PSEUDORHEUMATISM. Journal of Siberian Medical Sciences. 2015;(2):30.

Views: 149


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2542-1174 (Print)