Lipid profile of patients with arterial hypertension who underwent COVID-19: possibilities of drug therapy/ LEADER
https://doi.org/10.20996/1819-6446-2022-06-08
Abstract
Aim. To study the dynamics of the lipid profile of hypertensive patients with dyslipidemia who underwent COVID-19.
Material and methods. Hypertensive patients with dyslipidemia who underwent COVID-19 [n=126; 58 men and 68 women; median age 60 (56.0; 65.5) years] examined. Patients were included into two groups: group 1 (n=64) received a single pill combination of lisinopril + amlodipine + rosuvastatin; 2 groups (n=62) continued the previous drug treatment. Clinical, demographic, office blood pressure (BP), total cholesterol (TC), low density lipoprotein cholesterol (LDL-c), high density lipoprotein cholesterol, triglycerides, C-reactive protein (CRP) levels were assessed in all patients in 3 visits within 24 weeks.
Results. The groups did not differ in prior antihypertensive therapy (except for more frequent use of angiotensin II receptor blockers in group 2, p<0.05), lipid profile and blood pressure parameters at study entry. A decrease in systolic (by 9.5%) and diastolic blood pressure (by 12.1%) after 24 weeks was found in group 1 compared with 4.29% and 5.56%, respectively, in group 2 (p<0.05). A decrease in the level of total cholesterol by 14.5% and LDL-c by 31.4% after 24 weeks was found in group 1 compared with 11.2% and 9.7%, respectively, in group 2 (p<0.05). The level of CRP during the observation period decreased by 53.7% in group 1 versus 43.4% in patients of group 2 (p<0.05).
Conclusion. The single pill combination of lisinopril/amlodipine/rosuvastatin in hypertensive patients with dyslipidemia who underwent COVID-19 led to an improvement in lipid profile and blood pressure control.
About the Authors
I. A. Zolotovskaya
Samara State Medical University
Russian Federation
Russian Federation
Irina A. Zolotovskaya
V. P. Kuzmin
Samara State Medical University
Russian Federation
Russian Federation
Vladimir P. Kuzmin
O. A. Rubanenko
Samara State Medical University
Russian Federation
Russian Federation
Olesya A. Rubanenko
P. R. Shatskaya
Samara State Medical University
Russian Federation
Russian Federation
Polina R. Shatskaya
A. S. Salasyuk
Volgograd State Medical University
Russian Federation
Russian Federation
Alla S. Salasyuk
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Review
Supporting agencies: The study was performed with the support of the Samara State Medical University
For citations:
Zolotovskaya I.A., Kuzmin V.P., Rubanenko O.A., Shatskaya P.R., Salasyuk A.S. Lipid profile of patients with arterial hypertension who underwent COVID-19: possibilities of drug therapy/ LEADER. Rational Pharmacotherapy in Cardiology. 2022;18(3):282-288. (In Russ.) https://doi.org/10.20996/1819-6446-2022-06-08
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