Ali Niaz, Faheem Muhammad, Ullah Himayat, Shabana Hosam, Kassem Arafat, Ahmed Mahmoud O, Elmahdi Essam
Pharmacology, College of Medicine, Shaqra University, Shaqra, SAU.
Pharmacology, Ayub Medical College, Abbottabad, PAK.
Cureus. 2023 Nov 27;15(11):e49532. doi: 10.7759/cureus.49532. eCollection 2023 Nov.
Objective Hypertension (HTN) is among the most common causes of chronic disease burden, along with dyslipidemia. It is a prominent risk factor for cardiovascular and cerebrovascular morbidity and mortality. More often than not, HTN coexists with dyslipidemia. This study aimed to see the antihypertensive effect of statins (atorvastatin), as certain animal models have shown that statins have a voltage-gated calcium channel-blocking effect. Material and methods This was a randomized controlled trial done at the Ayub Hospital Complex in Abbottabad, Pakistan. After ethical approval, 120 patients with newly diagnosed hypertension belonging to either gender and aged 35 and above were enrolled in the trial. They were randomly divided into two groups, with each group comprising 60 patients. One group was administered amlodipine 5 mg per oral (PO) once a day, while the other group was given 5 mg of amlodipine PO plus 10 mg of atorvastatin PO. The patients were examined on a follow-up visit 14 days later, and blood pressure was recorded as per protocols. Results A total of 120 newly diagnosed patients were studied in this trial. The mean age was 51.07 years, with a standard deviation of ±6.15 years and a range of 41-60 years. There were 64 (53.3%) males and 56 (46.7%) females in the study. The mean systolic blood pressures (SBPs) and diastolic blood pressures (DBPs) in Group 2 (amlodipine 5 mg + atorvastatin 10 mg) were significantly lower than the patients in Group 1 (only amlodipine 5 mg) in the follow-up visit, which was 14 days after starting the medication (p≤0.05). Conclusion The addition of a lipid-lowering drug to an antihypertensive regimen results in a better lowering of blood pressure in hypertensive individuals.
目的 高血压(HTN)与血脂异常一样,是慢性病负担的最常见原因之一。它是心血管和脑血管发病及死亡的重要危险因素。高血压常与血脂异常并存。本研究旨在观察他汀类药物(阿托伐他汀)的降压效果,因为某些动物模型已表明他汀类药物具有电压门控钙通道阻断作用。
材料与方法 这是一项在巴基斯坦阿伯塔巴德阿尤布医院综合院区进行的随机对照试验。经伦理批准后,纳入120例年龄35岁及以上的新诊断高血压患者,不限性别。他们被随机分为两组,每组60例。一组每天口服5毫克氨氯地平,另一组每天口服5毫克氨氯地平加10毫克阿托伐他汀。14天后进行随访检查,按方案记录血压。
结果 本试验共研究了120例新诊断患者。平均年龄为51.07岁,标准差为±6.15岁,年龄范围为41 - 60岁。研究中有64例(53.3%)男性和56例(46.7%)女性。在开始用药14天后的随访中,第2组(氨氯地平5毫克 + 阿托伐他汀10毫克)的平均收缩压(SBP)和舒张压(DBP)显著低于第1组(仅氨氯地平5毫克)的患者(p≤0.05)。
结论 在抗高血压治疗方案中添加降脂药物可使高血压患者的血压降低得更好。