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[Use of prestarium (perindopril) in patients with polymorbidity syndrome (AH, DM, nephropathy)].

Abstract
The study included 20 patients aged 61-86 (mean 73.1 +/- 3.1) years with stage II hypertensive disease, type 2 diabetes and nephropathy with signs of grade I chronic renal insufficiency (CRI). The major parameters measured were AP, HR, laboratory characteristics of carbohydrate metabolism and renal function. Prestarium given at a dose of 4 mg BID had not only antihypertensive but also negative chronotropic effect, decreased energy consumption by myocardium, and normalized daily AP profile (24 hr AP monitoring). Adequate control of diabetes ensured close-to-normal carbohydrate metabolism. Prestarium therapy did not cause further aggravation of renal insufficiency in patients with grade I CRI, nor did it alter creatinine and urea levels.
AuthorsR M Zaslavskaia, N D Buniatian, S V Sergeev, O A Lednev
JournalKlinicheskaia meditsina (Klin Med (Mosk)) Vol. 87 Issue 10 Pg. 61-2 ( 2009) ISSN: 0023-2149 [Print] Russia (Federation)
PMID20017355 (Publication Type: Comparative Study, English Abstract, Journal Article)
Chemical References
  • Angiotensin-Converting Enzyme Inhibitors
  • Blood Glucose
  • Creatinine
  • Perindopril
Topics
  • Aged
  • Aged, 80 and over
  • Angiotensin-Converting Enzyme Inhibitors (administration & dosage, therapeutic use)
  • Blood Glucose (metabolism)
  • Blood Pressure (drug effects)
  • Blood Urea Nitrogen
  • Creatinine (blood, urine)
  • Diabetes Mellitus, Type 2 (blood, complications, drug therapy)
  • Dose-Response Relationship, Drug
  • Female
  • Follow-Up Studies
  • Humans
  • Hypertension (complications, drug therapy, physiopathology)
  • Male
  • Middle Aged
  • Perindopril (administration & dosage, therapeutic use)
  • Renal Insufficiency (complications, drug therapy, metabolism)
  • Treatment Outcome

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