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Current role of statins in the treatment of essential hypertension.

机译:他汀类药物在原发性高血压治疗中的作用。

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IMPORTANCE OF THE FIELD: Hypertension and hyperlipidemia often co-exist and seem to be interrelated through common pathophysiological pathways. Drugs employing beneficial effects in both conditions could be advantageous in a concerted effective management of patients at high cardiovascular risk. Statins are known to enhance cardiovascular protection beyond their lipid-lowering capacity. AREAS COVERED IN THIS REVIEW: MEDLINE was searched, up to January 2010, for studies assessing the effect of statin treatment on blood pressure control in various populations or animal models of hypertension. The potential mechanisms implicated in the putative antihypertensive action of statins are also reviewed. WHAT THE READER WILL GAIN: To learn about the role of statins as potential antihypertensive drugs in various populations. Clinical advice for the use of statins either as monotherapy or in combination with antihypertensive drugs in high-risk populations is also provided. TAKE HOME MESSAGE: Statins may exert a mild, but clinically relevant, antihypertensive effect which is probably mediated by mechanisms that are independent of their lipid-lowering effects. Patients with high BP levels at baseline as well as those treated with ACE inhibitors and calcium channel blockers are expected to benefit more in this regard.
机译:领域的重要性:高血压和高脂血症通常并存,并且似乎通过共同的病理生理途径相互关联。在两种情况下均采用有益作用的药物可能有利于对心血管风险高的患者进行有效的协调治疗。已知他汀类药物可增强心血管保护作用,其降脂能力超出其范围。该评价涵盖的领域:截至2010年1月,对MEDLINE进行了研究,以评估他汀类药物治疗对各种人群或高血压动物模型血压控制的效果。他汀类药物的假定的降压作用牵连的潜在机制也进行了审查。读者的收获:了解他汀类药物作为各种人群中潜在的降压药物的作用。还提供了在高危人群中使用他汀类药物作为单一疗法或与降压药联合使用的临床建议。温馨提示:他汀类药物可能会产生轻度但与临床相关的降压作用,这可能是由与其降脂作用无关的机制介导的。基线时血压高的患者以及接受ACE抑制剂和钙通道阻滞剂治疗的患者有望在这方面受益更多。

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