Effects of Spironolactone During an Angiotensin II Receptor Blocker Treatment on the Left Ventricular Mass Reduction in Hypertensive Patients With Concentric Left Ventricular Hypertrophy
スポンサーリンク
概要
- 論文の詳細を見る
Background Angiotensin II receptor blockers (ARB) are now commonly used to treat hypertension because of their beneficial effects on cardiovascular remodeling. However, ARE treatment can not inhibit the left ventricular (LV) remodeling sufficiently, which may be related with aldosterone secretion. To inhibit the action of aldosterone during ARB treatment, the additional effects of an aldosterone blocker and spironolactone (SPRL) on LV hypertrophy in patients with essential hypertension was studied. Methods and Results The patients with essential hypertension were randomly divided into 2 groups; 1 group was treated with an ARB, candesartan (8mg/day), for 1 year (ARB group) and other group was treated with the ARB for the first 6 months and with the ARB plus SPRL (25mg/day) for the next 6 months (combination group). Seventy patients who underwent echocardiography every 6 months were analyzed and were also classified into 4 subgroups of LV geometric pattern according to the LV mass index (LVMI) and the relative wall thickness (RWT). The ARB treatment and the addition of SPRL significantly reduced the blood pressure, however, both treatments did not affect the LV geometry in both groups. The ARB treatment in the subgroups of concentric LV remodeling (RWT ≥0.45 and LVMI <125) and concentric LV hypertrophy (RWT ≥0.45 and LVMI ≥125) significantly reduced RWT. However, ARB treatment in all subgroups did not affect LVMI. The addition of SPRL only in the concentric LV hypertrophy subgroup significantly reduced the LVMI, despite similar changes in blood pressure. Conclusions These results indicated that the addition of SPRL treatment during the ARB treatment and conventional treatments is clinically useful to reduce the LVMI in hypertensive patients with concentric LV hypertrophy; however, does not improve the eccentric LV hypertrophy.
- 社団法人日本循環器学会の論文
- 2006-07-20
著者
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Mochizuki Seibu
Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
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Shimazu Yoshihisa
Jikei University School Of Medicine
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KAWAI Makoto
Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
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SEKI Shingo
Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
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TANIGUCHI Ikuo
Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
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DATE Taro
Division of Cardiology, Department of Internal Medicine, Jikei University School of Medicine
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Yoshida Satoru
Division of Cardiology, The Jikei University School of Medicine
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河上 牧夫
Department Of Pathology The Jikei University School Of Medicine
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小西 真人
東京医科大学細胞生理学講座
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小西 眞人
東京医科大学細胞生理学
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小西 真人
東京医科大学生理第一
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小西 真人
東京医科大学第一生理
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Date Taro
Division Of Cardiology Jikei University School Of Medicine And Genzyme Corporation
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Konishi M
Department Of Physiology (i) Tokyo Medical University
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Konishi Masato
東京慈恵会医科大学 生理学第二
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Date Taro
Division Of Cardiology Department Of Internal Medicine The Jikei University School Of Medicine
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Taniguchi Masayuki
Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
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Shimizu Mitsuyuki
Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
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Kawai Makoto
東京慈恵会医科大学 循環器内科
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Kawai Makoto
Division Of Cardiology Department Of Internal Medicine The Jikei University School Of Medicine
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Date Taro
Division Of Cardiology Department Of Internal Medicine Jikei University School Of Medicine
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Taniguchi M
Fac. Engineering Niigata Jpn
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Taniguchi Masayuki
Division Of Cardiology Department Of Internal Medicine The Jikei University School Of Medicine
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Taniguchi Masayuki
Department Of Food Science And Technology Faculty Of Agriculture Kyoto University
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Taniguchi Masayuki
Department Of Medicine The Jikei University School Of Medicine Aoto Hospital
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Mochizuki S
Division Of Cardiology Jikei University School Of Medicine
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Mochizuki Seibu
Division Of Cardiology Department Of Internal Medicine Jikei Univerisity School Of Medicine
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Yamashita Shogo
Department Of Cardiology Jikei University School Of Medicine
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Taniguchi Masayuki
Gaduate School Of Science And Technology Niigata University:food Research Center Niigata Agricultura
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Shimizu Mitsuyuki
Division Of Cardiology Department Of Internal Medicine Jikei University School Of Medicine
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Yoshida Satoru
Division Of Cardiology Department Of Internal Medicine The Jikei University School Of Medicine
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Seki Shengo
Division Of Cardiology Department Of Internal Medicine The Jikei University School Of Medicine
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Seki Shingo
Devision Of Cardiology Jikei University Aoto Hospital
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Taniguchi Ikuo
Division Of Cardiology Department Of Internal Medicine The Jikei University School Of Medicine
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Taniguchi Ikuo
Division Of Clinical Pharmacology And Therapeutics Department Of Internal Medicine Jikei University
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Yoshida Satoru
Department Of Cardiology Jikei University Of Medicine
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Yoshida Satoru
Division Of Cardiology The Jikei University School Of Medicine
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Yoshida Satoru
Division Of Cardiology Department Of Internal Medicine Jikei University School Of Medicine
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Shimizu Mitsuyuki
Division Of Cardiology Department Of Internal Medicine The Jikei University School Of Medicine Kashi
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Seki Shingo
Division Of Cardiology Department Of Internal Medicine The Jikei University School Of Medicine
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Yoshida Satoru
Division Of Cardiology Department Of Internal Medicine
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Shimizu Mitsuyuki
Division Of Cardiology Department Of Internal Medicine The Jikei University School Of Medicine Kashi
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Shimizu Mitsuyuki
Third Department Of Internal Medicine The Jikei University School Of Medicine
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Shimizu Mitsuyuki
Division Of Cardiology Department Of Internal Medicine The Jikei University School Of Medicine Kashi
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