Correction of cerebro-renal syndrome in arterial hypertension with ischemic stroke: efficacy of eprosartan and hydrochlorothiazide

Full Text

Abstract

Patients with arterial hypertension, who had undergone ischemic stroke, were treated with fixed combination of eprosartan and hydrochlorothiazide. Ambulatory blood pressure monitoring was performed and cognitive function was evalusated by MMSE scale. All patients were stratified into 3 groups, according to the estimated glomerular filtration rate (eGFR) level: 1st - eGFR >90 ml/min/1,73m2, 2nd - 50 - 89 ml/min/1,73m2, 3rd - 30 - 59 ml/min/1,73m2. MMSE scale changed after eprosartan and hydrochlorothiazide treatment maximally in group 1, in group 3 changes were minimal. Conclusion. Cognitive dysfunction is most prominent in patients with arterial hypertension, associated with iashemic stroke, who has low eGFR

References

  1. Парфенов В.А., Вахнина Н.В. Артериальная гипертония и гипотензивная терапия при ишемическом инсульте // Неврологический журнал. 2001. № 4. C. 19-22.
  2. Иванов Д.Д. Поражение почек как фактор риска кардиоваскулярных осложнений: акцент на блокаду РААС //Здоровье Украины. 2008. № 2. С. 14-15.
  3. Иванов Д.Д. Хроническая болезнь почек и кардиоваскулярные риски: поиск решений // Здоровье Украины. 2007. № 12/1. С. 16-17.
  4. Folstein MF, Folstein SE, McHugh PR. "Mini Mental State": a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-98.
  5. Randomised trial of a perindopril-based blood-pressure-lowering regimen among 6105 individuals with previous stroke or transient ischemic attack. Lancet 2001;385:1033-41.
  6. Schrader J, Lders S, Kulschewski A, et al. Morbidity and Mortality After Stroke, Eprosartan Compared with Nitrendipine for Secondary Prevention: principal results of a prospective randomized controlled study (MOSES). Stroke 2005;36(6):1218-26.
  7. Суслина З.А., Гераскина Л.А., Фонякин А.В. и др. Мозговое кровообращение и когнитивные функции у больных цереброваскулярной патологией при лечении Теветеном // Атмосфера. Нервные болезни. 2005. № 1. С. 32-36.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies