EFFECTS OF ATORVASTATIN IN PATIENTS WITH RHEUMATOID ARTHRITIS AND DYSLIPIDEMIA
https://doi.org/10.17650/1818-8338-2011-1-47-53
Abstract
Objective: to evaluate the basic and pleiotropic effects of atorvastatin in patients with rheumatoid arthritis (RA) and dyslipidemia (DLP).
Subjects and methods. The blood lipid profile was studied in 204 patients with RA. According to the found lipid disturbances, the patients
were randomized into 2 groups. A study group comprised 30 patients receiving generic atorvastatin 10 mg/day as part of combination therapy.
A comparison group included 20 RA patients matched for clinical characteristics and baseline lipid levels, who took no statins. Blood lipid
parameters and the markers of inflammation, vascular wall damage, and artery rigidity were examined over time.
Results. DLP was found in 58.3 % of the patients with RA. The use of atorvastatin in combination therapy resulted in not only a decrease in atherogenic cholesterol fractions, but also in a considerable reduction in the level of the markers of systemic inflammation and endothelial damage, and in disease activity. Six-month atorvastatin therapy showed a positive impact on the elastic properties of vessels in RA patients.
Conclusion. In RA patients with DLP, atorvastatin exerted a beneficial effect not only on the blood lipid profile, but also on the magnitude of inflammation and the elastic properties of vessels, and disease activity.
About the Authors
N. M. Nikitina
V.I. Razumovsky Saratov State Medical University, Russian Agency for Health Care
Russian Federation
Department of Hospital Therapy, Therapeutic Faculty
Russian Federation
Department of Hospital Therapy, Therapeutic Faculty
A. P. Rebrov
V.I. Razumovsky Saratov State Medical University, Russian Agency for Health Care
Russian Federation
Department of Hospital Therapy, Therapeutic Faculty
Russian Federation
Department of Hospital Therapy, Therapeutic Faculty
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Review
For citations:
Nikitina N.M., Rebrov A.P. EFFECTS OF ATORVASTATIN IN PATIENTS WITH RHEUMATOID ARTHRITIS AND DYSLIPIDEMIA. The Clinician. 2011;5(1):47-53. (In Russ.) https://doi.org/10.17650/1818-8338-2011-1-47-53
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