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Atorvastatin Improves Vascular Inflammation and Endothelial Function in Angiographically Proven Angina Pectoris Patients
전남대학교병원 심장센터, 간호부, 전남대학교 심혈관계 특성화 사업단
조숙희, 정명호, 이지선, 김혜숙, 임상춘, 심재연, 이숙자, 최명자, 윤현주, 윤남식, 김계훈, 홍영준, 박형욱, 김주한, 안영근, 조정관, 박종춘, 강정채, 박옥규
Background and Objectives: The aim of this study is to evaluate relation among on inflammation markers, lipid profile, diastolic function and endothelial function and the effects of atrovastatin on these parameters in patients with angina pectoris. Methods: This study included 46 patients (55.5±10.6 years, 29 males) with angiographically diagnosed coronary heart disease (CAD) who were treated with atorvastatin (10 mg for 6 months). Inflammatory markers measured by white blood cell (WBC) counts, monocyte counts, high-sensitivity C-reactive protein (hs-CRP) and von Willebrand factor (VWF). Diastolic function measured by echocardiography. Endothelial function measured by flow-mediated dilation (FMD) at brachial artery with nitroglycerin-mediated dilation (NMD) and lipid profile. These parameters were compared baseline and 6 months after atorvastatin administration. Results: VWF, NMD and diastolic function were unchanged. WBC counts significantly decreased from 7.05 ±1.6 ×103/mm3 to 6.31 ±1.4 ×103/mm3 (p=0.010). Monocyte counts significantly decreased from 0.51 ±0.2 ×103/mm3 to 0.43 ×0.1/mm3 ± 1.4 (p=0.032). The level of hs-CPR significantly decreased from 0.34 ±0.76 mg/dL to 0.15 ±0.4 mg/dL (p=0.009) ant that of total cholesterol (TC) level was significantly decreased from 181.2±39.7 mg/dL to 143.9±57.2 mg/dL (p<0.001). The low density lipoprotein cholesterol (LDL-C) significantly decreased from 123.7±37.2 mg/dL to 85.0±27.7 mg/dL (p<0.001). The FMD was significantly increased from 5.9±2.1% to 7.0±2.9% (p=0.014). Conclusion: Therapy of atorvastatin decreased the inflammatory markers, TC and LDL-C, and improved FMD in patients with stable angina.


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