Russian Heart Failure Journal 2011year Feasible mechanisms of the positive action of simvastatin for integrated treatment of CHF patients with ischemic etiology


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2011/

Feasible mechanisms of the positive action of simvastatin for integrated treatment of CHF patients with ischemic etiology

Kechedgieva N. P.1, Tripoten M. I.1, Sychev A. V.1, Filatov D. N.1, Narusov O. Yu.1, Skvotzov А. А.1, Gerasimova V. V.1, Balachonova T. V.1, Masenko V. P.1, Mareev V. Yu.2
1 –Federal State Budgetary Institution, “Russian Cardiology Research and Production Complex” of the RF Ministry of Health Care, 3rd Cherepkovskaya 15a, Moscow 121552
2 –Federal State Budgetary Educational Institution of Higher Professional Education “M. V. Lomonosov Moscow State University”, Leninskie Gory 1, GSP-1, Moscow 119992

Keywords: mechanism of action, simvastatine, CHF

DOI: 10.18087/ rhfj.2011.5.1560

Relevancy. There are a certain success regarding CHF patients’ therapy but death rate is still high. All major studies, subjected to retrospective analysis, when CHF patients got statins, demonstrated positive results as concerns reduction of death and hospitalization rate. However as per CORONA study the rosuvastatin therapy decreased the number of cardiovascular hospitalization due to CHF recrudescence but failed to influence on prognostication of such patients. That is why the matter of statins practicability and their influence mechanisms for CHF patients with ischemic disease is still of current interest. Objective. Evaluation of the safety and efficiency of simvastatin therapy for CHF II–III FC patients with ischemic disease as against optimum therapy. Materials and methods. The study included 30 CHF II–III FC patients complicated by ischemic disease. Patients were divided into two groups: patients of the 1-st group got 20 mg of simvastatin in addition to standard therapy; patients of the 2-st group continued the standard CHF therapy. Observation period was 6 months. Efficiency and safety of therapy were evaluated by clinical aspects dynamics of CHF, FC CHF, tolerance to physical activity, quality life of patients, number of laboratory and biochemical indices. Results. Implementation of simvastatin in accordance with standard CHF therapy for ischemic disease patients was accompanied by the improvement of clinical state, functional status and aerobic provision of physical activity. Long-term simvastatin therapy led to decrease of the left ventricle cavity space and that was accompanied by authentic improvement of myocardial contractility and ejection fraction of left ventricle as well as by improvement of endothelial function, decrease of vasoconstrictive components concentration. Simvastatin therapy didn’t lead to the development of a serious adverse reaction.
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Kechedgieva N. P., Tripoten M. I., Sychev A. V. et al. Feasible mechanisms of the positive action of simvastatin for integrated treatment of CHF patients with ischemic etiology. Russian Heart Failure Journal. 2011;12(5):286-293.

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