Effects of valsartan treatment on serum ghrelin level and left ventricular mass index in patients with untreated primary hypertension

In the present study, left ventricular hypertrophy and serum ghrelin concentration in patients with primary hypertension and effects of angiotensin receptor blocker valsartan on these parameters were determined. Thirty-seven patients and 30 age and body mass index matched healthy controls were follo...

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Veröffentlicht in:Anadolu kardiyoloji dergisi : AKD 2014-05, Vol.14 (3), p.234-238
Hauptverfasser: Meriç, Coşkun, Aydoğdu, Aydoğan, Taşçı, İlker, Deniz, Ferhat, Baysan, Oben, Serdar, Muhittin, Sağlam, Kenan, Azal, Ömer
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container_issue 3
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container_title Anadolu kardiyoloji dergisi : AKD
container_volume 14
creator Meriç, Coşkun
Aydoğdu, Aydoğan
Taşçı, İlker
Deniz, Ferhat
Baysan, Oben
Serdar, Muhittin
Sağlam, Kenan
Azal, Ömer
description In the present study, left ventricular hypertrophy and serum ghrelin concentration in patients with primary hypertension and effects of angiotensin receptor blocker valsartan on these parameters were determined. Thirty-seven patients and 30 age and body mass index matched healthy controls were followed up prospectively. Serum ghrelin level was measured by enzyme immunoassay (EIA). Left ventricular mass was determined by transthoracic echocardiography. Left ventricular mass index (LVMI) was calculated by dividing the left ventricular mass to body surface area. All patients were started treatment with oral valsartan 80 mg. Follow-up visits were performed every 4 weeks, and the dosage was doubled in subjects with insufficient blood pressure reduction. At the end of the 12th week all measurements were repeated in the patient group. All data were recorded in the computer using SPSS for Windows software. Mann-Whitney U, Student t, Wilcoxon and t tests were used for statistical analyses. At baseline, mean serum ghrelin level was significantly lower in the patients group (14.9 ng/mL) compared to healthy controls (42.1 ng/mL) (p
doi_str_mv 10.5152/akd.2014.4738
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Thirty-seven patients and 30 age and body mass index matched healthy controls were followed up prospectively. Serum ghrelin level was measured by enzyme immunoassay (EIA). Left ventricular mass was determined by transthoracic echocardiography. Left ventricular mass index (LVMI) was calculated by dividing the left ventricular mass to body surface area. All patients were started treatment with oral valsartan 80 mg. Follow-up visits were performed every 4 weeks, and the dosage was doubled in subjects with insufficient blood pressure reduction. At the end of the 12th week all measurements were repeated in the patient group. All data were recorded in the computer using SPSS for Windows software. Mann-Whitney U, Student t, Wilcoxon and t tests were used for statistical analyses. At baseline, mean serum ghrelin level was significantly lower in the patients group (14.9 ng/mL) compared to healthy controls (42.1 ng/mL) (p&lt;0.05). After a 12-week antihypertensive treatment of patients, serum ghrelin concentration increased while LVMI decreased (p&lt;0.05, for both). No significant correlation was found between Δ-ghrelin level and Δ-LVMI (r=0.155, p=0.368). Low circulating level of ghrelin in patients with hypertension and its increase after antihypertensive treatment suggest that this peptide need to be explored in the mechanism and complications of hypertension.</description><identifier>ISSN: 1302-8723</identifier><identifier>ISSN: 2149-2263</identifier><identifier>EISSN: 1308-0032</identifier><identifier>EISSN: 2149-2271</identifier><identifier>DOI: 10.5152/akd.2014.4738</identifier><identifier>PMID: 24566547</identifier><language>eng</language><publisher>Turkey: Kare Publishing</publisher><subject>Administration, Oral ; Adult ; Antihypertensive Agents - administration &amp; dosage ; Antihypertensive Agents - therapeutic use ; Case-Control Studies ; Echocardiography ; Enzyme-Linked Immunosorbent Assay ; Female ; Ghrelin - blood ; Humans ; Hypertension - blood ; Hypertension - drug therapy ; Hypertrophy, Left Ventricular - diagnostic imaging ; Hypertrophy, Left Ventricular - drug therapy ; Hypertrophy, Left Ventricular - pathology ; Male ; Prospective Studies ; Treatment Outcome ; Valsartan - administration &amp; dosage ; Valsartan - therapeutic use</subject><ispartof>Anadolu kardiyoloji dergisi : AKD, 2014-05, Vol.14 (3), p.234-238</ispartof><rights>Copyright Aves Yayincilik Ltd. 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identifier ISSN: 1302-8723
ispartof Anadolu kardiyoloji dergisi : AKD, 2014-05, Vol.14 (3), p.234-238
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source MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Administration, Oral
Adult
Antihypertensive Agents - administration & dosage
Antihypertensive Agents - therapeutic use
Case-Control Studies
Echocardiography
Enzyme-Linked Immunosorbent Assay
Female
Ghrelin - blood
Humans
Hypertension - blood
Hypertension - drug therapy
Hypertrophy, Left Ventricular - diagnostic imaging
Hypertrophy, Left Ventricular - drug therapy
Hypertrophy, Left Ventricular - pathology
Male
Prospective Studies
Treatment Outcome
Valsartan - administration & dosage
Valsartan - therapeutic use
title Effects of valsartan treatment on serum ghrelin level and left ventricular mass index in patients with untreated primary hypertension
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