Journals / Anadolu Kardiyoloji Dergisi / 2006 / Cilt: 6 - Sayı: 2

Tiazid ve tiazid potasyum tutucu diüretik kombinasyonlarının fibrinolitik sistem parametreleri üzerine etkileri

The effects of thiazide and thiazide-potassium sparing diuretics on fibrinolytic system parameters

Pages
143–147
Publication Date
2022-10-10
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Results: Treatment with HCT-spironolactone caused an increase in PAI-I (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study investigates whether the combination of thiazides with an aldosterone antagonist can decrease their negative effects on the fibrinolytic activity.Methods: Twenty-eight hypertensive patients (20 men, 8 women) visiting our hypertension unit were included in the study.
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Key Findings & Data:The control group consisted of age- and gender-matched 9 normotensive healthy individuals.
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Conclusion & Impact:Results: Treatment with HCT-spironolactone caused an increase in PAI-I (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: This study investigates whether the combination of thiazides with an aldosterone antagonist can decrease their negative effects on the fibrinolytic activity.Methods: Twenty-eight hypertensive patients (20 men, 8 women) visiting our hypertension unit were included in the study. The control group consisted of age- and gender-matched 9 normotensive healthy individuals. The patients in the 1st group (7 men, 2 women, mean age 48.55±6.14 years) were given 50 mg hydrochlorothiazide (HCT), whereas patients in the 2nd group (7 men, 2 women, mean age 48±6.3 years) received a combination of 50 mg HCT and 5 mg amyloride and the 3rd group (7 men, 3 women, mean age 48.2±7.25 years) took 50 mg HCT and 50 mg spironolactone for a period of 2 weeks. The plasminogen activator inhibitor (PAI)-I, tissue plasminogen activator (t-PA) and PAI-I/t-PA ratio were assessed before and after treatment. Results: Treatment with HCT-spironolactone caused an increase in PAI-I (p

Özet

Amaç: Bu çalışmada tiazidlerin aldosteron antagonistleri ile kombine edilmelerinin, fibrinolitik aktivite üzerine tiazidlerin yaptığı olumsuz etkileri azaltabileceğinin araştırılması hedeflenmiştir. Yöntemler: Bu çalışmaya hipertansiyon ünitemize başvuran 28 hipertansif hasta (20 erkek, 8 bayan) dahil edilmiştir. Kontrol grubu hastalara uygun yaş ve cinsiyetle eşleştirilen 9 normotansif sağlıklı bireyi içeriyordu. Birinci gruba (7 erkek, 2 kadın, ortalama yaş 48.55±6.14) 50mg hidroklortiazid (HCT), 2. gruba (7 erkek, 2 kadın, ortalama yaş 48±6.3) 50mg HCT ve 5mg amilorid kombinasyonu, 3. gruba (7 erkek, 3 kadın, ortalama yaş 48.2±7.25) 50mg HCT ve 50mg spironolakton kombinasyonu iki hafta süreyle verildi. Bulgular: Hidroklortiazid tedavisi plazminojen aktivatörü inhibitörü (PAI)-I ve PAI-I/doku plazminojen aktivatörü (t-PA) oranında artışa yol açmıştır (p

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Cite This Article

KAŞİFOĞLU, T., YALÇIN, A. U. (2022). Tiazid ve tiazid potasyum tutucu diüretik kombinasyonlarının fibrinolitik sistem parametreleri üzerine etkileri. Anadolu Kardiyoloji Dergisi, Cilt: 6 - Sayı: 2, 143–147. https://ajindex.com/articles/437286

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References (13)

  1. Sakata K, Shirptani M, Yoshida H, Urano T, Takada Y, Takada A. Differential effects of enalapril and nitredipine on the fibrinolytic system in essential hypertension. Am Heart J 1999; 137: 1094-9
  2. Winther K, Gleerup G, Hedner T. Enhanced risk of thromboembolic disease in hypertension from platelet hyperfunction and decreased fibrinolytic activity: has antihypertensive therapy any influence? J Cardiovasc Pharmacol 1992; 19 Suppl 3: 21-4
  3. Nordt TK, Peter K, Ruef J, Kubler W, Bode C. Plasminogen activator inhibitor type-1 (PAI-1) and its role in cardiovascular disease. Thromb Haemost 1999; 82 Suppl 1: 14-8
  4. Newby DE, McLeod AL, Uren NG, Flint L, Ludlam CA, Webb DJ, et al. Impaired coronary tissue plasminogen activator release is associated with coronary atherosclerosis and cigarette smoking: direct link between endothelial dysfunction and atherothrombosis. Circulation 2001; 103: 1936-41
  5. Landin K, Tengborn L, Smith U. Elevated fibrinogen and plasminogen activator inhibitor-1 in hypertension are related to metabolic risk factors for cardiovascular disease. J Intern Med 1999; 227: 273-8
  6. Kostis JB. The effect of enalapril on mortal and morbid events in patients with hypertension and left ventricular dysfunction.Am J Hypertens 1995;8:909-14
  7. Sakata K, Pawlak R, Urano T, Takada A. Effects of a long term pharmacological interruption of the renin angiotensin system in essential hypertension. Pathophysiology of haemostasis and thrombosis. Pathophysiol Haemost Thromb 2002; 32: 67-75
  8. Lottermoser K, Weisser B, Hertfelder HJ, Wostmann B, Vetter H, Dusing R. Antihypertensive drug treatment and fibrinolytic function. Am J Hypertens 1998; 11: 378-84
  9. Brion P, Koiw E, Nowczynski W. The effect of intravenous infusion of valine 5 angiotensin II and other pressor agents on urinary electrolytes and corticoids including aldosterone. J Clin Invest 1961; 60: 338-42
  10. Brilla CG, Weber KT. Mineralocoricoid excess, dietary sodium and myocardial fibrosis. J Lab Clin Med 1992; 120: 893-901
  11. Brilla CG, Matsubara LS, Weber KT. Antialdosterone treatment and the prevention of myocardial fibrosis in primary and secondary hyperaldosteronism. J Mol Cell Cardiol 1993; 25: 563-75
  12. Benetos A, Lacolley P, Safar ME. Prevention of aortic fibrosis by spironolactone in spontaneously hypertensive rats. Arterioscler Thromb Vasc Biol 1997; 17: 1152-6
  13. Grene EL, Kren S, Hostetter TH. Role of aldosterone in the remnant kidney model in the rat. J Clin Invest 1996;