CHANGES IN PLASMA LIPID COMPOSITION IN PATIENTS WITH ESSENTIAL HYPERTENSION
Abstract
To examine the relation between serum fatty acids, blood pressure and heart failure in hypertensive patients we conducted a study of 58 patients with essential hypertension (mean age 45,1 ± 9,4 years) and 22 healthy subjects. It was established, that in essential hypertension the levels of saturated and monounsaturated fatty acids increased and the amount of polyunsaturated fatty acids decreased. Aforesaid changes were different within some classes of fatty acids: among saturated acids the levels of myristic and palmitic acids increased and the concentration of stearic acid decreased. Among polyunsaturated acids the amount oflinolenic and a-linolenic acids decreased and the level of arachidonic acid increased. Aforesaid changes correlated with main parameters of ambulatory blood pressure monitoring and structural and functional state of left ventricle.
About the Authors
A. V. GovorinRussian Federation
N. V. Lareva
Russian Federation
B. S. Hyshiktuyev
Russian Federation
A. P. Filev
Russian Federation
References
1. Delachambre М.С., Narse M., Asdrubal P., et al. Changes in tissue polyunsaturated fatty acids with age, in spontaneously hypertensive rats//Lipids. 1998. Vol. 33, N 8. P. 795-801.
2. Chi Y., Gupta R.K. Alterations in membrane fatty acid unsaturation and chain length in hypertension as observed by 1H NMR spectroscopy//Am. J. Hypertens. 1998. Vol. 11, Suppl 3. Pt 1. P. 340-348.
3. Caimi G. Erythrocyte, platelet and polymorphonyclear leukocyte membrane dynamic properties in essential hypertension//Clin. Hemorheol. Microcirс. 1997. Vol. 17, N 3. P. 199-208.
4. Simon J.A., Fong J., Bernert J.T. Serum fatty acids and blood pressure//Hypertension. 1996. Vol. 27. P. 303-307.
5. Постнов Ю.В. К истокам первичной гипертензии: подход с позиций биоэнергетики//Кардиология. 1998. № 12. С. 41-48.
6. Постнов Ю.В. К развитию мембранной концепции патогенеза первичной гипертензии (нарушенная функция митохондрий и энергетический дефицит)//Кардиология. 2000. С. 4-12.
7. Olivieri О., Lombardi S., Russo С., et al. Neutrophil arachidonic acid level and adhesive capability are increased in essential hypertension//J. Hypertens. 1998. Vol. 16, N 5. P. 585-592.
8. Russo C., Olivieri O., Girelli D., et al. Increased membrane ratios of metabolite to precursor fatty acid in essential hypertension//Hypertension. 1997. Vol. 29. P. 1058-1063.
9. Клиническое руководство по ультразвуковой диагностике./Под ред. Митькова В.В., Сандрикова В.А. М.: ВИДАР, 1998. Т. 5. С. 119-128.
10. Pierdomenico S.D., Costanidi F., Bucci A., et al. Blunted nocturnal fall in blood pressure and oxidative stress in men and women with essential hypertension//Am. J. Hypertens. 1999. Vol. 12, N 4. P. 356-363.
11. Koska J., Syrova D., Blazicek P., et al. Malondialdehyde, lipofuscin and activity of antioxidant enzymes during physical exercise in patients with essential hypertension//J. Hypertens. 1999. Vol. 17, N 4. P. 529-535.
12. Титов В.Н. Внутриклеточный дефицит полиеновых жирных кислот в патогенезе атеросклероза//Кардиология. 1998. № 1. С. 43-49.
13. Grimsgaard S., Bonaa К.Н., Jacobsen В.К., et al. Plasma saturated and linoleic fatty acids are independently associated with blood pressure//Hypertension. 1999. Vol. 34. P. 478-483.
14. Simon J.A., Fong J., Bernert J.T. Serum fatty acids and blood pressure//Hypertension. 1996. Vol. 27. P. 303-307.
15. Гланц С. Медико-биологическая статистика. М.: Практика, 1999. 459 с.
Review
For citations:
Govorin A.V., Lareva N.V., Hyshiktuyev B.S., Filev A.P. CHANGES IN PLASMA LIPID COMPOSITION IN PATIENTS WITH ESSENTIAL HYPERTENSION. Russian Journal of Cardiology. 2003;(3):19-24. (In Russ.)