The concept of improving arterial wall characteristics by treatment with a very low-dose combination of fluvastatin and valsartan (low-flu/val) in stable, post-myocardial infarction (MI) patients was tested. The parameters of endothelial function (flow mediated dilatation (FMD), reactive hyperemia index) and arterial stiffness (carotid-femoral pulse wave velocity (cf-PWV), local carotid PWV and β-stiffness coefficient) were measured before and after 30 days of treatment, and the residual effect was assessed 10 weeks later. So the investigators explored whether low-flu/val added "on-top-of" optimal therapy could improve endothelial function and arterial stiffness in post-MI patients. Since these improved parameters are well-known predictors of future coronary events, such treatment could decrease cardiovascular risk.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
36
Department of Vascular Diseases, University Medical Centre Ljubljana
Ljubljana, Slovenia
brachial flow mediated dilatation (FMD)
ultrasonographically measured flow mediated dilatation of brachial artery
Time frame: 30 days
carotid pulse wave velocity (c-PWV)
ultrasonographically measured pulse wave velocity of carotid artery
Time frame: 30 days
β-stiffness coefficient
ultrasonographically measured β-stiffness coefficient of carotid artery
Time frame: 30 days
carotid-femoral pulse wave velocity (cf-PWV)
carotid-femoral pulse wave velocity measured by Sphygmocor
Time frame: 30 days
reactive hyperemia index (RHI)
reactive hyperemia index measured by an Endopat device
Time frame: 30 days
brachial flow mediated dilatation (FMD)
ultrasonographically measured flow mediated dilatation of brachial artery
Time frame: 10 weeks after termination of intervention
carotid pulse wave velocity (c-PWV)
ultrasonographically measured pulse wave velocity of carotid artery
Time frame: 10 weeks after termination of intervention
β-stiffness coefficient
ultrasonographically measured β-stiffness coefficient of carotid artery
Time frame: 10 weeks after termination of intervention
carotid-femoral pulse wave velocity (cf-PWV)
carotid-femoral pulse wave velocity measured by Sphygmocor
Time frame: 10 weeks after termination of intervention
reactive hyperemia index (RHI)
reactive hyperemia index measured by an Endopat device
Time frame: 10 weeks after termination of intervention
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