Fluvastatin prevents development of arterial stiffness in haemodialysis patients with type 2 diabetes mellitus

Atsuhiro Ichihara, Matsuhiko Hayashi, Munekazu Ryuzaki, Michiko Handa, Tomohiro Furukawa, Takao Saruta

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Abstract

Background. Arterial stiffness assessed by pulse wave velocity (PWV) predicts all-cause and cardiovascular mortality in diabetic patients with end-stage renal disease. We studied the preventive effects of a 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor, fluvastatin, on arterial PWV values in this population. Methods. Twenty-two patients with normal serum lipid levels received fluvastatin (20 mg/day p.o.) or a placebo for 6 months. Their serum lipid levels, serum levels of C-reactive protein (CRP), arterial PWV, and ankle branchial indexes (ABI) were determined before, and 3 and 6 months after taking the medication to evaluate arterial stiffness. Results. At the beginning of the follow-up, there were no differences in age, blood pressure, body mass index, serum haemoglobin A1c level, serum CRP level, serum lipid levels, PWV or ABI between the placebo- (n = 10) and the fluvastatin-treated patients (n = 12). After 6 months, the PWV and the serum oxidized low-density lipoprotein cholesterol (LDL-C) level increased significantly (from 1969 ± 140 to 2326 ± 190 cm/s and 70.4 ± 13.8 to 91.8 ± 15.5 U/l, respectively) in the placebo-treated patients. However, the fluvastatin group had a significantly reduced PWV (from 1991 ± 162 to 1709 ± 134 cm/s), oxidized LDL-C serum levels (from 89.0 ± 9.6 to 73.0 ± 5.8 U/l) and CRP serum levels (from 0.97 ± 0.32 to 0.26 ± 0.16 mg/dl) compared with those in the placebo group. Conclusions. Long-term administration of fluvastatin prevents further worsening of arterial biomechanics in haemodialysis patients with type 2 diabetes mellitus, even in the presence of serum lipid levels in the normal range.

Original languageEnglish
Pages (from-to)1513-1517
Number of pages5
JournalNephrology Dialysis Transplantation
Volume17
Issue number8
Publication statusPublished - 2002 Aug 27

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Keywords

  • Ankle brachial index
  • End-stage renal disease
  • HMG-CoA reductase inhibitor
  • Oxidized low-density lipoprotein
  • Pulse wave velocity

ASJC Scopus subject areas

  • Nephrology
  • Transplantation

Cite this

Ichihara, A., Hayashi, M., Ryuzaki, M., Handa, M., Furukawa, T., & Saruta, T. (2002). Fluvastatin prevents development of arterial stiffness in haemodialysis patients with type 2 diabetes mellitus. Nephrology Dialysis Transplantation, 17(8), 1513-1517.