1.The effects of statins on electrical stability in patients with essential hypertension.
Sung Soo KIM ; Soo Young JANG ; Jeom Seok KO ; Nam Sik YOON ; Ke Hun KIM ; Hyung Wook PARK ; Young Joon HONG ; Ju Han KIM ; Young Keun AHN ; Myung Ho JEONG ; Jeong Gwan CHO ; Jong Chun PARK ; Jung Chaee KANG ; Sang Ki CHO ; Seung Wook LEE ; Wan KIM ; Nam Ho KIM ; Jay Young RHEW ; Jang Hyun CHO ; Joong Hwa CHUNG
Korean Journal of Medicine 2010;78(3):325-332
BACKGROUND/AIMS: Essential hypertension is the most common cardiovascular disease and is involved in the development of the various cardiac arrhythmias, including atrial fibrillation. Recently, several studies have shown that statins have anti-arrhythmic effects, including the prevention of atrial fibrillation. This study investigated the effects of statins on cardiac electrophysiologic remodeling in patients with essential hypertension using the signal-averaged electrocardiogram (ECG) and standard 12-lead ECG. METHODS: This prospective multicenter study enrolled 115 patients with hypertension. Various antihypertensive drugs were administered alone or in combination according to their blood pressure. Statins were administrated in 56 patients. Laboratory tests, a standard 12-lead ECG, and signal-averaged ECG were performed at 1, 3, 6, and 12 months. Statistical analysis was performed using paired and independent t-tests and repeated measures analysis of variance (ANOVA). RESULTS: There was no significant difference in the clinical characteristics of the patients with and without statins. After antihypertensive therapy for 1 year, the P wave dispersion, high-frequency low-amplitude (HFLA) signals in the QRS complex of less than 40 micronV, and T peak-to-end dispersion were increased significantly (p<0.001, p<0.05, and p<0.01, respectively) in the patients who were not taking statins, while these changes were not seen in the statin group. CONCLUSIONS: These results demonstrate that electrophysiologic remodeling was progressive in patients with essential hypertension, despite antihypertensive therapy. However, combination therapy with a statin may inhibit the deterioration of inhomogeneity in atrial refractoriness and conduction disturbance.
Antihypertensive Agents
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Arrhythmias, Cardiac
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Atrial Fibrillation
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Blood Pressure
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Cardiovascular Diseases
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Electrocardiography
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Electrophysiology
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Humans
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Hydroxymethylglutaryl-CoA Reductase Inhibitors
;
Hypertension
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Prospective Studies
Result Analysis
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