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04 June 2018 : Clinical Research

Synergistic Effect of Atorvastatin and Folic Acid on Cardiac Function and Ventricular Remodeling in Chronic Heart Failure Patients with Hyperhomocysteinemia

You Peng1ABCDEFG, Bai-Qing Ou1ABCEFG*, Hua-Hua Li1ABDEFG, Zhi Zhou2ABCEF, Jiong-Ling Mo1ACDEF, Jue Huang2ABDEF, Feng-Ling Liang2ABDEF

DOI: 10.12659/MSM.906893

Med Sci Monit 2018; 24: CLR3744-3751

Abstract

BACKGROUND: At present, a constant progress in pathophysiology understanding and treatment of the chronic heart failure (CHF) is arising. Meanwhile, hyperhomocysteinemia (HHcy) has been linked to impaired left ventricular function and clinical class in patients with CHF. Atorvastatin therapy can reduce the incidence of sudden cardiac death in patients with advanced CHF. Folic acid could enhance endothelial function in vascular disease states. The present study aims to investigate the effect of atorvastatin and folic acid combined on the cardiac function and ventricular remodeling in CHF patients with HHcy.

MATERIAL AND METHODS: Elderly CHF patients with HHcy were divided into four groups: routine, routine + atorvastatin, routine + folic acid, and routine + atorvastatin + folic acid groups. Serum homocysteine (Hcy) level was detected using enzymatic cycling methods, and N-terminal pro brain natriuretic peptide (NT-proBNP) level by ELISA. The cardiac function indexes and left ventricular early diastolic peak flow velocity/atrial systolic peak flow velocity (E/A) ratio were evaluated. The six-minute walk test was performed to measure the six-minute walk distance (6MWD).

RESULTS: 6MWD increased, the serum Hcy and NT-proBNP levels decreased, and cardiac function was improved compared with before treatment, which was the most significant in the routine + atorvastatin + folic acid group, followed by the routine + atorvastatin group, then the routine + folic acid group, and lastly, the routine group.

CONCLUSIONS: The results indicated that the combination of atorvastatin and folic acid improved the cardiac function and inhibited ventricular remodeling of elderly CHF patients with HHcy.

Keywords: Folic Acid, Heart Failure, Hyperhomocysteinemia

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750