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Cardiovascular and renal effects of bromocriptine in diabetic patients with stage 4 chronic kidney disease.
Mejía-Rodríguez, Oliva; Herrera-Abarca, Jorge E; Ceballos-Reyes, Guillermo; Avila-Diaz, Marcela; Prado-Uribe, Carmen; Belio-Caro, Francisco; Salinas-González, Antonio; Vega-Gomez, Helios; Alvarez-Aguilar, Cleto; Lindholm, Bengt; García-López, Elvia; Paniagua, Ramón.
Afiliação
  • Mejía-Rodríguez O; Coordinación de Educación e Investigación en Salud, Unidad de Medicina Familiar No 80, Instituto Mexicano del Seguro Social, Morelia, Mich, Mexico. olivamejia@yahoo.com
Biomed Res Int ; 2013: 104059, 2013.
Article em En | MEDLINE | ID: mdl-23984312
OBJECTIVE: The objective of this study was to investigate the effect of bromocriptine (BEC) on left ventricular mass index (LVMI) and residual renal function (RRF) in chronic kidney disease (CKD) patients with type 2 diabetes (T2D). RESEARCH DESIGN AND METHODS: A 6-month double-blind randomized controlled trial was conducted in 28 patients with T2D and stage 4 CKD with increased LVMI. Fourteen patients received BEC (2.5 mg, initially 1 tablet with subsequent increase to three times a day) and 14 received a placebo (PBO; initially 1 tablet with subsequent increase to three times a day). Cardiovascular changes were assessed by monitoring 24 h ambulatory blood pressure, two-dimensional-guided M-mode echocardiography, and N-terminal brain natriuretic peptide (NT-proBNP) plasma levels. RRF was evaluated by creatinine clearance and cystatin-C plasma levels. RESULTS: Both BEC and PBO groups decreased blood pressure-but the effect was more pronounced in the BEC group. Average 24 h, diurnal and nocturnal blood pressures, and circadian profile showed improved values compared to the PBO group; LVMI decreased by 14% in BEC and increased by 8% in PBO group. NT-proBNP decreased in BEC (0.54 ± 0.15 to 0.32 ± 0.17 pg/mL) and increased in PBO (0.37 ± 0.15 to 0.64 ± 0.17 pg/mL). Creatinine clearance did not change in the BEC group and decreased in the PBO group. CONCLUSIONS: BEC resulted in a decrease on blood pressure and LVMI. BEC also prevented the progression of CKD while maintaining the creatinine clearance unchanged.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bromocriptina / Diabetes Mellitus Tipo 2 / Insuficiência Renal Crônica / Coração / Rim Tipo de estudo: Clinical_trials / Risk_factors_studies Limite: Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2013 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bromocriptina / Diabetes Mellitus Tipo 2 / Insuficiência Renal Crônica / Coração / Rim Tipo de estudo: Clinical_trials / Risk_factors_studies Limite: Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2013 Tipo de documento: Article