title: [Possibilities of Correction of Endothelial Dysfunction at the Background of Combined Antihypertensive Therapy in Patients With Arterial Hypertension and Type 2 Diabetes].
abstract: OBJECTIVE
  To evaluate the impact of a 12-week combined antihypertensive therapy with enalapril + indapamide on endothelial dysfunction in patients with arterial hypertension (AH) and diabetes mellitus (DM) type 2.
  
  
  METHODS
  30 patients with AH stage II-III and DM type 2 age from 40 to 65 years were included into research. The combined antihypertensive therapy with enalapril 28,6+/-1,9 + indapamide 2,5+/-0 mg/day was assigned for 12 weeks. We studied endothelial function by determining the concentration of NO metabolites and endothelin-1 in serum and urine, the results of occlusion test.
  
  
  RESULTS
  After 12-week therapy, 100% of the patients achieved BP goals. There was no impairment of carbohydrate metabolism. Endothelial function was improved in hypertensive patients with T2DM: there were increases in both serum and urinary NO production (by 381 and 48,2%, respectively) and decreases in urinary endothelin-1 secretion (by 56,3%). The number of patients with normal microcirculation increased from 13.3 to 53.3% (p<0.001) by reducing the number of patients with abnormal (hyperemic and stagnant-stasic) types of microcirculation.
  
  
  CONCLUSIONS
  Twelve-week treatment with the combined antihypertensive medication The combined antihypertensive therapy with enalapril + indapamide is highly effective and safe for recovering endothelial function in hypertensive patients with T2DM.
authors.affiliation: Volgograd State Medical University, 1, Pavshikh Bortsov Sq., Volgograd 400031, Russia.
authors.forename: M E
authors.initials: ME
authors.lastname: Statsenko
authors.affiliation: Volgograd State Medical University, 1, Pavshikh Bortsov Sq., Volgograd 400031, Russia.
authors.forename: M V
authors.initials: MV
authors.lastname: Derevyanchenko