Influence of angiotensin-converting enzyme inhibition on reversibility of alterations in arterial wall and cognitive performance associated with early hypertension Article Swipe
Enikő Csikai
,
Mónika Andrejkovics
,
Bernadett Balajthy-Hidegh
,
Gergely Hofgárt
,
László Kardos
,
Ágnes Diószegi
,
Róbert Rostás
,
Katalin Réka Czuriga‐Kovács
,
Éva Csongrádi
,
László Csiba
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1097/md.0000000000016966
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1097/md.0000000000016966
The importance of optimal blood pressure control for preventing or reducing the impairment of vascular and cognitive functions is well known. However, the reversibility of early alterations in vascular and cognitive functions through antihypertensive agents is under-investigated. In this study, we evaluated the influence of 3 months of angiotensin-converting enzyme (ACE) inhibition treatment on the morphological and functional arterial wall and cognitive performance changes in 30 newly diagnosed primary hypertensive patients. Common carotid intima-media thickness (IMT) and brachial artery flow-mediated dilatation (FMD) were detected by ultrasonography. Arterial stiffness indicated by augmentation index (AIx) and pulse wave velocity (PWV) was assessed by arteriography. Cognitive functions were assessed by neuropsychological examination. The executive function overall score was significantly higher at 3-month follow-up than at baseline (median, 0.233 (IQR, 0.447) vs –0.038 (0.936); P = .001). Three-month ACE inhibition did not produce significant improvement in IMT, FMD, AIx and PWV values. Significant negative associations were revealed between IMT and complex attention ( r = –0.598, P = .0008), executive function ( r = –0.617, P = .0005), and immediate memory ( r = –0.420, P = .026) overall scores at follow-up. AIx had significant negative correlations with complex attention ( r = –0.568, P = .001), executive function ( r = –0.374, P = .046), and immediate memory ( r = –0.507, P = .005). PWV correlated significantly and negatively with complex attention ( r = –0.490, P = .007). Timely and effective antihypertensive therapy with ACE inhibitors has significant beneficial effects on cognitive performance in as few as 3 months. Early ACE inhibition may have an important role in the reversal of initial impairments of cognitive function associated with hypertension-induced vascular alterations.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/md.0000000000016966
- OA Status
- gold
- Cited By
- 3
- References
- 70
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2969857741
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2969857741Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/md.0000000000016966Digital Object Identifier
- Title
-
Influence of angiotensin-converting enzyme inhibition on reversibility of alterations in arterial wall and cognitive performance associated with early hypertensionWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-08-01Full publication date if available
- Authors
-
Enikő Csikai, Mónika Andrejkovics, Bernadett Balajthy-Hidegh, Gergely Hofgárt, László Kardos, Ágnes Diószegi, Róbert Rostás, Katalin Réka Czuriga‐Kovács, Éva Csongrádi, László CsibaList of authors in order
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https://doi.org/10.1097/md.0000000000016966Publisher landing page
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1097/md.0000000000016966Direct OA link when available
- Concepts
-
Medicine, Arterial stiffness, Pulse wave velocity, Internal medicine, Cardiology, Brachial artery, Blood pressure, Cognition, Neuropsychology, Intima-media thickness, Angiotensin-converting enzyme, Lisinopril, Carotid arteries, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
3Total citation count in OpenAlex
- Citations by year (recent)
-
2024: 1, 2022: 1, 2020: 1Per-year citation counts (last 5 years)
- References (count)
-
70Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.3-month | 119 |
| abstract_inverted_index.between | 154 |
| abstract_inverted_index.carotid | 73 |
| abstract_inverted_index.changes | 64 |
| abstract_inverted_index.complex | 157, 195, 229 |
| abstract_inverted_index.control | 7 |
| abstract_inverted_index.effects | 249 |
| abstract_inverted_index.initial | 271 |
| abstract_inverted_index.months. | 258 |
| abstract_inverted_index.optimal | 4 |
| abstract_inverted_index.overall | 113, 185 |
| abstract_inverted_index.primary | 69 |
| abstract_inverted_index.produce | 139 |
| abstract_inverted_index.therapy | 242 |
| abstract_inverted_index.through | 33 |
| abstract_inverted_index.values. | 148 |
| abstract_inverted_index.(0.936); | 130 |
| abstract_inverted_index.(median, | 124 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Arterial | 87 |
| abstract_inverted_index.However, | 22 |
| abstract_inverted_index.arterial | 59 |
| abstract_inverted_index.assessed | 100, 106 |
| abstract_inverted_index.baseline | 123 |
| abstract_inverted_index.brachial | 78 |
| abstract_inverted_index.detected | 84 |
| abstract_inverted_index.function | 112, 167, 205, 275 |
| abstract_inverted_index.negative | 150, 192 |
| abstract_inverted_index.pressure | 6 |
| abstract_inverted_index.reducing | 11 |
| abstract_inverted_index.revealed | 153 |
| abstract_inverted_index.reversal | 269 |
| abstract_inverted_index.vascular | 15, 29, 279 |
| abstract_inverted_index.velocity | 97 |
| abstract_inverted_index.–0.038 | 129 |
| abstract_inverted_index.Cognitive | 103 |
| abstract_inverted_index.attention | 158, 196, 230 |
| abstract_inverted_index.cognitive | 17, 31, 62, 251, 274 |
| abstract_inverted_index.diagnosed | 68 |
| abstract_inverted_index.effective | 240 |
| abstract_inverted_index.evaluated | 42 |
| abstract_inverted_index.executive | 111, 166, 204 |
| abstract_inverted_index.follow-up | 120 |
| abstract_inverted_index.functions | 18, 32, 104 |
| abstract_inverted_index.immediate | 176, 214 |
| abstract_inverted_index.important | 265 |
| abstract_inverted_index.indicated | 89 |
| abstract_inverted_index.influence | 44 |
| abstract_inverted_index.patients. | 71 |
| abstract_inverted_index.stiffness | 88 |
| abstract_inverted_index.thickness | 75 |
| abstract_inverted_index.treatment | 53 |
| abstract_inverted_index.–0.374, | 209 |
| abstract_inverted_index.–0.420, | 181 |
| abstract_inverted_index.–0.490, | 234 |
| abstract_inverted_index.–0.507, | 219 |
| abstract_inverted_index.–0.568, | 200 |
| abstract_inverted_index.–0.598, | 162 |
| abstract_inverted_index.–0.617, | 171 |
| abstract_inverted_index.associated | 276 |
| abstract_inverted_index.beneficial | 248 |
| abstract_inverted_index.correlated | 224 |
| abstract_inverted_index.dilatation | 81 |
| abstract_inverted_index.follow-up. | 188 |
| abstract_inverted_index.functional | 58 |
| abstract_inverted_index.impairment | 13 |
| abstract_inverted_index.importance | 2 |
| abstract_inverted_index.inhibition | 52, 136, 261 |
| abstract_inverted_index.inhibitors | 245 |
| abstract_inverted_index.negatively | 227 |
| abstract_inverted_index.preventing | 9 |
| abstract_inverted_index.Significant | 149 |
| abstract_inverted_index.Three-month | 134 |
| abstract_inverted_index.alterations | 27 |
| abstract_inverted_index.impairments | 272 |
| abstract_inverted_index.improvement | 141 |
| abstract_inverted_index.performance | 63, 252 |
| abstract_inverted_index.significant | 140, 191, 247 |
| abstract_inverted_index.alterations. | 280 |
| abstract_inverted_index.associations | 151 |
| abstract_inverted_index.augmentation | 91 |
| abstract_inverted_index.correlations | 193 |
| abstract_inverted_index.examination. | 109 |
| abstract_inverted_index.hypertensive | 70 |
| abstract_inverted_index.intima-media | 74 |
| abstract_inverted_index.flow-mediated | 80 |
| abstract_inverted_index.morphological | 56 |
| abstract_inverted_index.reversibility | 24 |
| abstract_inverted_index.significantly | 116, 225 |
| abstract_inverted_index.arteriography. | 102 |
| abstract_inverted_index.antihypertensive | 34, 241 |
| abstract_inverted_index.ultrasonography. | 86 |
| abstract_inverted_index.neuropsychological | 108 |
| abstract_inverted_index.under-investigated. | 37 |
| abstract_inverted_index.hypertension-induced | 278 |
| abstract_inverted_index.angiotensin-converting | 49 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5028464878 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 10 |
| corresponding_institution_ids | https://openalex.org/I132735039 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.800000011920929 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.63603263 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |