Possibilities of outpatient renoprotective therapy
Kolina, I.B.; Stavrovskaia, E.V.; Shilov, E.M.
Terapevticheskii Arkhiv 77(6): 33-35
2005
ISSN/ISBN: 0040-3660 PMID: 16078597 Document Number: 586466
Aim. To show feasibility of conducting nephroprotective therapy in conditions of a municipal diagnostic center.Material and methods. The nephrologist of the city diagnostic center followed up for 2years 9patients with different nephropathies comorbid with arterial hypertension, hyperlipidemia and slowly progressive renal failure aged 44-77 years. The course of nephropathy for I year before and I year after correction with nephroprotective therapy (arterial pressure control and treatment with ACE inhibitors and statins) was analysed.Results. Before the start of nephroprotective measures all the patients experienced a slow progression of renal failure. After administration of ACE inhibitors in doses lowering arterial pressure not higher than 130180 mm Hg and statins reducing serum cholesterol nitric residues stopped accumulating while serum creatinine went down after 5 months of the combined treatment.Conclusion. It is feasible to conduct a renoprotective policy with a control of therapeutic efficacy in outpatients of a municipal diagnostic center.