Lipid Profile and Antihypertensive Drugs

Abstract

Background: Hypertension and dyslipidemia are
cardiovascular risk factors that commonly coexist .
Objective : To evaluate the effects of ß - blocker
(Atenolol) , ACE inhibitor (Captopril) calcium Channel
blocker (Nefidipin ) and diuretics on serum lipid profiles .
Method: Thirty untreated hypertensive and 147
hypertensive patient treated with these antihypertensive
drugs, attending different public health clinics in Basrah
pronivce were enrolled in this study .
Serum lipid profile were determined enzymaticaly using kits
from BioMerieux, France .
Result : The study has revealed that ß-blocker do not
significantly affect total cholesterol ( TC ) and LDLcholesterol , but increase significantly triglyceride (TG) and
VLDL – cholesterol and decrease HDL – cholesterol.
Diuretics causes a significant elevation of TG with generally
no significant changes in TC , LDL – cholesterol , VLDL –
cholesterol and HDL-cholesterol. ACE inhibitor and calcium
channel blockers appears to have no significant effect on
plasma lipids .
Conclusion :It may important to measure blood lipid levels
to identify pre-existing hyperlipidemia before starting the
antihypertensive therapy and to select antihypertensive agent
that will not influence the lipid profile or interfere with the
therapy of hyperlipidemi