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Published in: American Journal of Cardiovascular Drugs 3/2002

01-05-2002 | Leading Article

Effects of the Thiazolidinediones on Cardiovascular Risk Factors

Authors: Lucia Gilling, Pitiporn Suwattee, Cyrus DeSouza, Sunil Asnani, Professor Vivian Fonseca

Published in: American Journal of Cardiovascular Drugs | Issue 3/2002

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Abstract

Rosiglitazone and pioglitazone are medications from the thiazolidinedione class of compounds currently available for the treatment of type 2 diabetes mellitus. Traditionally used to enhance insulin sensitivity and decrease plasma insulin levels, added applications have emerged beyond those involving glycemic control. Cardiovascular risk factors associated with insulin resistance such as elevated blood pressure, dyslipidemia, abnormal fibrinolysis, and endothelial and vascular dysfunction have been shown to improve after thiazolidinedione treatment. Therapy with rosiglitazone or pioglitazone has been found to modify vascular reactivity and other processes involved in atherosclerosis. There may be differences between the agents in their effects on plasma lipid characteristics and particle size. These agents serve as excellent adjuncts to oral and insulin therapy for patients with type 2 diabetes mellitus and hold promise for the prevention of cardiovascular disease associated with the insulin resistance syndrome. Clinical trials are in progress to determine whether such therapy will lead to a reduction in cardiovascular events.
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Metadata
Title
Effects of the Thiazolidinediones on Cardiovascular Risk Factors
Authors
Lucia Gilling
Pitiporn Suwattee
Cyrus DeSouza
Sunil Asnani
Professor Vivian Fonseca
Publication date
01-05-2002
Publisher
Springer International Publishing
Published in
American Journal of Cardiovascular Drugs / Issue 3/2002
Print ISSN: 1175-3277
Electronic ISSN: 1179-187X
DOI
https://doi.org/10.2165/00129784-200202030-00002

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