EFFICIENCY OF COMBINED THERAPY WITH MYOCARDIAL CYTOPROTECTOR MEXICOR IN HYPERTENSIVE PATIENTS WITH ACUTE CEREBROVASCULAR DISTURBANCES

Mikhin V.P., Boldina N.V., Cherniatina M.A., Laskov V.B., Sidorova S.A.
State Medical University,
Kursk, Russia

Sixty hypertensive patients (mean age 64.9±1.5) with acute ischemic stroke were randomized into 2 groups. Both groups received conventional therapy (Aspirin Cardio, Trental, Prestarium, Arifon), which in the test group was added by Mexicor (0.3 g per day for 3 weeks). Circadian blood pressure (BP) and its variability were monitored in all patients at 1, 5, 10, 14 and 21 days after the stroke. NIH Stroke Scale, the Barthel ADL Index, Rankin Scale, Mini-Mental State Examination (MMSE) and Frontal Assessment Battery (FAB) were used for the neurological status assessment. Mexicor was shown to accelerate the systolic and diastolic BP lowering, reduction of BP variability (mainly nocturnal) and improvement of circadian BP profile (more patients showed dipper type hypertension and less – non-dipper, over-dipper and night-peaker patterns, compared with the control group). Mexicor had a positive effect on neurological status, cognitive function and focal neurological deficit severity.

KEY WORDS: Mexicor, arterial hypertension, ischemic stroke, circadian blood pressure, cognitive impairment.

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