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| Nicodil United Improvement of Blood Flow Reserve in Hypertensive Patients with Left Ventricular Hypertrophy |
| Chen Jing, Dai Juping, Hao Yuanbin |
| The first affiliated hospital of Nanyang Medical College,the first ward of cardiovascular medicine,Nanyang,Henan 473000 |
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Abstract Objective Effect of Nicorandil Combined with a Low Glycemic Index Diet on Fractional Flow Reserve in Hypertensive Patients with Left Ventricular Hypertrophy. Methods A total of 98 hypertensive patients with left ventricular hypertrophy treated at our hospital were randomly assigned to either the study group(n=49)receiving nicorandil plus low-GI diet intervention or the control group(n=49)receiving nicorandil alone.Outcomes included blood pressure control,therapeutic efficacy,LVH regression,fractional flow reserve(FFR),and adverse events. Result: Post-treatment,the study group demonstrated superior outcomes:lower systolic pressure(113.35±12.06mmHg vs control,P<0.05),higher diastolic pressure,and greater clinical efficacy(93.88% vs 79.59%,P<0.05).Significant LVH regression was observed through reduced LVEDD,IVST,LVPWT and LVMI(all P<0.05).The group also showed improved fractional flow reserve(0.95±0.07 vs control,P<0.05)with comparable low adverse event rates(P>0.05). Conclusion The combination of nicorandil with a low-GI diet significantly improves fractional flow reserve in hypertensive patients with LVH,demonstrating excellent safety.This combined therapy shows superior efficacy in reversing left ventricular hypertrophy and enhancing cardiac function,warranting clinical adoption.
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Received: 28 July 2025
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