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1
"ACE Inhibitors" and "ARBs" to Protect Your Heart?

... best fits your budget. Common Generic and Brand Names for ACE Inhibitors and ARBs ACE Inhibitors benazepril ( ...

MedlinePLUS

2
Effect of ace inhibitors and TMOF on growth, development, and trypsin activity of larval Spodoptera littoralis.
2008-12-01

Angiotensin converting enzyme (ACE) is a zinc metallopeptidase capable of cleaving dipeptide or dipeptideamide moieties at the C-terminal end of peptides. ACE is present in the hemolymph and reproductive tissues of insects. The presence of ACE in the hemolymph and its broad substrate specificity suggests an important role in processing ...

PubMed

3
? Adrenergic blockers lower renin in patients treated with ACE inhibitors and diuretics
1998-07-01

Objective�To examine the effect of concomitant intake of ?�blockers with angiotensin converting enzyme (ACE) inhibitors, diuretics, or both on plasma renin concentrations in a population based sample (MONICA survey, Augsburg, Germany).?Subject and methods�728 individuals were studied, of whom 171�were treated using monotherapy ...

PubMed Central

4
Acute Kidney Injury After Cardiac Surgery in Infants and Children: Evaluation of the Role of Angiotensin-Converting Enzyme Inhibitors.
2011-07-29

Children with congenital heart disease who undergo cardiac surgery are vulnerable to acute kidney injury (AKI). This study sought to evaluate the role of angiotensin-converting enzyme (ACE) inhibitors and other nephrotoxic medications in the risk for the development of AKI in neonates and children undergoing cardiac surgery. A retrospective review of all ...

PubMed

5
Renin Angiotensin Aldosterone System Blockade: Little to No Rationale for ACE Inhibitor and ARB Combinations.
2011-01-01

Our understanding of the complexities and inter-related pathways of the renin-angiotensin-aldosterone system continues to evolve. Which drugs to use, when, and how, are everyday questions faced by clinicians in the ambulatory setting. Combining these classes, for the purpose of enhancing renin-angiotensin-aldosterone system blockade and incremental blood pressure, ...

PubMed

6
Upregulation of angiotensin-converting enzyme (ACE) 2 in hepatic fibrosis by ACE inhibitors.
2009-09-28

1. The role of angiotensin-converting enzyme (ACE) 2 is likely to balance the status of the renin-angiotensin system (RAS) by degrading angiotensin (Ang) II and generating Ang-(1-7). Earlier demonstrations that ACE2 is insensitive to ACE inhibitors prompted us to evaluate the effect of ACE ...

PubMed

7
Meta-Analysis of Combined Therapy with Angiotensin Receptor Antagonists versus ACE Inhibitors Alone in Patients with Heart Failure
2010-04-01

BackgroundThere is insufficient evidence whether the benefit of adding angiotensin II receptor blockers (ARBs) to angiotensin-converting enzyme (ACE) inhibitors outweighs the increased risk of adverse effects in patients with heart failure.Methodology/Principal FindingsTwo independent reviewers searched and abstracted randomized controlled trials of ARBs ...

PubMed Central

8
Angiotensin converting enzyme expression is increased in small pulmonary arteries of rats with hypoxia-induced pulmonary hypertension.
1995-10-01

Previous studies suggest that while lung angiotensin converting enzyme (ACE) activity is reduced during chronic hypoxia, inhibitors of ACE attenuate hypoxic pulmonary hypertension. In an attempt to explain this paradox we investigated the possibility that whole lung ACE activity may not reflect local pulmonary ...

PubMed Central

9
Angiotensin I-Converting Enzyme Gln1069Arg Mutation Impairs Trafficking to the Cell Surface Resulting in Selective Denaturation of the C-Domain
2010-05-03

BackgroundAngiotensin-converting enzyme (ACE; Kininase II; CD143) hydrolyzes small peptides such as angiotensin I, bradykinin, substance P, LH-RH and several others and thus plays a key role in blood pressure regulation and vascular remodeling. Complete absence of ACE in humans leads to renal tubular dysgenesis (RTD), a severe disorder of renal tubule ...

PubMed Central

10
Pharmacological and clinical profile of moexipril: a concise review.
2004-08-01

Angiotensin-converting enzyme (ACE) inhibitors are effective and safe antihypertensive drugs, with the exception of the rare occasion of angioedema. These drugs have demonstrated additional cardiovascular protective effects to their blood pressure lowering, and their combination with the diuretic hydrochlorothiazide potentiates their ...

PubMed

11
An update on non-peptide angiotensin receptor antagonists and related RAAS modulators.
2007-06-28

The renin-angiotensin-aldosterone-system (RAAS) is an important regulator of blood pressure and fluid-electrolyte homeostasis. RAAS has been implicated in pathogenesis of hypertension, congestive heart failure, and chronic renal failure. Aliskiren is the first non-peptide orally active renin inhibitor approved by FDA. Angiotensin Converting Enzyme (ACE) ...

PubMed

12
1-min ACE data variously shifted to Wind: plots ... - OMNIWeb - NASA

ACE shifted to Wind, MV method (2) ACE shifted to Wind, CP method(3) ACE shifted to Wind, J&N combination ... ACE shifted to Wind, DW combination method (5) ...

NASA Website

13
Bradykinin potentiation by ACE inhibitors: a matter of metabolism
2002-09-01

Studies in isolated cells overexpressing ACE and bradykinin type 2 (B2) receptors suggest that ACE inhibitors potentiate bradykinin by inhibiting B2 receptor desensitization, via a mechanism involving protein kinase C (PKC) and phosphatases. Here we investigated, in intact porcine coronary ...

PubMed Central

14
Mast cell chymase limits the cardiac efficacy of Ang I�converting enzyme inhibitor therapy in rodents
2010-03-24

Ang I�converting enzyme (ACE) inhibitors are widely believed to suppress the deleterious cardiac effects of Ang II by inhibiting locally generated Ang II. However, the recent demonstration that chymase, an Ang II�forming enzyme stored in mast cell granules, is present in the heart has added uncertainty to this view. As discussed here, using ...

PubMed Central

15
Mast cell chymase limits the cardiac efficacy of Ang I-converting enzyme inhibitor therapy in rodents.
2010-03-24

Ang I-converting enzyme (ACE) inhibitors are widely believed to suppress the deleterious cardiac effects of Ang II by inhibiting locally generated Ang II. However, the recent demonstration that chymase, an Ang II-forming enzyme stored in mast cell granules, is present in the heart has added uncertainty to this view. As discussed here, using microdialysis ...

PubMed

16
The role of direct Renin inhibition in clinical practice: focus on combination therapy.
2011-10-01

Monotherapy with most antihypertensive agents reduces systolic BP by about 10?mmHg ('Rule of 10'). Thus, the majority of hypertensive patients require combination therapy to achieve BP goals. In this review, we provide a brief overview of the renin-angiotensin-aldosterone system (RAAS) and discuss the rationale, clinical evidence, and shortcomings related to the use of ...

PubMed

17
Characterization of angiotensin converting enzyme (ACE) in the testis and assessment of the in vivo effects of the ACE inhibitor perindopril
1988-07-01

Angiotensin converting enzyme (ACE) was characterized by radioligand studies utilizing the potent ACE inhibitor 351A, a derivative of lisinopril. Ligand binding characteristics were similar for ACE derived from testis, lung, and kidney, despite known differences in structure between ACe from ...

Energy Citations Database

18
Optimal strategies for preventing progression of renal disease: should angiotensin converting enzyme inhibitors and angiotensin receptor blockers be used together?
2000-10-01

Interruption of the renin-angiotensin system (RAS) with angiotensin converting enzyme (ACE) inhibitors or angiotensin AT(1) receptor blockers has been shown to delay progression in a variety of renal diseases, suggesting that the RAS, and its major effector molecule, angiotensin II, are important players in renal pathophysiology. Both antagonists ...

PubMed

19
Apstatin, a selective inhibitor of aminopeptidase P, reduces myocardial infarct size by a kinin-dependent pathway
2001-09-01

Inhibitors of the angiotensin converting enzyme (ACE) have been shown to exert their cardioprotective actions through a kinin-dependent mechanism. ACE is not the only kinin degrading enzyme in the rat heart.Since aminopeptidase P (APP) has been shown to participate in myocardial kinin metabolism to the same extent as ...

PubMed Central

20
Choice of ACE inhibitor combinations in hypertensive patients with type 2 diabetes: update after recent clinical trials
2009-05-21

The diabetes epidemic continues to grow unabated, with a staggering toll in micro- and macrovascular complications, disability, and death. Diabetes causes a two- to fourfold increase in the risk of cardiovascular disease, and represents the first cause of dialysis treatment both in the UK and the US. Concomitant hypertension doubles total mortality and stroke risk, triples the risk of coronary ...

PubMed Central

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21
Role of RAAS Inhibition in the Prevention of Cardiovascular Disease.
2011-08-01

OPINION STATEMENT: The pathogenesis of cardiovascular disease is a complex and dynamic process. The renin-angiotensin-aldosterone system (RAAS) is a potent and powerful mediator in the homeostasis of the cardiovascular and renal systems. RAAS blockade via angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) has been ...

PubMed

22
[ACE inhibitors--activators of kinin receptors].

Angiotensin converting enzyme (ACE) inhibitors are widely used for treatment of cardiovascular diseases. The effects of ACE inhibitors on the human bradykinin receptors were investigated. The mode of action of ACE inhibitors is considered. There is evidence that ...

PubMed

23
[Present-day treatment of arterial hypertension].
2010-12-01

The treatment goal of patients with arterial hypertension is to reduce the blood pressure below 140/90 mmHg with the aim to lower the risk of subsequent cardiovascular diseases and to prolong patient's longevity. There are five main classes for blood pressure treatment: ACE-inhibitors, angiotensin II receptor blockers, beta-receptor blockers, calcium channel blockers, and ...

PubMed

24
Adverse renal effects of hydrochlorothiazide in rats with myocardial infarction treated with an ACE inhibitor.
2008-12-03

Diuretics, when added to angiotensin-converting enzyme inhibitors (ACE inhibitors) treatment, can augment the response to ACE inhibitors, but may have adverse effects on renal function, which negatively affect prognosis. While in heart failure rats combined therapy ...

PubMed

25
ACE-inhibitor, AT1-receptor-antagonist, or both? A clinical pharmacologist's perspective after publication of the results of ONTARGET.
2008-08-01

Clinical Pharmacology is commonly accepted to be a bridging discipline between basic science observations and clinical practice. Today, it should be a major task of the clinical pharmacologist in academia to provide support in the interpretation of preclinical and clinical study data, to develop evidence-based treatment guidelines and to serve as drug expert supporting all disciplines of clinical ...

PubMed

26
Inhibitor and Substrate Binding by Angiotensin-Converting Enzyme: Quantum Mechanical/Molecular Mechanical Molecular Dynamics Studies.
2011-04-26

Angiotensin-converting enzyme (ACE) is an important zinc-dependent hydrolase responsible for converting the inactive angiotensin I to the vasoconstrictor angiotensin II and for inactivating the vasodilator bradykinin. However, the substrate binding mode of ACE has not been completely understood. In this work, we propose a model for an ...

PubMed

27
Aliskiren/amlodipine combination for the treatment of hypertension.
2011-06-01

The challenge of managing hypertension is exemplified by the limited success of monotherapy and necessity for multiple drug regimens targeting complimentary pathways. Recent evidence suggests that combination therapy including angiotensin-converting enzyme (ACE) inhibitors and calcium channel blockers (CCBs) provides blood pressure ...

PubMed

28
Role of the renin angiotensin system in diabetic nephropathy
2010-11-15

Diabetic nephropathy has been the cause of lot of morbidity and mortality in the diabetic population. The renin angiotensin system (RAS) is considered to be involved in most of the pathological processes that result in diabetic nephropathy. This system has various subsystems which contribute to the disease pathology. One of these involves angiotensin II (Ang II) which shows increased activity ...

PubMed Central

29
Aliskiren and valsartan combination therapy for the management of hypertension
2010-09-07

Combination therapy is necessary for most patients with hypertension, and agents that inhibit the renin-angiotensin-aldosterone system (RAAS) are mainstays in hypertension management, especially for patients at high cardiovascular and renal risk. Single blockade of the RAAS with an angiotensin-converting enzyme (ACE) inhibitor or ...

PubMed Central

30
Application of Direct Renin Inhibition to Chronic Kidney Disease
2010-05-20

PurposeChronic kidney disease has serious implications with a high risk for progressive loss of renal function, increased cardiovascular events as well as a substantial financial burden. The renin-angiotensin-aldosterone system (RAAS) is activated in chronic kidney disease, especially in diabetes and hypertension, which are the leading causes of chronic kidney disease. Angiotensin converting ...

PubMed Central

31
New fACEs to the Renin-Angiotensin System
2006-06-01

Inhibition of the angiotensin-converting enzyme (ACE) protects against the progression of several cardiovascular diseases. Recent evidence suggests that some of the beneficial effects of ACE inhibitors can be attributed to the activation of a distinct ACE signaling cascade rather than to the changes in angiotensin ...

NSDL National Science Digital Library

32
Dose response of ACE inhibitors: implications of the SECURE trial
2001-07-06

The choice of the appropriate dosage of ACE inhibitor in clinical practice is an important one. The available evidence suggests that in chronic heart failure as well as in chronic coronary artery disease, high doses of angiotensin-converting enzyme (ACE) inhibitor are more effective than low ones. The current ...

PubMed Central

33
Combined neutral endopeptidase inhibitors.
2011-02-15

INTRODUCTION: The renin-angiotensin-aldosterone system (RAAS) plays an important role in the pathophysiology of hypertension and heart failure. ACE inhibitors, angiotensin receptor II blockers (AT-II blockers) and aldosterone antagonists have been used to tackle the RAAS in the past but combined ACE and neutral ...

PubMed

34
Pharmacological profile and clinical use of moexipril.
2003-09-01

Angiotensin-converting enzyme (ACE) inhibitors are effective and safe antihypertensive drugs with the exception of the rare occurrence of angioedema. These drugs have demonstrated additional cardiovascular protective effects to their blood pressure lowering and their combination with the diuretic hydrochlorothiazide potentiates their ...

PubMed

35
Calcium channel blockers: monotherapy and dual therapy considerations in the treatment of hypertension.
2007-01-01

The papers in this supplement speak to several of the issues pertinent to contemporary therapy with CCBs. The article by Dr Weir thoughtfully describes important pharmacokinetic and pharmacodynamic features of CCBs. In so doing he establishes the basis for combination CCB and ACE inhibitor therapy. Dr Frishman provides a scholarly ...

PubMed

36
Concomitant calcium entry blockade and inhibition of the renin-angiotensin system: a rational and effective means for treating hypertension.
2008-03-01

Pharmacological treatment of hypertension is effective in preventing cardiovascular and renal complications. Calcium antagonists (CAs) and blockers of the renin-angiotensin system [angiotensin-converting enzyme (ACE) inhibitors and angiotensin II antagonists (ARBs)] are widely used today to initiate antihypertensive treatment but, when given as ...

PubMed

37
Interactions between ACE inhibitors and classical antiepileptic drugs in the mouse maximal electroshock seizures.
2011-07-01

This study evaluated the effect of two angiotensin-converting enzyme (ACE) inhibitors, enalapril and cilazapril, commonly used antihypertensive drugs, on the protective efficacy of the classical antiepileptics - carbamazepine (CBZ), phenytoin (PHT), valproate (VPA) and phenobarbital (PB). For this purpose, we used the maximal electroshock seizure (MES) ...

PubMed

38
The JNC 7 approach compared to conventional treatment in diabetic patients with hypertension: a double-blind trial of initial monotherapy vs. combination therapy.
2004-08-01

The JNC 7 states that persons with blood pressure (BP) more than 20/10 mm Hg above goal should be started on combination drug therapy. This criterion includes patients with BP >160/100 mm Hg and diabetics with hypertension. The goal BP for persons with diabetes mellitus is <130/80 mm Hg. A randomized, double-blind trial force titrated initial ...

PubMed

39
Meta-analysis of Renin-Angiotensin-aldosterone blockade for heart failure in presence of preserved left ventricular function.
2010-12-30

Background: Heart failure (HF) with a preserved left ventricular (LV) ejection fraction (EF) is the leading cause of hospitalization after 65 years of age. Individual randomized trials have not shown benefits conferred by angiotensin-converting enzyme (ACE) inhibitors or angiotensin-II receptor blockers (ARB) in these patients. To overcome this limitation, ...

PubMed

40
Reduced Risk of Breast Cancer Recurrence in Patients Using ACE Inhibitors, ARBs, and/or Statins.
2011-09-21

Background: Epidemiologic and biochemical evidence suggest a role of statins and angiotensin-converting enzyme (ACE) inhibitors or angiotensin-receptor blockers (ARBs) as anti-neoplastic agents. This study was designed to evaluate the association between the use of these agents and the risk of breast cancer recurrence. Methods: We reviewed the medical ...

PubMed

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41
Pharmacological implications of MMP-9 inhibition by ACE inhibitors.
2009-01-01

Matrix metalloproteinase-9 (MMP-9) plays an important role in the onset and prognosis of myocardial infarction. Targets of angiotensin converting enzyme (ACE) inhibitors might include not only ACE but also MMP-9, and ACE seems to be closely associated with complications of hypertension such as cardiovascular ...

PubMed

42
Renin inhibition with aliskiren in hypertension: focus on aliskiren/hydrochlorothiazide combination therapy
2008-12-01

Hypertension is a major risk factor for the development of cardiovascular and renal disease. The incidence of hypertension is increasing globally and the rate of blood pressure control remains inadequate. Renin-angiotensin-aldosterone system (RAAS) plays a crucial role in volume regulation and maintenance of blood pressure. Pathological activation of RAAS results in chronic hypertension and ...

PubMed Central

43
[Optimization of the control of blood pressure. What contribution can be obtained from use of combinations of fixed doses of ace inhibitors and calcium channel blockers?].
2011-01-01

Basing on the results of large trials investigating efficacy of combined use of angiotensin-converting enzyme inhibitors (as a rule, perindopril) and calcium channel blockers (as a rule, amlodipin), the article analyses variety of mechanisms of their combined action, effects on dynamics of blood pressure, heart rate variability. The ...

PubMed

44
Contraindication of angiotensin-converting enzyme (ACE) inhibitors for patients receiving therapeutic plasma exchanges.

Therapeutic plasma exchange is a therapy in which the plasma portion of the blood is removed by a device known as a cell separator. The separator works by spinning the blood at high speed to separate the cells from the fluid and returning the remaining cells to the patient, while the plasma is discarded and substituted with replacement fluids. Common complications of plasma exchange include the ...

PubMed

45
DISTINCT CARDIAC AND RENAL EFFECTS OF ETA RECEPTOR ANTAGONIST AND ACE INHIBITOR IN EXPERIMENTAL TYPE 2 DIABETES.
2011-08-01

Diabetic nephropathy is associated with cardiovascular morbidity. ACE inhibitors provide imperfect renoprotection in advanced type 2 diabetes and cardiovascular risk remains elevated. Endothelin (ET)-1 has a role in renal and cardiac dysfunction in diabetes. Here we assessed whether combination therapy with ACE ...

PubMed

46
Controlling high blood pressure: a simple and effective approach.
2001-01-01

Fixed-dose combination tablets, such as diuretic plus beta-adrenergic blocking drug or ACE inhibitor are more effective than is any monotherapy. Other advantages include simple titration, low toxicity and reduced expense which encourage better compliance required for optimal blood pressure control. PMID:11569321

PubMed

47
[An elderly man with known heart failure admitted with cardiogenic shock].
2010-07-01

A 75-year-old man with post-MI heart failure and an ejection fraction of 15 % was treated with an ACE-inhibitor, spironolactone and a beta-blocker. He had reduced his intake of food and water due to an intercurrent illness the days before admission. He was admitted to our coronary care unit due to bradycardia and hypotension. On arrival his blood pressure was 60/40 mm Hg, and ...

PubMed

48
Agile Coalition Environment (ACE).
2004-01-01

The Agile Coalition Environment (ACE) program consists of a combined synergistic group of emerging network-centric and information assurance (IA) technologies. These combined ACE technologies provide the warfighter with enhanced information sharing, colla...

National Technical Information Service (NTIS)

49
MDCT features of angiotensin-converting enzyme inhibitor-induced visceral angioedema.
2011-04-01

OBJECTIVE: Our objectives are to describe the CT features of angiotensin-converting enzyme (ACE) inhibitor-induced visceral angioedema and to review other conditions that may have similar findings. CONCLUSION: CT findings in a patient taking an angiotensin-converting enzyme (ACE) inhibitor help in the diagnosis and ...

PubMed

50
[Combination therapy versus monotherapy: which strategy is better?].
2004-05-12

In patients without target organ damage, a pharmacological antihypertensive therapy can be initiated with a monotherapy or a low dose combination therapy. A monotherapy often suffices to control blood pressure in patients with mild hypertension (140-159 mmHg systolic or 90-99 mmHg diastolic). In order to select the blood pressure-lowering drug that is best suited for an ...

PubMed

51
Combination of Captopril and Allopurinol Retards Fructose-Induced Metabolic Syndrome
2009-11-21

BackgroundBoth ACE inhibitors and allopurinol have been shown to partially prevent metabolic syndrome induced by fructose. We tested the hypothesis that combined therapy might be more effective at blocking the metabolic syndrome induced with fructose.MethodsMale Sprague-Dawley rats were fed a high fructose diet with or without ...

PubMed Central

52
Renin-angiotensin-aldosterone system blockade in diabetes: role of direct renin inhibitors.
2009-05-01

Cardiovascular (CV) and renal complications associated with diabetes can be attenuated with antihypertensives that work on the renin-angiotensin-aldosterone system (RAAS),particularly angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), and possibly direct renin inhibitors (DRIs). Cardioprotective and ...

PubMed

53
Slide 1

Mitigation via Suppression of the Renin-Angiotensin System ACE inhibitors and AII blockers have shown mitigation efficacy in a broad range of experimental models. An ACE inhibitor (captopril) has shown mitigation efficacy in humans.

Cancer.gov

54
Modern treatment of patients at risk: still a HOPE for ACE inhibitors?
2011-02-16

Indications for angiotensin-converting enzyme (ACE) inhibitors include heart failure, postmyocardial infarction, diabetes mellitus and proteinuric chronic renal disease. ACE inhibitors provided life-saving benefits in patients with heart failure or left ventricular systolic dysfunction. On the other hand, there are ...

PubMed

55
High Blood Pressure and Women

... during childbearing years Do birth control pills cause high blood pressure? Medical researchers have found that birth control pills ... I am taking ACE inhibitors or ARBs for high blood pressure? If you're taking an ACE inhibitor or ...

MedlinePLUS

56
CrossTalk C

that I take to lower blood pres- sure is an ACE inhibitor, enalapril. This drug reduces the rate of synthesis of angiotensin, which is a very potent vasocon- strictor, so ACE inhibitors like enalapril induce

E-print Network

57
The implications of a growing evidence base for drug use in elderly patients Part 2. ACE inhibitors and angiotensin receptor blockers in heart failure and high cardiovascular risk patients
2006-05-02

Traditionally, angiotensin converting enzyme (ACE) inhibitors have been used for the management of patients with congestive cardiac failure. Studies performed over the last decade have demonstrated that (1) angiotensin receptor blockers (ARBs) are as effective as ACE inhibitors in reducing morbidity and mortality ...

PubMed Central

58
Nephrotic Syndrome in Adults

... in urine through diet, medications, or both. Two groups of blood pressure medications-angiotensin-converting enzyme (ACE) inhibitors and ...

MedlinePLUS

59
Diclofenac sodium gel

... j. Use of anticoagulants, ACE-inhibitors, cyclosporine, diuretics, lithium, or methotrexate within the past month prior to entry into the study. ...

Center for Biologics Evaluation and Research (CBER)

60
CHAPTER 1 GENERAL INTRODUCTION, SCOPE AND

in the periportal region,58 and that the metabolism of enalapril (an angiotensin-converting enzyme [ACE] inhibitor

E-print Network

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61
Angiotensin II reactivation and aldosterone escape phenomena in renin-angiotensin-aldosterone system blockade: is oral renin inhibition the solution?
2007-04-01

This editorial considers the use of the first selective oral renin inhibitor, aliskiren, in reducing angiotensin (Ang) II reactivation or aldosterone (ALDO) escape during renin-angiotensin-aldosterone system (RAAS) inhibition. RAAS blockade with angiotensin converting enzyme inhibitors (ACEIs) and/or angiotensin receptor AT(1) blockers (ARBs) is very ...

PubMed

62
Major role for ACE-independent intrarenal ANG II formation in type II diabetes
2010-01-21

Combination therapy of angiotensin-converting enzyme (ACE) inhibition and AT1 receptor blockade has been shown to provide greater renoprotection than ACE inhibitor alone in human diabetic nephropathy, suggesting that ACE-independent pathways for ANG II formation are of ...

PubMed Central

63
Cardiovascular risk reduction by reversing endothelial dysfunction:ARBs, ACE inhibitors, or both? Expectations from The ONTARGET Trial Programme
2007-02-01

Endothelial dysfunction is the initial pathophysiological step in a progression of vascular damage that leads to overt cardiovascular and chronic kidney disease. Angiotensin II, the primary agent of the renin�angiotensin system (RAS), has a central role in endothelial dysfunction. Therefore, RAS blockade with an angiotensin receptor blocker (ARB) and/or angiotensin-converting enzyme ...

PubMed Central

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