DIRECT RENIN INHIBITORS IN ARTERIAL HYPERTENSION TREATMENT

Autor: Olena Kulyanda, Viktor Meretskyi, Georges Kamtoh, Iryna Meretska
Rok vydání: 2017
Předmět:
Zdroj: Periodyk Naukowy Akademii Polonijnej, Vol 25, Iss 6, Pp 146-154 (2017)
ISSN: 2543-8204
1895-9911
DOI: 10.23856/2515
Popis: High blood pressurewas the leading cause of death and disability-adjusted life years worldwide. Despite progress in treatment of hypertension, a number of people with uncontrolled or resistant hypertension increases. Hypertensive disorders are strongly linked with an overactive renin-angiotensin aldosterone system. The renin-angiotensin-aldosterone system has been a highly successful pharmacologic target, as the system is strongly implicated in the development of hypertension-related target organ damage.Inhibition of renin-angiotensin aldosterone system, using inhibitors of the angiotensin-converting enzyme or angiotensin II receptor blockers, is an effective way to intervene with the pathogenesis of arterial hypertension.Renin inhibitors block the renin-angiotensin aldosterone systemat the highest level, at its origin, and might thus offer a new exciting approach for pharmacotherapy of hypertension. Aliskiren, an octanamide, is the firstof a new class of completely non-peptide, low-molecular-weight, orally active transition-state renin inhibitors and only approved for the treatment of hypertension.summarizes the available data on the pharmacokinetic and pharmacodynamic properties of aliskiren and its clinical role for treatment of arterial hypertension.
Databáze: OpenAIRE