Persistent formation of angiotensin II despite treatment with maximally recommended doses of angiotensin converting enzyme inhibitors in patients with chronic heart failure

Autor: Edmund H. Sonnenblick, Sam Hanon, Pugazhendi Vijayaraman, Thierry H. Le Jemtel
Rok vydání: 2000
Předmět:
Zdroj: Journal of the Renin-Angiotensin-Aldosterone System, Vol 1 (2000)
ISSN: 1752-8976
1470-3203
DOI: 10.3317/jraas.2000.018
Popis: JRAAS 2000;1:147-50 Introduction Decreasing activation of the renin-angiotensinaldosterone system (RAAS) is an essential target of the pharmacological treatment of patients with congestive heart failure (CHF). Several large, randomised, placebo-controlled trials have shown that angiotensin converting enzyme (ACE) inhibition enhances life expectancy and alleviates symptoms in patients with CHF and with acute myocardial infarction and left ventricular (LV) systolic dysfunction. The exact mechanisms that mediate the clinical benefits of ACE inhibitors are still poorly understood, although it is generally assumed that the benefits are somehow related to decreased activity of the RAAS and thereby reduced levels of tissue and plasma angiotensin II (Ang II).
Databáze: OpenAIRE