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Published in: Heart Failure Reviews 2/2013

01-03-2013

Ace inhibitor therapy for heart failure in patients with impaired renal function: a review of the literature

Authors: Ali A. Valika, Mihai Gheorghiade

Published in: Heart Failure Reviews | Issue 2/2013

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Abstract

Heart failure syndromes are often associated with multi-organ dysfunction, and concomitant liver, renal, and neurologic involvement is very common. Neuro-hormonal antagonism plays a key role in the management of this syndrome, and angiotensin-converting enzyme inhibitors and angiotensin receptor blockers are one of the cornerstones of therapy. Cardiorenal physiology is becoming more recognized in these patients with advanced heart failure, and the role of neuro-hormonal blockade in this setting is vaguely defined in the literature. Often, angiotensin-converting enzyme inhibitors are decreased or even withheld in these circumstances. The purpose of this article is to review the role and pathophysiology of ace inhibition and angiotensin receptor blockade in patients with acute and chronic heart failure syndromes and concomitant cardiorenal physiology.
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Metadata
Title
Ace inhibitor therapy for heart failure in patients with impaired renal function: a review of the literature
Authors
Ali A. Valika
Mihai Gheorghiade
Publication date
01-03-2013
Publisher
Springer US
Published in
Heart Failure Reviews / Issue 2/2013
Print ISSN: 1382-4147
Electronic ISSN: 1573-7322
DOI
https://doi.org/10.1007/s10741-011-9295-6

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