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Published in: Drugs 8/2011

01-05-2011 | Review Article

End-Organ Protection in Patients with Hypertension

Focus on the Role of Angiotensin Receptor Blockers on Renal function

Authors: Giuliano Tocci, Professor Massimo Volpe, MD, FAHA, FESC

Published in: Drugs | Issue 8/2011

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Abstract

The renin-angiotensin system (RAS) plays a key role in a number of pathophysiological mechanisms that are involved in the development and progression of cardiovascular and renal disease. For these reasons, pharmacological antagonism of this system, particularly the blockade of formation or the receptor antagonism of angiotensin II, has been demonstrated to be an effective and safe strategy to reduce the burden of cardiovascular disease. Among different drug classes, angiotensin II type 1 receptor antagonists (angiotensin receptor blockers [ARBs]) have provided an excellent alternative to ACE inhibitors, representing a more selective and a better tolerated pharmacological approach to interfere with the RAS. Results derived from large, international, randomized clinical trials have consistently indicated that ARB-based therapeutic strategies may effectively provide cardiovascular and renal disease prevention and protection in different clinical conditions across the entire cardiovascular continuum.
This article reviews the pathophysiological rationale of RAS involvement in the pathogenesis of renal diseases, focusing on the beneficial effects provided by ARBs in terms of renal protection.
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Metadata
Title
End-Organ Protection in Patients with Hypertension
Focus on the Role of Angiotensin Receptor Blockers on Renal function
Authors
Giuliano Tocci
Professor Massimo Volpe, MD, FAHA, FESC
Publication date
01-05-2011
Publisher
Springer International Publishing
Published in
Drugs / Issue 8/2011
Print ISSN: 0012-6667
Electronic ISSN: 1179-1950
DOI
https://doi.org/10.2165/11591350-000000000-00000

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