Published in:
01-07-2018 | Editorial
Angiotensin inhibition in patients with acute kidney injury: Dr. Jekyll or Mr. Hyde?
Authors:
Michael Joannidis, Eric Hoste
Published in:
Intensive Care Medicine
|
Issue 7/2018
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Excerpt
Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) are among the most frequently applied antihypertensive drugs. Their beneficial pleiotropic effects go far beyond blood pressure reduction. Remodeling of myocardium enhances the effects of afterload reduction for the heart and makes ACEIs/ARBs a key drug in treatment of chronic heart failure as well as for secondary prevention after acute myocardial infarction. With regard to the kidney, ACEIs/ARBs have demonstrated to reduce proteinuria and slow progression of CKD [
1]. …