Document Detail


Combined renin-angiotensin-aldosterone system inhibition in patients with chronic heart failure secondary to left ventricular systolic dysfunction.
MedLine Citation:
PMID:  19450720     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The prevalence of heart failure (HF) is high and still on the rise. In 2004, an estimated 5.2 million adults in the United States carried the diagnosis of HF with a mortality rate of >19%. The incidence of HF is higher in individuals 65 years or older. As the US population grows older, the personal and economic costs of this disease are expected to grow. More than 75% of patients with HF have a history of hypertension, and blood pressure control can reduce the risk of serious cardiovascular events and death in this population. In addition to lowering blood pressure, blockade of the renin-angiotensin-aldosterone system can reduce the negative effects of chronic renin-angiotensin-aldosterone system activation on the progression of HF. This review discusses the clinical data supporting the use of angiotensin-converting enzyme inhibitors and angiotensin receptors blockers, alone or in combination, for improving outcomes in patients with HF.
Authors:
Alan H Gradman; Vasilios Papademetriou
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  American heart journal     Volume:  157     ISSN:  1097-6744     ISO Abbreviation:  Am. Heart J.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-19     Completed Date:  2009-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S17-23     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiovascular Diseases, The Western Pennsylvania Hospital, Pittsburgh, PA15224-1722, USA. gradmanmd@aol.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angiotensin II Type 1 Receptor Blockers / administration & dosage
Angiotensin-Converting Enzyme Inhibitors / administration & dosage*
Dose-Response Relationship, Drug
Drug Administration Schedule
Drug Therapy, Combination
Female
Heart Failure, Systolic / diagnosis,  drug therapy*,  etiology*,  mortality
Humans
Male
Prognosis
Randomized Controlled Trials as Topic
Receptors, Angiotensin / administration & dosage,  antagonists & inhibitors*
Renin-Angiotensin System / drug effects*,  physiology
Risk Assessment
Severity of Illness Index
Survival Rate
Treatment Outcome
Ventricular Dysfunction, Left / complications*,  diagnosis,  mortality
Chemical
Reg. No./Substance:
0/Angiotensin II Type 1 Receptor Blockers; 0/Angiotensin-Converting Enzyme Inhibitors; 0/Receptors, Angiotensin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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