Document Detail


Hypertension and progression of renal disease.
MedLine Citation:
PMID:  10928300     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
That systemic hypertension is involved in the progression of human renal disease is mostly suggested by the way anti-hypertensive treatment affects the course of the disease. Clinical evidence has been obtained from observational studies as well as from studies of dietary protein restriction. In addition, several trials have compared the effects of different antihypertensive agents. The angiotensin-converting-enzyme inhibitors have the best renoprotective effect when compared to conventional agents and calcium channel blockers. In most studies, ACE-inhibitors approximately halved the risk of progressive renal functional deterioration in patients with non-diabetic nephropathies; this protection was associated with a significant reduction in systemic blood pressure and proteinuria. Statistical analysis, however, also suggests a direct effect of ACE-inhibitors on the kidney.
Authors:
G Maschio; L Oldrizzi; C Marcantoni; C Rugiu
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of nephrology     Volume:  13     ISSN:  1121-8428     ISO Abbreviation:  J. Nephrol.     Publication Date:    2000 May-Jun
Date Detail:
Created Date:  2000-11-20     Completed Date:  2000-11-30     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9012268     Medline TA:  J Nephrol     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  225-7     Citation Subset:  IM    
Affiliation:
Division of Nephrology, University Hospital, Verona, Italy.
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MeSH Terms
Descriptor/Qualifier:
Angiotensin-Converting Enzyme Inhibitors / therapeutic use
Antihypertensive Agents / therapeutic use
Disease Progression
Humans
Hypertension / complications*,  drug therapy
Kidney Diseases / complications*,  physiopathology*
Chemical
Reg. No./Substance:
0/Angiotensin-Converting Enzyme Inhibitors; 0/Antihypertensive Agents

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