scholarly journals Angiotensin receptor blockers in nephroprotection at patients with diabetes mellitus: focus on losartan

2009 ◽  
Vol 6 (3) ◽  
pp. 33-37
Author(s):  
Ol'ga Konstantinovna Vikulova ◽  
Marina Vladimirovna Shestakova
Keyword(s):  
Diabetes Mellitus ◽  
Cardiovascular Events ◽  
Antihypertensive Effect ◽  
Angiotensin Receptor Blockers ◽  
Adverse Event Rate ◽  
Atherosclerosis Progression ◽  
Target Organs ◽  
Patients With Diabetes ◽  
Receptor Blockers ◽  
Losartan Treatment

Many large studies have provided strong evidence that there is an association of elevated BP with a risk for cardiovascular events (CVE), such as stroke, myocardial infarction and heart failure. But none of the studies has indicated that a drug is more effective than another one in reducing the risk for CVE and death. The article summarizes the available data on ramipril in hypertensive patients of high cardiovascular risk. The results of studies demonstrate strong and long-lasting antihypertensive effect of losartan. Moreover, losartan treatment decreases cardiovascular events rate, damage of target organs, atherosclerosis progression and new cases of diabetes mellitus. Losartan shows both high efficacy and low adverse event rate.

scholarly journals Ramipril therapy in the framework of evidence-based medicine

2009 ◽  
Vol 15 (2) ◽  
pp. 242-245
Author(s):  
N. Goncharova ◽  
O. M. Moiseeva
Keyword(s):  
Antihypertensive Effect ◽  
Event Rate ◽  
Antiarrhythmic Activity ◽  
Adverse Event Rate ◽  
Evidence Based ◽  
High Cardiovascular Risk ◽  
Atherosclerosis Progression ◽  
Target Organs ◽  
The Everyday ◽  
Based Medicine

The article summarizes the available data on ramipril in hypertensive patients of high cardiovascular risk. The results of studies demonstrate strong and long-lasting antihypertensive effect of ramipril. Moreover, ramipril treatment decreases cardiovascular events rate, damage of target organs, atherosclerosis progression and new cases of diabetes mellitus. The treatment by ramipril represents vasculoprotective and renoprotective effects in diabetes patients. Possible antiarrhythmic activity of ramipril is of particular interest in atrial fi brillation. Ramipril shows both high effi cacy and low adverse event rate. All this properties make ramipril extremely attractive for the everyday practice.

scholarly journals Efficacy of amlodipin in treatment of arterial hypertension.

2009 ◽  
Vol 6 (3) ◽  
pp. 17-21
Author(s):  
Elena Adamovna Prokhorovich
Keyword(s):  
Cardiovascular Risk ◽  
Arterial Hypertension ◽  
Cardiovascular Events ◽  
Antihypertensive Effect ◽  
High Efficacy ◽  
High Cardiovascular Risk ◽  
Hypertensive Patients ◽  
Atherosclerosis Progression ◽  
Target Organs ◽  
The Everyday

The article summarizes the available data on amlodipin in hypertensive patients of high cardiovascular risk. The results of studies demonstrate strong and long-lasting antihypertensive effect of ramipril. Moreover, amlodipin treatment decreases cardiovascular events rate, damage of target organs and atherosclerosis progression. Amlodipin shows both high efficacy and good safety. All this properties make amlodipin extremely attractive for the everyday practice.

scholarly journals Análise da Revisão Cochrane: Inibidores da Enzima de Conversão da Angiotensina Versus Antagonistas do Receptor da Angiotensina como Prevenção Cardiovascular na Hipertensão Essencial. Cochrane Database Syst Rev. 2014,8: CD009096.

2015 ◽  
Vol 28 (3) ◽  
pp. 283 ◽  
Author(s):  
Luís Nogueira-Silva ◽  
João A. Fonseca
Keyword(s):  
Angiotensin Converting Enzyme ◽  
Cardiovascular Events ◽  
Enzyme Inhibitors ◽  
Angiotensin Receptor Blockers ◽  
Total Mortality ◽  
Angiotensin Converting Enzyme Inhibitors ◽  
Converting Enzyme ◽  
Angiotensin Receptor ◽  
Converting Enzyme Inhibitors ◽  
Receptor Blockers

Angiotensin converting enzyme inhibitors and angiotensin receptor blockers are first line drugs in the treatment of hypertension. The aim of this review was to assess if there are differences between these drug classes regarding the prevention of total mortality, occurrence of cardiovascular events and of adverse effects. A systematic review and metanalysis was performed, searching for studies that compare angiotensin converting enzyme inhibitors and angiotensin receptor blockers face-to-face, in several databases until July 2014. The study selection and data extraction were performed by 2 independent researchers. Nine studies were included, with a total of 10 963 participants, 9 398 of which participated in the same study and had high cardiovascular risk. No differences were observed regarding total mortality, cardiovascular mortality or total cardiovascular events. A slightly smaller risk was observed with angiotensin receptor blockers regarding withdrawal due to adverse effects (55 people were needed to be treated with angiotensin receptor blockers for 4.1 years to avoid one withdrawal due to adverse effect), mainly due to the occurrence of dry cough with angiotensin converting enzyme inhibitors. Thus, no differences were observed between angiotensin converting enzyme inhibitors and angiotensin receptor blockers in the prevention of total mortality and cardiovascular events, and angiotensin receptor blockers were better tolerated. Given the large proportion of participants with a high cardiovascular risk, the generalization of these results to other populations is limited.

scholarly journals Control of blood pressure and cardiovascular outcomes in type 2 diabetes

Open Medicine ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. 304-323 ◽  
Author(s):  
Hernando Vargas-Uricoechea ◽  
Manuel Felipe Cáceres-Acosta
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Events ◽  
Angiotensin Receptor Blockers ◽  
Pharmacological Therapy ◽  
Current Evidence ◽  
Diabetic Patients ◽  
Channel Blockers ◽  
Converting Enzyme Inhibitors ◽  
Patients With Diabetes ◽  
The Impact

AbstractHigh blood pressure in patients with diabetes mellitus results in a significant increase in the risk of cardiovascular events and mortality. The current evidence regarding the impact of intervention on blood pressure levels (in accordance with a specific threshold) is not particularly robust. Blood pressure control is more difficult to achieve in patients with diabetes than in non-diabetic patients, and requires using combination therapy in most patients. Different management guidelines recommend initiating pharmacological therapy with values >140/90 mm/Hg; however, an optimal cut point for this population has not been established. Based on the available evidence, it appears that blood pressure targets will probably have to be lower than <140/90mmHg, and that values approaching 130/80mmHg should be recommended. Initial treatment of hypertension in diabetes should include drug classes demonstrated to reduce cardiovascular events; i.e., angiotensin converting-enzyme inhibitors, angiotensin receptor blockers, diuretics, or dihydropyridine calcium channel blockers. The start of therapy must be individualized in accordance with the patient's baseline characteristics, and factors such as associated comorbidities, race, and age, inter alia.

Sign in / Sign up

Export Citation Format

Share Document