Mineralocorticoid receptor blockade in chronic kidney disease.

Abstract:

:Aldosterone antagonists have been highly successful in treating congestive heart failure and resistant hypertension. Until recently, therapies targeting the mineralocorticoid receptor in chronic kidney disease (CKD) have received little attention, largely because of the risk of hyperkalemia and the incorrect assumption that traditional therapy with angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, or both consistently reduces activity of the renin-angiotensin system in all patients. Control of extracellular volume and low-dose mineralocorticoid receptor blocker therapy may offer additional antihypertensive and anti-inflammatory benefits in select CKD populations.

journal_name

Curr Hypertens Rep

authors

Volk MJ,Bomback AS,Klemmer PJ

doi

10.1007/s11906-011-0202-2

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

282-8

issue

4

eissn

1522-6417

issn

1534-3111

journal_volume

13

pub_type

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