Cardiovascular disease and hypertension.

Abstract:

:The cellular and molecular mechanisms whereby hypertension causes vascular and cardiac disease are beginning to be understood. Angiotensin II, perhaps because so many probes to explore its action are available, is emerging as a central pathogenetic factor in the development of both vascular and cardiac hypertrophy. It is clear that this peptide has direct growth effects on vascular smooth muscle cells and cardiocytes as well as indirect effects by stimulating the synthesis of growth factors or potentiating their effects. However, the details of its action need clarification. Abnormalities in endothelium-derived relaxing factor regulation are a new pathogenetic mechanism of hypertension and are also likely to be intimately involved in the development of hypertensive cardiovascular disease. In the clinical arena, converting enzyme inhibitors are emerging as the best antihypertensive agents, and new therapeutic trials and further support to the suspicion that, when in doubt, it is better to treat.

authors

Oliver JA

doi

10.1097/00041552-199303000-00018

subject

Has Abstract

pub_date

1993-03-01 00:00:00

pages

299-306

issue

2

eissn

1062-4821

issn

1473-6543

journal_volume

2

pub_type

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