Combined renin-angiotensin-aldosterone system inhibition in patients with chronic heart failure secondary to left ventricular systolic dysfunction.

Abstract:

: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.

journal_name

Am Heart J

journal_title

American heart journal

authors

Gradman AH,Papademetriou V

doi

10.1016/j.ahj.2009.04.007

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

S17-23

issue

6 Suppl

eissn

0002-8703

issn

1097-6744

pii

S0002-8703(09)00276-2

journal_volume

157

pub_type

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