Short- and long-term effects of spirapril on renal hemodynamics in patients with essential hypertension.

Abstract:

:Sixteen essential hypertensive patients were entered into a protocol assessing the effect of Spirapril, an angiotensin-converting enzyme (ACE) inhibitor, on blood pressure, the renin-aldosterone system, and renal function. Specifically monitored before, during 6 weeks, and 6 months of Spirapril therapy were plasma renin activity, plasma aldosterone, serum ACE, the renal clearances of creatinine, inulin, and para-aminohippurate, and urinary albumin excretion. Blood pressure was well controlled. Spirapril stimulated plasma renin activity and suppressed ACE throughout the entire protocol. Renal clearances were unchanged. Renal vascular resistance was decreased. Urinary albumin excretion was decreased. The authors conclude that the ACE inhibitor, Spirapril, when used as an effective antihypertensive agent, preserves renal function, lowers renal vascular resistance, and decreases urinary albumin excretion.

journal_name

J Clin Pharmacol

authors

Reams GP,Lau A,Knaus V,Bauer JH

doi

10.1002/j.1552-4604.1993.tb04668.x

subject

Has Abstract

pub_date

1993-04-01 00:00:00

pages

348-53

issue

4

eissn

0091-2700

issn

1552-4604

journal_volume

33

pub_type

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