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2002, Number S1

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Arch Cardiol Mex 2002; 72 (S1)

Impact of antihypertencive treatment on target organs

Fregoso PJ
Full text How to cite this article

Language: Spanish
References: 10
Page: 58-63
PDF size: 61.69 Kb.


Key words:

Hypertension, Target organs, Ventricular hypertrophy, Proteinuria, Endothelium, Antihypertensives.

ABSTRACT

We review the mechanisms by which arterial hypertension induces target organs damage, particulary the heart, kidney, and vascular endothelium, which is manifested as ventricular hypertrophy, proteinuria, and renal failure and endothelial dysfunction. Furthermore, the effect of antihypertensive treatment in these situations is analyzed. Experimental and clinical studies show that angiotensin converting enzyme inhibitors (ACE inhibitors) and angiotensin II receptor antagonist drugs are more efficient than other antihypertensive treatments in the reversal of left ventricular hypertrophy and proteinuria, in delaying kidney damage and improving of endothelial function.


REFERENCES

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  4. Ichihara S, Senbonmatsu T, Price E, Ichiki T, Gaffney A, Inagami T: Angiotensin II type 2 receptor is essential for left ventricular hypertrophy and cardiac fibrosis in chronic angiotensin II-induced hypertension. Circulation 2001; 104: 346-351.

  5. Schmieder RE: Reversal of left ventricular hypertrophy in essential hypertension. A meta-analysis of randomized double-blind studies. JAMA 1996; 275(19): 1507-13.

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  9. Schiffrin EL: Effects of antihypertensive drugs on vascular remodeling: do they predictor outcome in response to antihypertensive therapy? Curr Opin Nephrol Hypertens, 2001; 10(5): 617-24.

  10. Horning B, Landmesser U, Kohler C, Ahlersmann D, Spiekermann S, Christoph A, Tatge H, Drexler H: Comparative effect of ACE inhibition and angiotensin II type I receptor antagonism on bioavailability of nitric oxide in patients with coronary artery disease: role of superoxide dismutase. Circulation 2001; 103(6): 799-805.




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C?MO CITAR (Vancouver)

Arch Cardiol Mex. 2002;72