Review: Concomitant calcium entry blockade and inhibition of the renin-angiotensin system: a rational and effective means for treating hypertension
Pharmacological treatment of hypertension is effective in preventing cardiovascular and renal complications. Calcium antagonists (CAs) and blockers of the renin-angiotensin system [angiotensin-converting enzyme (ACE) inhibitors and angiotensin II antagonists (ARBs)] are widely used today to initiate...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
Published: |
SAGE Publications
2008-03-01
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Series: | Journal of the Renin-Angiotensin-Aldosterone System |
Online Access: | https://doi.org/10.3317/jraas.2008.007 |
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author | Boris Gojanovic François Feihl Lucas Liaudet Bernard Waeber |
author_facet | Boris Gojanovic François Feihl Lucas Liaudet Bernard Waeber |
author_sort | Boris Gojanovic |
collection | DOAJ |
description | Pharmacological treatment of hypertension is effective in preventing cardiovascular and renal complications. Calcium antagonists (CAs) and blockers of the renin-angiotensin system [angiotensin-converting enzyme (ACE) inhibitors and angiotensin II antagonists (ARBs)] are widely used today to initiate antihypertensive treatment but, when given as monotherapy, do not suffice in most patients to normalise blood pressure (BP). Combining a CA and either an ACE-inhibitor or an ARB considerably increases the antihypertensive efficacy, but not at the expense of a deterioration of tolerability. Several fixed-dose combinations are available (CA + ACE-inhibitors: amlodipine + benazepril, felodipine + ramipril, verapamil + trandolapril; CA + ARB: amlodipine + valsartan). They are expected not only to improve BP control, but also to facilitate long-term adherence with ON antihypertensive therapy, thereby providing renal damage caused by high BP. maximal protection against the cardiovascular and renal damage caused by high BP. |
first_indexed | 2024-03-07T18:44:19Z |
format | Article |
id | doaj.art-4ba10d604a034de6b9104250b294d30e |
institution | Directory Open Access Journal |
issn | 1470-3203 |
language | English |
last_indexed | 2024-03-07T18:44:19Z |
publishDate | 2008-03-01 |
publisher | SAGE Publications |
record_format | Article |
series | Journal of the Renin-Angiotensin-Aldosterone System |
spelling | doaj.art-4ba10d604a034de6b9104250b294d30e2024-03-02T02:47:16ZengSAGE PublicationsJournal of the Renin-Angiotensin-Aldosterone System1470-32032008-03-01910.3317/jraas.2008.007Review: Concomitant calcium entry blockade and inhibition of the renin-angiotensin system: a rational and effective means for treating hypertensionBoris GojanovicFrançois FeihlLucas LiaudetBernard WaeberPharmacological treatment of hypertension is effective in preventing cardiovascular and renal complications. Calcium antagonists (CAs) and blockers of the renin-angiotensin system [angiotensin-converting enzyme (ACE) inhibitors and angiotensin II antagonists (ARBs)] are widely used today to initiate antihypertensive treatment but, when given as monotherapy, do not suffice in most patients to normalise blood pressure (BP). Combining a CA and either an ACE-inhibitor or an ARB considerably increases the antihypertensive efficacy, but not at the expense of a deterioration of tolerability. Several fixed-dose combinations are available (CA + ACE-inhibitors: amlodipine + benazepril, felodipine + ramipril, verapamil + trandolapril; CA + ARB: amlodipine + valsartan). They are expected not only to improve BP control, but also to facilitate long-term adherence with ON antihypertensive therapy, thereby providing renal damage caused by high BP. maximal protection against the cardiovascular and renal damage caused by high BP.https://doi.org/10.3317/jraas.2008.007 |
spellingShingle | Boris Gojanovic François Feihl Lucas Liaudet Bernard Waeber Review: Concomitant calcium entry blockade and inhibition of the renin-angiotensin system: a rational and effective means for treating hypertension Journal of the Renin-Angiotensin-Aldosterone System |
title | Review: Concomitant calcium entry blockade and inhibition of the renin-angiotensin system: a rational and effective means for treating hypertension |
title_full | Review: Concomitant calcium entry blockade and inhibition of the renin-angiotensin system: a rational and effective means for treating hypertension |
title_fullStr | Review: Concomitant calcium entry blockade and inhibition of the renin-angiotensin system: a rational and effective means for treating hypertension |
title_full_unstemmed | Review: Concomitant calcium entry blockade and inhibition of the renin-angiotensin system: a rational and effective means for treating hypertension |
title_short | Review: Concomitant calcium entry blockade and inhibition of the renin-angiotensin system: a rational and effective means for treating hypertension |
title_sort | review concomitant calcium entry blockade and inhibition of the renin angiotensin system a rational and effective means for treating hypertension |
url | https://doi.org/10.3317/jraas.2008.007 |
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