Angiotensin-converting enzyme inhibitors

In an updated review concerning the angiotensin-converting enzyme inhibitors, an account of the historical development of this group of drugs proved as highly effective in the treatment of hypertension and of congestive heart failure is made. We review the action mechanism of ACEI, emphasizing not o...

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Main Authors: David García Barreto, Alberto Toruncha Chuckram
Format: Article
Language:Spanish
Published: ECIMED 2014-03-01
Series:Revista Cubana de Cardiología y Cirugía Cardiovascular
Subjects:
Online Access:http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/482
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author David García Barreto
Alberto Toruncha Chuckram
author_facet David García Barreto
Alberto Toruncha Chuckram
author_sort David García Barreto
collection DOAJ
description In an updated review concerning the angiotensin-converting enzyme inhibitors, an account of the historical development of this group of drugs proved as highly effective in the treatment of hypertension and of congestive heart failure is made. We review the action mechanism of ACEI, emphasizing not only their capacity to inhibit angiotensin II actions, but also to potentiate Bradykynin effects. The action mechanism in hypertension and congestive heart failure is also reviewed as well as its possible anti-anginal and anti-sclerotic effects. We also analyze the nephroprotection achieved by ACEI and show the classification of the 3 chemical groups related to these drugs so as to perform a detailed revision of the ACEI therapeutic trials associated to hypertension, myocardial infarction and heart failure. Other possible ACEI therapeutic benefits still under an experimental phase are exposed as well as the adverse effects described in the medical literature. To conclude, a brief analysis of the treatment cost of this drug group is stated.
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spelling doaj.art-bb644561fad84d5b8b25eae73293047b2022-12-21T19:43:32ZspaECIMEDRevista Cubana de Cardiología y Cirugía Cardiovascular1561-29372014-03-01111362Angiotensin-converting enzyme inhibitorsDavid García BarretoAlberto Toruncha ChuckramIn an updated review concerning the angiotensin-converting enzyme inhibitors, an account of the historical development of this group of drugs proved as highly effective in the treatment of hypertension and of congestive heart failure is made. We review the action mechanism of ACEI, emphasizing not only their capacity to inhibit angiotensin II actions, but also to potentiate Bradykynin effects. The action mechanism in hypertension and congestive heart failure is also reviewed as well as its possible anti-anginal and anti-sclerotic effects. We also analyze the nephroprotection achieved by ACEI and show the classification of the 3 chemical groups related to these drugs so as to perform a detailed revision of the ACEI therapeutic trials associated to hypertension, myocardial infarction and heart failure. Other possible ACEI therapeutic benefits still under an experimental phase are exposed as well as the adverse effects described in the medical literature. To conclude, a brief analysis of the treatment cost of this drug group is stated.http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/482inhibidores de la enzima convertidora de angiotensina.
spellingShingle David García Barreto
Alberto Toruncha Chuckram
Angiotensin-converting enzyme inhibitors
Revista Cubana de Cardiología y Cirugía Cardiovascular
inhibidores de la enzima convertidora de angiotensina.
title Angiotensin-converting enzyme inhibitors
title_full Angiotensin-converting enzyme inhibitors
title_fullStr Angiotensin-converting enzyme inhibitors
title_full_unstemmed Angiotensin-converting enzyme inhibitors
title_short Angiotensin-converting enzyme inhibitors
title_sort angiotensin converting enzyme inhibitors
topic inhibidores de la enzima convertidora de angiotensina.
url http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/482
work_keys_str_mv AT davidgarciabarreto angiotensinconvertingenzymeinhibitors
AT albertotorunchachuckram angiotensinconvertingenzymeinhibitors