Loading...
Please wait, while we are loading the content...
Similar Documents
Angiotensin-converting enzyme inhibitors in patients with coronary atherosclerosis.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Pitt, Bertram C. |
| Copyright Year | 1994 |
| Abstract | Activation of the renin-angiotensin-aldosterone system has been shown to be an independent risk factor for myocardial infarction (MI). The importance of this risk factor has been confirmed by the finding that patients with a DD genotype for the angiotensin-converting enzyme (ACE) gene, which is associated with increased serum ACE levels, have a higher incidence of MI than do patients without this genotype. ACE inhibitors have been shown to significantly reduce the incidence of recurrent MI in patients with left ventricular dysfunction. The mechanism by which activation of the renin-angiotensin-aldosterone system leads to MI has not been ascertained, but it may be related to the effect of angiotensin II or aldosterone on the development of atherosclerosis, endothelial dysfunction, plaque rupture, or thrombosis after plaque rupture. Experimental data suggest that each of these mechanisms may be of importance. Several prospective randomized studies are under way to determine the effect of ACE inhibitors on recurrent ischemic events and the progression of atherosclerosis in patients without left ventricular dysfunction. If these studies yield positive results, ACE inhibitors might assume an important role in the secondary and possibly primary prevention of ischemic heart disease. |
| Starting Page | 294 |
| Ending Page | 301 |
| Page Count | 8 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://deepblue.lib.umich.edu/bitstream/handle/2027.42/31175/0000076.pdf?isAllowed=y&sequence=1 |
| PubMed reference number | 7977014v1 |
| Volume Number | 128 |
| Issue Number | 6 |
| Part | 2 |
| Journal | American heart journal |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Aldosterone Angiotensin II Angiotensin-Converting Enzyme Inhibitors Angiotensins Atherosclerosis Caspase-1 Coronary Arteriosclerosis Dental Plaque Heart Diseases Myocardial Infarction Myocardial Ischemia Patients Peptidyl-Dipeptidase A Senile Plaques Serotonin Uptake Inhibitors Splenic Rupture Thrombosis Ventricular Dysfunction Ventricular Dysfunction, Left |
| Content Type | Text |
| Resource Type | Article |
