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Angiotensin receptor blockers: novel role in high-risk patients
Usman Javed1, Prakash C Deedwania
1Cardiology Section, Cardiovascular Research, UCSF Fresno Medical Education Program, UCSF School of Medicine, Fresno, CA 93703, USA.
Insights
Identifying high-risk patients is crucial for reducing cardiovascular events. Renin-angiotensin-aldosterone system blockers show promise in protecting cardiovascular health, especially in metabolic conditions.
Area of Science:
- Cardiology
- Endocrinology
- Pharmacology
Background:
- Cardiovascular disease remains a leading cause of mortality and morbidity.
- Increasing life expectancy and the prevalence of metabolic conditions like obesity and diabetes elevate cardiovascular risk.
- Traditional risk factors include hypertension, diabetes, and various arterial diseases.
Purpose of the Study:
- To explore the role of renin-angiotensin-aldosterone system (RAAS) activation in patients with metabolic syndrome.
- To highlight the cardiovascular protective effects of RAAS blockers, particularly angiotensin receptor blockers.
Main Methods:
- Review of recent data on RAAS activation in metabolic conditions.
- Analysis of the therapeutic role of angiotensin receptor blockers in cardiovascular protection.
Main Results:
- RAAS activation is implicated in the pathophysiology of cardiovascular events within a high-risk metabolic environment.
- Angiotensin receptor blockers demonstrate a beneficial role in mitigating cardiovascular risk.
Conclusions:
- Targeting the RAAS with blockers is a key strategy for cardiovascular protection.
- Angiotensin receptor blockers offer a promising therapeutic approach for high-risk individuals with metabolic derangements.
Abstract:
The identification of patients at high risk for cardiovascular events is imperative in the reduction of cardiovascular mortality and morbidity. Although coronary artery disease, peripheral arterial disease, cerebrovascular disease, hypertension, and diabetes mellitus contribute to the risk of developing cardiovascular events, we are now faced with emerging fronts because of an increase in life expectancy and the epidemic of hypertension, obesity, metabolic syndrome, and diabetes. Recent data emphasize the beneficial role of renin-angiotensin-aldosterone system (RAAS) blockers. This article addresses the role of RAAS activation in the high-risk metabolic milieu and the role of angiotensin receptor blockers in targeting and inhibiting the RAAS for cardiovascular protection.
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