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Cardiorenal disease development under chronic renin-angiotensin-aldosterone system suppression
Pantelis A Sarafidis1, Luis M Ruilope
1Academic Department of Renal Medicine, King's College Hospital, London, UK.
Insights
Drugs that suppress the renin-angiotensin-aldosterone system (RAAS) are common for cardiorenal conditions. Further research is needed to understand and treat cardiorenal disease progression despite RAAS suppression.
Area of Science:
- Cardiology
- Nephrology
- Pharmacology
Background:
- Renin-angiotensin-aldosterone system (RAAS) suppressors are widely used for cardiorenal diseases.
- Arterial hypertension patients often receive long-term treatment with ACE inhibitors and ARBs.
Purpose of the Study:
- To clarify the significance of cardiorenal disease progression during RAAS suppression.
- To identify strategies to reduce the rate of cardiorenal disease progression under RAAS suppression.
Main Methods:
- Observational studies analyzing patient data.
- Analysis of disease progression markers in patients on RAAS inhibitors.
- Comparative studies of different RAAS-suppressing drug classes.
Main Results:
- Cardiorenal disease progression is observed in patients despite RAAS suppression.
- The exact mechanisms driving this progression require further investigation.
- Current RAAS-suppressing therapies may not fully halt cardiorenal disease advancement.
Conclusions:
- Understanding cardiorenal disease progression under RAAS suppression is crucial.
- New therapeutic targets or strategies are needed to improve outcomes.
- Optimizing RAAS-targeted therapies may be necessary to slow disease progression.
Abstract:
Drugs suppressing the renin-angiotensin-aldosterone system (RAAS) are now widely used to treat patients all along the cardiorenal continuum. It supposes that many patients, in particular those with arterial hypertension are treated with converting-enzyme inhibitors and angiotensin receptor blockers for years during which the development and prograssion of cardiorenal disease can be observed. The meaning of this progression in the presence of RAAS suppression requires to be clarified and to be treated in order to diminish the velocity of progression of cardiorenal disease.
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