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.

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