Sanada Shoji, Kitakaze Masafumi
Department of Internal Medicine and Therapeutics, Osaka University Graduate School of Medicine.
Nihon Rinsho. 2003 May;61(5):821-6.
Recent experimental studies and clinical trials have revealed that the modulation of either systemic or regional(cardiovascular) renin-angiotensin systems(RAS) is one of the potential targets to prevent the progression of heart failure. Either ACE inhibitor, angiotensin-II receptor blocker or aldosterone antagonist differently block RAS. Many clinical trials told us that each of them improves heart failure and might promise the better prognosis. Now, some experimental studies are encouraging us to test the comparative effects or the effects in combination of them. Here we will summarize the current outcomes from the experimental and clinical studies, and discuss the future direction.
近期的实验研究和临床试验表明,调节全身或局部(心血管)肾素-血管紧张素系统(RAS)是预防心力衰竭进展的潜在靶点之一。血管紧张素转换酶(ACE)抑制剂、血管紧张素II受体阻滞剂或醛固酮拮抗剂均可不同程度地阻断RAS。许多临床试验告诉我们,它们每一种都能改善心力衰竭,并可能带来更好的预后。现在,一些实验研究促使我们去测试它们的比较效果或联合使用的效果。在此,我们将总结实验和临床研究的当前结果,并探讨未来的方向。