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ARB类药物的不同治疗选择。该选用哪一种?何时使用?为何这样用?

The Different Therapeutic Choices with ARBs. Which One to Give? When? Why?

作者信息

Dézsi Csaba András

机构信息

Department of Cardiology, Petz Aladár County Teaching Hospital, Gyor, Hungary.

出版信息

Am J Cardiovasc Drugs. 2016 Aug;16(4):255-266. doi: 10.1007/s40256-016-0165-4.

Abstract

The renin-angiotensin-aldosterone system plays an important role in the pathophysiology of hypertension and is closely related with cardio- and cerebrovascular events and chronic kidney diseases. Each angiotensin receptor blocker (ARB) is important in the treatment of hypertension, according to the results of recent years. This is a practical review of the available evidence on the different benefits of ARBs beyond their blood pressure-lowering effect, with an emphasis on the differences found between the particular compounds and the therapeutic implications of the findings, with specific reference to the co-morbidities.

摘要

肾素-血管紧张素-醛固酮系统在高血压的病理生理学中起重要作用,并且与心脑血管事件及慢性肾脏疾病密切相关。根据近年来的研究结果,每种血管紧张素受体阻滞剂(ARB)在高血压治疗中都很重要。本文对ARB除降压作用外的不同益处的现有证据进行了实用综述,重点阐述了特定化合物之间的差异以及这些发现的治疗意义,并特别提及了合并症。

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