Yılmaz İnsu
Department of Chest Diseases, Division of Immunology and Allergy, Erciyes University School of Medicine, Kayseri, Turkey.
Turk Thorac J. 2019 Jan 1;20(1):36-42. doi: 10.5152/TurkThoracJ.2018.18014.
Angiotensin-converting enzyme inhibitors (ACE-I) are widely used in diseases, such as hypertension, congestive heart failure, and myocardial infarction. Although these drugs are well tolerated, one out of five patients discontinues ACE-I due to drug side effects, mainly chronic cough. However, the pathogenesis of ACE-I-induced cough remains controversial and requires further study. In this review, the mechanisms that are suggested in ACE-I-induced cough pathophysiology will be discussed in detail in light of the current literature.
血管紧张素转换酶抑制剂(ACE-I)广泛应用于高血压、充血性心力衰竭和心肌梗死等疾病。尽管这些药物耐受性良好,但五分之一的患者因药物副作用(主要是慢性咳嗽)而停用ACE-I。然而,ACE-I引起咳嗽的发病机制仍存在争议,需要进一步研究。在这篇综述中,将根据当前文献详细讨论ACE-I引起咳嗽的病理生理学中所提出的机制。