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病例报告:血管紧张素转换酶抑制剂与血管紧张素受体阻滞剂在慢性高血压管理中的应用:一例赖诺普利诱发鼻溢液的病例

Case Report: Angiotensin converting enzyme inhibitors vs. angiotensin receptor blockers in the management of chronic hypertension: a case of lisinopril-induced rhinorrhea.

作者信息

Amudzi Alice A, Samale Giro Richard, Vela-Parada Xavier

机构信息

Department of Internal Medicine, Berkshire Medical Center, Pittsfield, MA, United States.

CHP Neighborhood Health, Pittsfield, MA, United States.

出版信息

Front Allergy. 2024 Nov 18;5:1480569. doi: 10.3389/falgy.2024.1480569. eCollection 2024.

Abstract

A 47-year-old woman presents to our clinic with a chief complaint of rhinorrhea; she had chronic hypertension managed with four antihypertensive drugs, including an ACE inhibitor. While dry cough is a well-known side effect associated with ACE inhibitors, this case highlights a common chief complaint yet less recognized side effect of ACE inhibitors and further emphasizes the idea that overall, angiotensin receptor blockers may be a better drug of choice in hypertension due to their favorable side effect profile.

摘要

一名47岁女性因流涕为主诉前来我们诊所就诊;她患有慢性高血压,正在使用包括一种ACE抑制剂在内的四种抗高血压药物进行治疗。虽然干咳是与ACE抑制剂相关的一种众所周知的副作用,但该病例突出了ACE抑制剂一种常见的主诉但较少被认识到的副作用,并进一步强调了这样一种观点,即总体而言,由于血管紧张素受体阻滞剂具有良好的副作用谱,在高血压治疗中可能是更好的选择药物。

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