Aldosterone Breakthrough During Angiotensin II Receptor Blockade in Hypertensive Patients With Diabetes Mellitus
Author(s) -
Toshi Yoneda,
Youhei Takeda,
Mikiya Usukura,
N. Oda,
Hiroyuki Takata,
Yasuo Yamamoto,
Shigehiro Karashima,
M YAMAGISHI
Publication year - 2007
Publication title -
american journal of hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 136
eISSN - 1941-7225
pISSN - 0895-7061
DOI - 10.1016/j.amjhyper.2007.09.001
Subject(s) - medicine , aldosterone , candesartan , diabetes mellitus , spironolactone , blood pressure , endocrinology , valsartan , renin–angiotensin system , angiotensin receptor , angiotensin ii
Aldosterone is an important pathogenetic factor, independent of the renin-angiotensin system in cardiovascular and renal disease. Aldosterone breakthrough during angiotensin-converting enzyme (ACE) inhibitor therapy was reported in hypertension, diabetes mellitus, and chronic renal disease. It is unclear whether the angiotensin II receptor blocker (ARB) causes aldosterone breakthrough in patients with hypertension and diabetes mellitus, and whether aldosterone breakthrough contributes to renal injury in these patients.
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