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Angiotensin Blockade in Late Autosomal Dominant Polycystic Kidney Disease
Author(s) -
Vicente E. Torres,
Kaleab Z. Abebe,
Arlene B. Chapman,
Robert W. Schrier,
William E. Braun,
Theodore I. Steinman,
Franz T. Winklhofer,
Godela Brosnahan,
Peter G. Czarnecki,
Marie C. Hogan,
Dana C. Miskulin,
Frederic F. Rahbari-Oskoui,
Jared J. Grantham,
Peter C. Harris,
Michael F. Flessner,
Charity G. Moore,
Ronald D. Perrone
Publication year - 2014
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa1402686
Subject(s) - blockade , medicine , renin–angiotensin system , polycystic kidney disease , polycystic kidney , autosomal dominant polycystic kidney disease , disease , cardiology , kidney disease , receptor , blood pressure
Hypertension develops early in patients with autosomal dominant polycystic kidney disease (ADPKD) and is associated with disease progression. The renin-angiotensin-aldosterone system (RAAS) is implicated in the pathogenesis of hypertension in patients with ADPKD. Dual blockade of the RAAS may circumvent compensatory mechanisms that limit the efficacy of monotherapy with an angiotensin-converting-enzyme (ACE) inhibitor or angiotensin II-receptor blocker (ARB).

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