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Inhibition of the Renin-Angiotensin System Reduces the Rise in Serum Aldosterone in Acute Coronary Syndrome Patients with Preserved Left Ventricular Function: Observations from the AVANT GARDE-TIMI 43 Trial
Author(s) -
Jacob A. Udell,
David A. Morrow,
Eugene Braunwald,
Karl Swedberg,
Christoph Bode,
Nader Rifai,
Patrick Brunel,
Margaret F. Prescott,
Fang Ren,
Elaine Hoffman,
Benjamin M. Scirica
Publication year - 2013
Publication title -
clinical chemistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.705
H-Index - 218
eISSN - 1530-8561
pISSN - 0009-9147
DOI - 10.1373/clinchem.2012.199729
Subject(s) - aldosterone , valsartan , aliskiren , medicine , cardiology , myocardial infarction , placebo , renin–angiotensin system , endocrinology , interquartile range , angiotensin ii , urology , blood pressure , pathology , alternative medicine
Acute coronary syndrome (ACS) activates neurohormonal pathways, including elevations in circulating aldosterone, with deleterious cardiovascular effects. We aimed to determine if early, more complete renin-angiotensin-aldosterone system inhibition (RAASI) in post-ACS patients without ventricular dysfunction or heart failure would result in a graded reduction in aldosterone concentrations.

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