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Safety and Efficacy of Imidapril in the Treatment of Essential Hypertension
Author(s) -
Masashi Okamura,
Susumu Ogawa,
Sadayoshi Ito
Publication year - 2011
Publication title -
clinical medicine insights therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.205
H-Index - 9
ISSN - 1179-559X
DOI - 10.4137/cmt.s7662
Subject(s) - bradykinin , medicine , blood pressure , angiotensin converting enzyme , cardiology , renin–angiotensin system , pharmacology , angiotensin receptor blockers , matrix metalloproteinase , essential hypertension , receptor
Angiotensin converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) are one of the renin angiotensin system (RAS) inhibitors widely used for the treatment of hypertension. Recently, Blood Pressure Lowering Treatment Trialists’ Collaboration (BPLTTC) meta-analysis showed that ACEIs had the blood pressure independent beneficial effects on coronary heart events. In this review, we summarized our current knowledge about ACEIs especially imidapril and re-evaluated ACEIs among other RAS inhibitors (RASIs) because ACEIs have wide ranges of beneficial effects in addition to the ACE inhibition which other RASIs do not have such as the up-regulation of bradykinin level, substance P level, the inhibition of matrix metalloproteinase (MMP) activity and stabilization of coronary plaque.

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