Preoperative activation of the Renin–Angiotensin system and myocardial injury in noncardiac surgery: Post Hoc Analysis of the SPACE randomised controlled Trial

Ana Gutierrez del Arroyo, Tom. E. F. Abbott, Akshaykumar Patel, Salma Begum, Priyanthi Dias, David Brealey, Rupert M. Pearse, Vikas Kapil, Gareth L. Ackland, the SPACE trial investigators
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Abstract

Background Hypertension therapy in older adults is often suboptimal, in part due to inadequate suppression of the renin-angiotensin-aldosterone system (RAAS). We hypothesised that distinct endotypes of RAAS activation before noncardiac surgery are associated with increased risk of myocardial injury.
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非心脏手术中肾素-血管紧张素系统的术前激活与心肌损伤:SPACE 随机对照试验的事后分析
背景 老年人的高血压治疗效果往往不理想,部分原因是对肾素-血管紧张素-醛固酮系统(RAAS)的抑制不足。我们假设,非心脏手术前 RAAS 激活的不同内型与心肌损伤风险的增加有关。
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