PART 1: RAAS Blockers – Are They All The Same?

Vijaya Ramasamy
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Abstract

INTRODUCTION The renin-angiotensin-aldosterone system (RAAS) is a crucial mechanism by which our bodies maintain blood pressure and fluid & electrolyte balance. Any disruption to this system may upset the carefully maintained equilibrium, leading to development of hypertension and cardiovascular (CV) diseases. Thus, RAAS has been a key therapeutic target in hypertension since the serendipity discovery of angiotensin converting enzyme inhibitors (ACEis) in the 1970s. The use of ACEis have also evolved over the decades, from a stand-alone blood pressure (BP) lowering agent to critical underpinnings of CV protection in high-risk patients following improved elucidation of its role.
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第一部分:RAAS阻滞剂-它们都是一样的吗?
肾素-血管紧张素-醛固酮系统(RAAS)是人体维持血压和体液电解质平衡的重要机制。对这一系统的任何破坏都可能打乱精心维持的平衡,导致高血压和心血管疾病的发展。因此,自20世纪70年代意外发现血管紧张素转换酶抑制剂(ACEis)以来,RAAS一直是高血压的关键治疗靶点。在过去的几十年里,ACEis的使用也在不断发展,从一种独立的降压药,随着其作用的进一步阐明,它已成为高危患者心血管保护的关键基础。
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