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Cited by 364

The DOI matches its Crossref record; 169 of the 169 references it cites were found in a registry or an index.

Renin–angiotensin–aldosterone system blockade for cardiovascular diseases: current status

Open access
Ma, Terry KW, Kam, Kevin KH, Yan, Bryan P, Lam, Yat‐Yin·2010·British Journal of Pharmacology

Abstract

Activation of the renin–angiotensin–aldosterone system (RAAS) results in vasoconstriction, muscular (vascular and cardiac) hypertrophy and fibrosis. Established arterial stiffness and cardiac dysfunction are key factors contributing to subsequent cardiovascular and renal complications. Blockade of RAAS has been shown to be beneficial in patients with hypertension, acute myocardial infarction, chronic systolic heart failure, stroke and diabetic renal disease. An aggressive approach for more extensive RAAS blockade with combination of two commonly used RAAS blockers [ACE inhibitors (ACEIs) and angiotensin receptor blockers (ARBs)] yielded conflicting results in different patient populations. Combination therapy is also associated with more side effects, in particular hypotension, hyperkalaemia and renal impairment. Recently published ONTARGET study showed ACEI/ARB combination therapy was associated with more adverse effects without any increase in benefit. The Canadian Hypertension Education Program responded with a new warning: ‘Do not use ACEI and ARB in combination’. However, the European Society of Cardiology in their updated heart failure treatment guidelines still recommended ACEI/ARB combo as a viable option. This apparent inconsistency among guidelines generates debate as to which approach of RAAS inhibition is the best. The current paper reviews the latest evidence of isolated ACEI or ARB use and their combination in cardiovascular diseases, and makes recommendations for their prescriptions in specific patient populations.

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Registry

Crossref · 10.1111/j.1476-5381.2010.00750.x

Cites

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Citations

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Metadata

Authors
Ma, T. K., Kam, K. K., Yan, B. P., & Lam, Y.
Venue
British Journal of Pharmacology
Publisher
Wiley
Published
2010-06-25
Volume
160
Issue
6
Pages
1273-1292
ISSN
  • 0007-1188 (ISSN-L)
  • 1476-5381
OpenAlex
W1504007488
Cited by
364
References
169
FWCI
13.90
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Renin–angiotensin–aldosterone system blockade for cardiovascular diseases: current status. https://app.cochat.ai/papers/10.1111/j.1476-5381.2010.00750.x
The paper
Ma, T. K., Kam, K. K., Yan, B. P., & Lam, Y. (2010). Renin–angiotensin–aldosterone system blockade for cardiovascular diseases: current status. British Journal of Pharmacology. https://doi.org/10.1111/j.1476-5381.2010.00750.x

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.