J 2018

Heart failure and inhibition of renin-angiotensin-aldosterone system

VÍTOVEC, Jiří, Jindřich ŠPINAR and Lenka ŠPINAROVÁ

Basic information

Original name

Heart failure and inhibition of renin-angiotensin-aldosterone system

Authors

VÍTOVEC, Jiří (203 Czech Republic, guarantor, belonging to the institution), Jindřich ŠPINAR (203 Czech Republic, belonging to the institution) and Lenka ŠPINAROVÁ (203 Czech Republic, belonging to the institution)

Edition

Cor et Vasa, Amsterdam, Elsevier Science INC, 2018, 0010-8650

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Netherlands

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/18:00103230

Organization unit

Faculty of Medicine

UT WoS

000433252900008

Keywords in English

Chronic heart failure; ACE inhibitors; Angiotensin receptor blockers; Mineralocorticoid receptor; antagonists; Aliskiren; Omapatrilat; Sacubitril/valsartan (LCZ 696)

Tags

International impact, Reviewed
Změněno: 10/2/2019 13:23, Soňa Böhmová

Abstract

V originále

A historical survey is presented of mortality clinical trials focussed on the inhibition of the renin-angiotensin-aldosterone system on different levels in patients with chronic heart failure. The first study, CONSENSUS, was published in 1987 and showed that the ACE-inhibitor enalapril clearly reduced mortality in severe heart failure compared with placebo. This was followed by studies with beta blockers, angiotensin II type 1 receptor blockers, blockers of mineralocorticoid receptors, and direct renin inhibitors. A recent study, PARADIGM, comparing dual inhibitor of neprilysin and antiotensin II receptor (LCZ 696) with enalapril, was terminated prematurely for a significant effect of inhibiting neprilysin and valsartan. (C) 2018 The Czech Society of Cardiology. Published by Elsevier Sp. z o.o. All rights reserved.