Korzyści ze stosowania lisinoprilu w chorobach układu sercowo-naczyniowego i chorobach nerek. Czego spodziewać się po badaniu HALT-PKD? Artykuł przeglądowy
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Abstrakt
Zastosowanie w praktyce inhibitorów konwertazy angiotensyny (ACE-I, angiotensin converting-enzyme inhibitors) uważa się za jedno z ważniejszych osiągnięć farmakoterapii. Lisinopril ma zastosowanie w leczeniu nadciśnienia tętniczego samoistnego i naczyniowo-nerkowego, zarówno w monoterapii, jak i w leczeniu skojarzonym z innymi lekami hipotensyjnymi, w niewydolności serca w skojarzeniu z lekami moczopędnymi oraz w określonych przypadkach z preparatami naparstnicy, po zawale mięśnia sercowego oraz w cukrzycowej chorobie nerek. Wyniki badania HALT-PKD pomogą odpowiedzieć na pytanie, czy doskonała kontrola ciśnienia tętniczego może mieć znaczenie w zapobieganiu progresji przewlekłej choroby nerek we wszystkich stadiach, czy może tylko w bardziej/mniej zaawansowanych, i czy jest to związane ze zmniejszeniem liczby powikłań sercowo-naczyniowych.
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