Benazepril – lek z wyboru w przewlekłej chorobie nerek? Artykuł przeglądowy

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Tomasz Stompór

Abstrakt

Według szeregu badań epidemiologicznych przewlekła choroba nerek dotyka ok. 10–15% ogółu populacji Europy i Ameryki Północnej, przy czym ryzyko jej wystąpienia narasta gwałtownie wraz z wiekiem; z jeszcze wyższą częstością dotyka ona wybrane grupy etniczne. Jednym z najważniejszych mechanizmów patogenetycznych rozwoju, a następnie progresji przewlekłej choroby nerek do jej kolejnych stadiów jest nasilona aktywność systemowa i lokalna (tkankowa) osi renina-angiotensyna-aldosteron. Angiotensyna II i aldosteron są nie tylko bezpośrednimi efektorami uszkodzenia nerek, ale także stanowią czynnik „integrujący” szereg niekorzystnych zjawisk patologicznych, m.in. dysfunkcję śródbłonka, nadkrzepliwość, nasilony stres oksydacyjny, wzmożoną aktywność układu współczulnego, stan zapalny i inne. Ze względu na kluczową rolę angiotensyny II w procesie uszkodzenia nerek blokada jej powstawania poprzez zastosowanie inhibitorów enzymu konwertującego jest najbardziej logiczną i patofizjologicznie uzasadnioną strategią w terapii nefroprotekcyjnej. Spośród szeregu inhibitorów konwertazy na szczególną uwagę zasługuje benazepril – lek o doskonale udokumentowanym działaniu nefroprotekcyjnym, zarówno w badaniach podstawowych, jak i w wielkich, wieloośrodkowych randomizowanych i kontrolowanych próbach klinicznych.

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Jak cytować
Stompór, T. (2009). Benazepril – lek z wyboru w przewlekłej chorobie nerek? . Medycyna Faktów , 2(3(4), 61-74. Pobrano z https://journalsmededu.pl/index.php/jebm/article/view/2650
Dział
Artykuły

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