ACE Inhibitors: Medical Uses, Mechanisms of Action, Potential Adverse Effects and Related Topics. Volume 2 ( Pharmacology - Research, Safety Testing and Regulation )

Publication series :Pharmacology - Research, Safety Testing and Regulation

Author: Macaulay Amechi Onuigbo (College of Medicine   Mayo Clinic   Rochester   MN   USA)  

Publisher: Nova Science Publishers, Inc.‎

Publication year: 2014

E-ISBN: 9781629484365

P-ISBN(Hardback):  9781629484228

Subject: R543 vascular disease

Keyword: Pharmacology

Language: ENG

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ACE Inhibitors: Medical Uses, Mechanisms of Action, Potential Adverse Effects and Related Topics. Volume 2

Chapter

Chronotherapy and the Effect of Hypertension Medication Terminal Half-Life on Efficacy

Chronotherapy in Hypertensive Patients with CKD

Reduction of CVD Risk by Hypertension Chronotherapy

Discussion

Acknowledgments

References

Chapter 2 ACEIs as Antihypertensives in African Americans: A 21st Century Perspective

1Department of Endocrinology, Cleveland Clinic, Weston, Florida (Williams), US

2Department of Clinical Biomedical Science, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, US

3Division of Nephrology and Hypertension, Departments of Medicine, Physiology and Biophysics, University of California, Irvine, Irvine California, US

4Division of Nephrology and Division of Endocrinology, Diabetes and Hypertension, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, US

5Division of General Internal Medicine and Division of Nephrology,

Department of Medicine, David Geffen School of Medicine,

University of California, Los Angeles, California US

Abstract

Abbreviations

Introduction

Chronic Kidney Disease

Epidemiology of CKD in African Americans

Salt Sensitivity

The Renin–Angiotensin System

Genetic Factors

Treatment Trials of Hypertensive

CKD in African Americans

AASK

RENAAL and IDNT

ALLHAT

Recent Clinical Trials

Blood Pressure Targets

Special Considerations for the Use of ACEI in Treating Hypertension in African Americans

Conclusion: A Comprehensive Approach to Blood

Pressure Care in African American Patients

with Chronic Kidney Disease

Key Points

Acknowledgments

References

Chapter 3 Angiotensin-Converting Enzyme Inhibitors: A Seattle Internist’s Perspective

Capital Medical Center, Olympia, WA, US

Abstract

Introduction

Role of ACE Inhibition in Hypertension

Control and in Renoprotection

ACE Inhibition and Insulin Sensitivity

ACE Inhibition and Cardioprotection

ACE Inhibition and Renoprotection in

Non-Diabetic Proteinuric Nephropathy

ACEIs as First-Line Antihypertensive

Agents and Other Indications

Do ACEIs Represent the Magic Bullet

in Cardiovascular Pharmacology?

Side Effects of ACE Inhibition

with Particular Reference

to Kidney Dysfunction

References

Chapter 4 ACEIs in Cardiovascular Medicine: A 21st Century Caribbean Perspective

Heart Institute of the Caribbean, Kingston, Jamaica

Abstract

Introduction

Risk Factors and Cardiovascular

Pathology in the Caribbean

ACEIs in Essential Hypertension and

Hypertensive Heart Disease

Current and Potential Role of ACEIs in High Risk Caribbean Population: The Hypertensive - Diabetic Patient

Potential Role of the ACEIs in

Caribbean Patients with Diabetes

Current and Potential Role of

ACEIs in Coronary Heart Disease (CHD)

Current and Potential Role of ACEIs

in Heart Failure and Cardiomyopathy

Possible Beneficial Effects of the ACEIs in the Caribbean Rheumatic Heart Disease and HIV-Related Heart Disease

Adverse Effects of ACEI Inhibitors

ACEIs and Pharmacogenomic Data, New Trends and Greatest Challenges in the Caribbean Region

Ethnic Variations

Ethnic Variations and Genetic Polymorphisms

Discussion, Conclusion and

Recommendations: ACEIs in

the Caribbean Population

Conclusion and Recommendations:

ACEIs in the Caribbean Population

References

Chapter 5 ACEIs as Antihypertensives: A Nigerian CKD Clinic Experience

Abstract

1. Introduction and Background

1.1. Epidemiology of CKD in Nigeria and Africa

Burden of Hypertension and Other Non-Communicable Diseases (NCDs) as Risk Factors for CKD

1.2. Evidence for ACEIs in Chronic Kidney Disease

1.3. What the Guidelines Say on Use of ACEIs in Hypertension and Chronic Kidney Disease

KDOQI Guidelines

Caring for Australasians with Renal Impairment (CARI) Guidelines

For Diabetic Kidney Disease [46]:

National Institute for Health and Clinical Excellence (NICE)

UK Renal Association Guidelines

The Nigerian Association of Nephrology (NAN) Guidelines for the Detection and Management of CKD:

World Health Organization (WHO)/ International Society of Hypertension (ISH) 2003 Guidelines:

2. Mechanism of Action of ACEIs

2.1. Brief Overview of the Renin-Angiotensin System (RAS)

2.2. Historical Perspective

2.3. The Renin-Angiotensin Family

2.3.1. Angiotensinogen

2.3.2. Renin

2.3.3. Angiotensin I

2.3.4. Angiotensin Converting Enzymes

2.3.5. Angiotensin II and other Angiotensins

2.3.6. Angiotensin Converting Enzyme Inhibitors (ACEIs)

2.3.7. Tissue RAS

2.3.8. Intracellular RAS

2.4. Rationale for the Use of ACEIs to slow Progression of CKD

2.4.1. ACEIs Reduce BP

2.4.2. ACEIs Reduce Proteinuria

2.4.3. Class Effect

3. Clinical Uses of ACEIs with Evidence from Clinical and Outcome Trials

3.1. Clinical Indications

3.1.1. Hypertension

3.1.2. Congestive Cardiac Failure and Left Ventricular Dysfunction

3.1.3. Post Myocardial Infarction

3.1.4. Renoprotection in Renal Disease

3.1.4.1. Slowing the Progression of Kidney Disease in Type I and Type 2 Diabetes with ACEIs

3.1.4.2. ACE Inhibitors Delay Progression of Disease in Non-Diabetic Renal Disease

4. Adverse Effects of ACEIs

4.1. Class Effects

4.1.1. Effects Due to ACEIs Interfering with the Activity of RAAS in Maintaining Blood Pressure and Serum Potassium:

Hypotension

Early Decrease in Glomerular Filtration

Hyperkalemia

4.1.2. Effects Due to Interfering with the Activity of Other Enzymes and Receptors

4.1.3. Suggested Mechanisms for ACEI-Induced Cough

4.2. Drug Specific Effects

4.2.1. Captopril

4.2.2. Enalapril

4.2.3. Lisinopril

5. Drug Interactions

6. ACEIs in Pregnancy

7. Racial or Ethnic Differences in Adverse Reactions

8. Local Experience with ACEI in the Nephrology Clinic of University of Nigeria Teaching Hospital (UNTH)

8.1. Pattern of ACEI Prescription

8.2. Reasons for Prescribing ACEIs

8.3. Side Effect Profile

Conclusion

References

Chapter 6 ACEIs as Antihypertensives in the Elderly (>65 Year Old): A South American Perspective

Abstract

Introduction

Senile Renin-Angiotensin –Aldosterone System

Hypertension

Longevity

Inflammation and Fibrosis

Dementia

Adverse Effects of ACEI in the Elderly

Hypotension

Hyperkalemia

Hyponatremia

Syndrome of Rapid-Onset End-Stage Renal Disease (SORO-ESRD)

Conclusion

References

Chapter 7 The Impact of Salt Restriction on the Effectiveness of Antihypertensive Therapy

Abstract

Introduction

The Taste for Salt in Man: Evolutionary Aspects

Lessons from Animal Studies

A Bit of History of Salt

Sodium and Blood Pressure: 1st Half of the Twentieth Century

Initial Contributions from Epidemiology

Lessons from Studies in Neonates and Children

The Intersalt Study

The DASH Trials

Meta-Analyses and Studies on Events

Recommendations about Salt Intake in Adults and Children

Blood Pressure Effects of Sodium Restriction Associated with Antihypertensive Drugs in Hypertensive Persons

Inhibitors of Angiotensin-Converting Enzyme (ACE)

ACE Inhibitors and Diuretics

Renin Inhibitors

β-blockers and Diuretics

Calcium Channel Blockers

Blood Pressure Effects of Sodium Restriction Associated with Antihypertensive Drugs in Chronic Kidney Disease

ACE Inhibitors

ACE-Inibitor and Diuretics

Angiotensin II Receptor Antagonists and Diuretics

RAASi and Non-RAASi Anthypertensive Therapy

ACE Inhibition + Angiotensin II Receptor Antagonists

Comment

Conclusion

Abbreviations

Acknowledgements

References

Section 2. ACE Inhibitors and Angiotensin Receptor Blockers in Special Patient Populations

Chapter 8 Are ARBs the Preferred Agents to Treat Hypertension in Patients with HIV-Nephropathy with Albuminuria?

Abstract

Renal Dysfunction and Failure in HIV

RAAS Attenuation in HIV: Evidence from Experimental Studies

RAAS Attenuation in HIV: Evidence from Clinical Studies

Conclusion

References

Chapter 9 The Use of ACEIs and ARBs in ESRD Patients on Maintenance Hemodialysis and Peritoneal Dialysis

Abstract

Introduction

RAAS Blockade and Left-Ventricular Hypertrophy (LVH)

ACEI/ARB Therapy and the Inflammatory State

Miscellaneous Potential CV Benefits from Use of ACEI/ ARB in Dialysis Patients

ACEI/ARB Therapy and Preservation of Renal Function; Special Consideration with Peritoneal Dialysis

ACEI/ARB and Cognitive Decline

ACEI/ARB Therapy and Survival, Observational Evidence

Randomized Trials Examining the Impact of ACEI/ARB Therapies on Mortality in Dialysis Patients

Conclusion

References

Chapter 10 The Use of Angiotensin-Converting Enzyme Inhibitors in the Renal Transplant Recipient

Abstract

Introduction

Blood Pressure Targets

Pathogenesis of Hypertension in Transplant Patients

Management of Post-Transplant Hypertension

Conclusion

References

Chapter 11 ACE Inhibition and Renal Artery Stenosis: What Lessons Have we Learnt? A 21st Century Perspective

Abstract

Background

Epidemiology of RAS

Prognosis of ARAS

Pathophysiology

Hypertension

Renal Failure

Other Cardiovascular Effects

Management of RAS

BP Control

Preservation of Renal Function

Cardiovascular Risk Reduction

Safety of RAAS Blockers in ARAS

Renal Revascularization

Renal Revascularisation Allows ACEI Use

Conclusion

References

Chapter 12 Angiotensin-Converting Enzyme Inhibitors in Renal Disease: A European Perspective

Abstract

Introduction

The Experimental Basis of ACEIs Nephroprotection

Kidney and Blood Pressure

Clinical Use of ACEIs in Renal Disease

Is There an Effect beyond Blood Pressure Control?

Meta-Analyses on Renoprotective Effects of ACEIs

Hypertensive Patients without CKD

Non-Diabetic CKD

Proteinuria

Diabetic Patients

Cardiovascular Outcomes

Combination of ACEIs and ARBs in Renal Disease

ACEIs or ARBs for Renal Disease?

Safe Use in Patients with Renal Failure

References

Chapter 13 Angiotensin-Converting Enzyme Inhibitors in Heart Failure

Abstract

List of Abbreviations

Introduction

History of RAAS System

Clinical Trials

Conclusion

Trials

Further Reading

References

Chapter 14 RAAS Blockade in Ethnic Minorities with Chronic Kidney Disease: A United Kingdom Perspective

Abstract

Summary

Ethnicity, Hypertension and CKD in the UK

Ethnicity, Diabetes and CKD in the UK

Ethnicity, CKD and RAS Blockade

References

Chapter 15 Use of ACE-Inhibitors and Angiotensin-2 Receptor Blockers in the Management of the Cardio-Renal Syndrome

Abstract

Introduction

Classification and Nomenclature

Epidemiology

Pathophysiology

I. Reduced Cardiac Output, Decreased Renal Perfusion and Renal Venous Congestion

Cardiac Output and Renal Blood Flow

Venous Congestion

II. Neurohormonal Maladaptations and the Role of the Renin-Angiotensin-Aldosterone System

The Sympathetic System

Adenosine

The Renin-Angiotensin-Aldosterone Axis

Diagnosis

Management Strategies for CRS and the Role of RAAS Disruption

Fluid Removal

Inotropes

ACE-Inhibitors/Angiotensin-2 Receptor Blockade

Anti-Aldosterone Therapy

Non-Pharmocological Therapies

Conclusion

References

Chapter 16 A Three-Year Clinical Experience with ACE Inhibitors at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria, Department of Pediatrics, 2010-2012

Abstract

Introduction

Methods and Patients

Results

Discussion

Acknowledgments

Disclosures

References

Chapter 17 Is There a Role for ACEIs in the ICU?

Abstract

Introduction

The Role of Angiotensin II in Hemodynamics

ACEI in the ICU

Renal Considerations

Acute Kidney Injury (AKI)

Cardiovascular Considerations

Acute Heart Failure

Myocardial Infarction (MI)

Cardiogenic Shock

Septic Shock

Neurologic Considerations

Encephalopathy

Respiratory Considerations

Acute Respiratory Distress Syndrome (ARDS)

Conclusion

References

Chapter 18 The Impact of ACE Inhibition in the Management of Sickle Cell Disease in Nigerian Adults

Abstract

Introduction

What is Sickle Cell Disease

Epidemiology, Presentations and Complications of Sickle Cell Disease

The Renin Angiotensin Cascade

Pathophysiological Basis of the Use of ACEI

in the Management of SCD

Management of Sickle Cell Disease Patients and the Role of ACE Inhibition

Safety of ACEIs in SCD

Conclusion

References

Section 3. New and Emerging Indications for ACE Inhibitors and Angiotensin Receptor Blockers

Chapter 19 Hypertension-Misattributed Kidney Disease in African Americans

Abstract

1. Hypertension in African Americans

2. Hypertension and Chronic Kidney Disease in

African Americans

3. High Rate of Subsequent ESKD in AASK Patients

4. Population Genetics and the Discovery of the APOL1 Locus

5. Hypertension-Misattributed Kidney Disease

6. Role of the “Second Hit”

7. Role of APOL1 in Patients with

Hypertension without CKD

8. Hypertension-Attributed CKD in Continental Africa

9. The Role of Intrarenal ACE in Hypertension

Conclusion

References

Chapter 20 Treatment of Infantile Hemangioma with an ACE Inhibitor: A Paradigm Shift

Abstract

Introduction

Angiotensin Converting Enzyme Inhibitors

The Renin-Angiotensin System

Hemangioblasts and Hemogenic Endothelium

Hemangioblasts, Angiotensin Converting

Enzyme and Angiotensin II

Infantile Hemangioma

Infantile Hemangioma and Hemogenic Endothelium

Infantile Hemangioma, Angiotensin Converting

Enzyme and Angiotensin II

Infantile Hemangioma and Angiotensin Converting

Enzyme Inhibitors

Conclusion

References

Section 4. Epilogue - ACE Inhibitors and Angiotensin Receptor Blocker and Renoprotection Revisited: The Funture of Renoprotection in the 21st Century

Chapter 21 Epilogue - Bold Predictions on the Future of Renoprotection: The Way Forward with Multiple Pathway Blockers – Making a Case For Novel Non-Angiotensin Inhibiting Renoprotective Agents like Corticotropin and Pentoxifylline

Epilogue

References

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