Renoprotective Effect of the Angiotensin-Receptor Antagonist Irbesartan in Patients with Nephropathy Due to Type 2 Diabetes

Blockade of angiotensin type 1 receptors slows the progression of nephropathy. This effect is independent of the reduction in blood pressure. Diabetes mellitus is increasing in prevalence worldwide and is currently estimated to affect more than 6.5 percent of the population of the United States. 1 D...

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Veröffentlicht in:The New England journal of medicine 2001-09, Vol.345 (12), p.851-860
Hauptverfasser: Lewis, Edmund J, Lewis, Julia B, Hunsicker, Lawrence G, Clarke, William R, Berl, Tomas, Pohl, Marc A, Ritz, Eberhard, Atkins, Robert C, Rohde, Richard, Raz, Itamar
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container_issue 12
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container_title The New England journal of medicine
container_volume 345
creator Lewis, Edmund J
Lewis, Julia B
Hunsicker, Lawrence G
Clarke, William R
Berl, Tomas
Pohl, Marc A
Ritz, Eberhard
Atkins, Robert C
Rohde, Richard
Raz, Itamar
description Blockade of angiotensin type 1 receptors slows the progression of nephropathy. This effect is independent of the reduction in blood pressure. Diabetes mellitus is increasing in prevalence worldwide and is currently estimated to affect more than 6.5 percent of the population of the United States. 1 Diabetes is the most common cause of end-stage renal disease in this country, accounting for 40 percent of cases. 2 Although the inhibition of the effects of angiotensin II has a beneficial effect in patients with nephropathy caused by type 1 diabetes, 3 no published study with definitive renal outcomes has addressed the issue of renoprotection in patients with type 2 diabetes — a population that differs substantially from patients with type 1 diabetes in terms of demographic . . .
doi_str_mv 10.1056/NEJMoa011303
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subjects Adult
Aged
Amlodipine - adverse effects
Amlodipine - therapeutic use
Angiotensin Receptor Antagonists
Antihypertensive Agents - adverse effects
Antihypertensive Agents - therapeutic use
Biological and medical sciences
Biphenyl Compounds - adverse effects
Biphenyl Compounds - therapeutic use
Calcium Channel Blockers - therapeutic use
Committees
Creatinine - blood
Diabetes
Diabetes Mellitus, Type 2 - complications
Diabetic Nephropathies - complications
Diabetic Nephropathies - drug therapy
Double-Blind Method
Female
Humans
Hypertension
Hypertension - complications
Hypertension - drug therapy
Kidney Failure, Chronic - prevention & control
Male
Medical sciences
Middle Aged
Mortality
Pharmacology. Drug treatments
Proportional Hazards Models
Tetrazoles - adverse effects
Tetrazoles - therapeutic use
Urinary system
title Renoprotective Effect of the Angiotensin-Receptor Antagonist Irbesartan in Patients with Nephropathy Due to Type 2 Diabetes
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