Synergistic actions between angiotensin-converting enzyme inhibitors and statins in atherosclerosis

Hypertension and hypercholesterolemia are independent risk factors for atherosclerotic cardiovascular disease (ASCVD) by acting directly on the endothelium and activating the renin-angiotensin aldosterone system (RAAS) and mevalonate pathways. This review examines how the severity and duration of th...

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Veröffentlicht in:Nutrition, metabolism, and cardiovascular diseases metabolism, and cardiovascular diseases, 2022-04, Vol.32 (4), p.815-826
Hauptverfasser: Borghi, Claudio, Levy, Bernard I.
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container_title Nutrition, metabolism, and cardiovascular diseases
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creator Borghi, Claudio
Levy, Bernard I.
description Hypertension and hypercholesterolemia are independent risk factors for atherosclerotic cardiovascular disease (ASCVD) by acting directly on the endothelium and activating the renin-angiotensin aldosterone system (RAAS) and mevalonate pathways. This review examines how the severity and duration of these risk factors may influence the cardiovascular risk through a reciprocal interplay leading to oxidative stress and pro-inflammatory response. The review highlights the clinical evidence supporting the benefits of statins and angiotensin-converting enzyme (ACE) inhibitors for hypertension, lipid disorders and ASCVD management, both individually and combined, at all stages of the cardiovascular continuum. Drug strategies incorporating an ACE-inhibitor and a statin, and in particular perindopril and atorvastatin, have consistently demonstrated reductions in the rate of ASCVD events in patients with hypertension and lipid disorders, cementing their position as first-line therapies for the management of atherosclerosis complications.
doi_str_mv 10.1016/j.numecd.2021.11.015
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subjects Angiotensin-Converting Enzyme Inhibitors - adverse effects
Angiotensins - pharmacology
Angiotensins - therapeutic use
Atherosclerosis - drug therapy
Atherosclerosis - prevention & control
Atorvastatin - adverse effects
Cardiovascular Diseases - drug therapy
Clinical trials
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - adverse effects
Hyperlipidemia
Hypertension
Pharmacology
Renin-Angiotensin System
title Synergistic actions between angiotensin-converting enzyme inhibitors and statins in atherosclerosis
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