Angiotensin-converting enzyme inhibitors and coronary artery disease

The renin-angiotensin system and angiotensin converting enzyme (ACE) are increasingly being implicated in the pathogenesis of coronary artery disease and its sequelae. Genetic studies of ACE gene polymorphism hint at an association between the ACE genotype and atherosclerosis. Animal studies have de...

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Veröffentlicht in:Cardiovascular drugs and therapy 1996-11, Vol.10 (S2), p.631-637
Hauptverfasser: SAYER, J. W, TIMMIS, A. D
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TIMMIS, A. D
description The renin-angiotensin system and angiotensin converting enzyme (ACE) are increasingly being implicated in the pathogenesis of coronary artery disease and its sequelae. Genetic studies of ACE gene polymorphism hint at an association between the ACE genotype and atherosclerosis. Animal studies have demonstrated the potential beneficial effects of ACE inhibition at a variety of sites, including improvement of endothelial function, inhibition of platelet aggregation, reduction of atherosclerosis, and inhibition of myointimal proliferation. Although these have not all been validated in human studies, the reduction of ischemic events in studies of ACE inhibition in left ventricular dysfunction cannot be explained solely by improved hemodynamics, and it is possible that actions on the endothelium, the atherosclerotic process, and platelets are at least in part responsible. The results of studies in humans looking more directly at the influence of ACE inhibitors on atherosclerosis and ischemic heart disease are awaited.
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subjects Angiotensin-Converting Enzyme Inhibitors - administration & dosage
Angiotensin-Converting Enzyme Inhibitors - pharmacology
Angiotensin-Converting Enzyme Inhibitors - therapeutic use
Animals
Arteriosclerosis - drug therapy
Biological and medical sciences
Cardiology. Vascular system
Cardiomegaly - etiology
Cardiomegaly - prevention & control
Clinical Trials as Topic
Coronary Disease - drug therapy
Coronary Disease - etiology
Coronary Disease - prevention & control
Coronary heart disease
Endothelium, Vascular - drug effects
Gene Expression Regulation, Enzymologic - drug effects
Gene Expression Regulation, Enzymologic - genetics
Heart
Hemodynamics - drug effects
Hemostasis - drug effects
Humans
Medical sciences
Myocardial Ischemia - drug therapy
Myocarditis. Cardiomyopathies
Peptidyl-Dipeptidase A - genetics
Polymorphism, Genetic - genetics
Renin-Angiotensin System - drug effects
Ventricular Function, Left - drug effects
title Angiotensin-converting enzyme inhibitors and coronary artery disease
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