Jak nejlépe blokovat renin-angiotenzinový systém u nemocných s hypertenzí a diabetes mellitus?

Title in English The best method of renin-angiotensin-aldosterone system blockade in patients with hypertension and diabetes mellitus?
Authors

ŠPÁC Jiří

Year of publication 2016
Type Article in Periodical
Magazine / Source Kardiologická revue - Interní medicína
MU Faculty or unit

Faculty of Medicine

Citation
Field Other specializations of internal medicine
Keywords diabetes mellitus type 2; hypertension; renin-angiotensin-aldosterone system
Description The aim of this article is to evaluate the efficacy and safety of different methods of blockade of the renin-angiotensin-aldosterone system (RAAS) in patients with type 2 diabetes. It is not entirely clear how to best and most eff ectively block the RAAS system in diabetic patients due to the lack of data from randomised clinical trials. Knowledge about treatment methods in this group of patients is obtained only from subgroup analyses and metaanalyses, where results maybe less reliable. Combination therapy with ACE inhibitors and ARBs could more eff ectively block the RAAS, but present fi ndings demonstrate confl icting results, particularly as regards the safety of patients.

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