What Happens When ACE Inhibitors and ARBs Are Stopped Because of Hyperkalemia? Allan S. Brett, MD 在一项观察性研究中,将这些药物停药与较高的死亡率相关。 服用血管紧张素转换酶(ACE)抑制剂或血管紧张素受体阻滞剂(ARB)的患者出现高钾血症后,这些药物通常会停药;这一情况在肾功能受损的患者中尤为常见。...
ACE-inhibitors, adverse reactionsAngiotensin-receptor-antagonists, adverse reactionElderlyHyperkalaemia, drug-inducedRenal-impairment, drug-inducedThe article reports on a population-based longitudinal analysis of data from elderly residents of Alberta, Canada which revealed that the hazard ratios for hyper...
评论撰稿人对于中度高钾血症患者提出了一些可能有助于ACE抑制剂或ARB继续用药的措施,但继续用药、停药或降低剂量的决策最终一定要做到个体化。 被评论文章 Leon SJ et al. Hyperkalemia-related discontinuation of renin-angiotensin-aldosterone system ...
作者得出结论,医师“在患者开始接受高血压治疗时,应考虑优先选用ARB,而非ACE抑制剂。”近年来,在为患者启动肾素-血管紧张素系统抑制剂单药治疗时,这正是我的做法。 被评论文章 Chen R et al. Comparative first-line effectiveness and safety of ACE (angiotensin...
Systematic review of ARB and ACE inhibitor use in kidney transplant recipients.The article focuses on a systematic review of using angiotensin-receptor blockers (ARBs) and angiotensin-converting-enzyme (ACE) inhibitors in kidney transplant recipients. According to it, use of an ACE inhibitor or an...
Original article Hutchison CA and Dasgupta I (2007) National survey of heparin-induced thrombocytopenia in the haemodialysis population of the UK population. Nephrol Dial Transplant 22: 1680–1684 Underuse of ACE inhibitors and ARBs in patients with heart failure and renal dysfunction The use of ...
ACE inhibitors and ARBs were grouped together for the purposes of the study. Contraceptive status was established where possible. Results:Forty seven of 101 (47%) women aged 16-45 years were taking an ACE inhibitor (35) an ARB (11) or both (1) of whom 26 (55%) were aged 16-40 ...
“我们的研究证实了先前关于ACE抑制剂和ARB的知识和信念,并且没有发现ARB的意外副作用。”Hripcsak写道。因此,对于首次服用抗高血压药物的患者,医生和患者应考虑使用ARB而不是ACE抑制剂。 参考文献:Abbasi J. Choose ARBs over ACE inhibitors for first-line hypertension treatment,large new analysis suggests[J]...
The use of angiotensin-converting-enzyme (ACE) inhibitors and angiotensin-receptor blockers (ARBs) in people with congestive heart failure (CHF) and renal dysfunction is poorly studied. Berger and co-workers have retrospectively analyzed data from more than 2,000 such patients in the population-ba...
(目前应限于坎地沙坦和缬沙坦) 心肌梗死治疗指南: ACE inhibitors should be given to all patients with AMI,不能耐受ACE-I病人改用ARBs。 冠心病二级预防指南:所有左室射血分数40%患者,合并高血压、糖尿病或慢性肾病的冠心病患者,除非 23、有禁忌证,均需开始并持续ACEI。有心衰或左室射血分数40%的心梗患者...