Activated tissue renin-angiotensin systems add to the progression of heart failure

被引:7
作者
Pinto, YM [1 ]
Buikema, H [1 ]
vanGilst, WH [1 ]
Lie, KI [1 ]
机构
[1] UNIV GRONINGEN,DEPT CLIN PHARMACOL,NL-9713 AV GRONINGEN,NETHERLANDS
关键词
review-tissue renin-angiotensin systems; heart failure; experimental-clinical;
D O I
10.1007/BF00795368
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In this paper, we review the hypothesis that activated tissue renin-angiotensin systems play a detrimental role in heart failure. The main arguments for this idea are discussed: a) tissue renin-angiotensin systems behave functionally distinct from the circulating renin-angiotensin system; b) tissue renin-angiotensin systems are activated in heart failure; c) activated tissue renin-angiotensin systems induce cardiovascular dysfunction. Finally, this hypothesis predicts that optimal treatment in heart failure requires the inhibition of tissue renin-angiotensin systems. However studies pertaining to this prediction are still lacking, particularly in human subjects.
引用
收藏
页码:85 / 90
页数:6
相关论文
共 25 条
[21]   SELECTIVE AND TIME-RELATED ACTIVATION OF THE CARDIAC RENIN-ANGIOTENSIN SYSTEM AFTER EXPERIMENTAL HEART-FAILURE - RELATION TO VENTRICULAR-FUNCTION AND MORPHOLOGY [J].
PINTO, YM ;
DESMET, BGJL ;
VANGILST, WH ;
SCHOLTENS, E ;
MONNINK, S ;
DEGRAEFF, PA ;
WESSELING, H .
CARDIOVASCULAR RESEARCH, 1993, 27 (11) :1933-1938
[22]  
PINTO YM, 1996, UNPUB EFFECTS HYPERT
[23]   INCREASED ANGIOTENSIN-I CONVERTING-ENZYME GENE-EXPRESSION IN THE FAILING HUMAN HEART - QUANTIFICATION BY COMPETITIVE RNA-POLYMERASE CHAIN-REACTION [J].
STUDER, R ;
REINECKE, H ;
MULLER, B ;
HOLTZ, J ;
JUST, H ;
DREXLER, H .
JOURNAL OF CLINICAL INVESTIGATION, 1994, 94 (01) :301-310
[24]   SURVIVAL AFTER MYOCARDIAL-INFARCTION IN THE RAT - ROLE OF TISSUE ANGIOTENSIN-CONVERTING ENZYME-INHIBITION [J].
WOLLERT, KC ;
STUDER, R ;
VONBULOW, B ;
DREXLER, H .
CIRCULATION, 1994, 90 (05) :2457-2467
[25]  
1987, NEW ENGL J MED, V316, P1429