Interní Med. 2008; 10(6): 273-276

ACE-inhibitors or sartans in coronary heart disease?

prof. MUDr. Jindřich ©pinar CSc., FESC, prof. MUDr. Jiří Vítovec CSc
I. interní kardioangiologická klinika FN u sv. Anny v Brně

We review the current knowledge in ACE-inhibitors and angiotensin II receptor 1 blockers in patients with coronary heart disease. The data from clinical trials in hypertension revealed some advantages of ACE-inhibitors, however results of direct comparison of large multicentric trial ONTARGET confirms the assumption that both pharmaceutical groups are effective, safe and comparable, but the combination of ACE-inhibitors and AII antagonists is probably not advisable. The blockade of system renin-angiotensin-aldosteron is a base of treatment of patients in secondary prevention of coronary heart disease. Only further studies will show on what level it is the most advantageous to block the whole system.

Keywords: Key words: ACE inhibitors, AII antagonists, hypertension, coronary heart disease.

Published: July 1, 2008  Show citation

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©pinar J, Vítovec J. ACE-inhibitors or sartans in coronary heart disease? Interní Med. 2008;10(6):273-276.
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