Skip to main content

Angiotensin-II Receptor Blockers

  • Chapter
Current Cardiovascular Drugs

Abstract

As described in the previous chapter, the renin-angiotensin system (RAS) plays an important role in the body’s regulation of arterial blood pressure. The effector hormone of the RAS is angiotensin II, which maintains the systemic vascular resistance and extracellular fluid volume through its direct and indirect vasoconstrictive and blood volume expansion effects (Fig. 4.1). In particular, angiotensin II constricts vascular smooth muscle and increases central sympathetic outflow. In addition, angiotensin II stimulates the release of norepinephrine and epinephrine from the sympathetic nervous system and the adrenal medulla. It exerts antinatriuretic and antidiuretic effects in the kidneys and promotes the release of vasopressin from the pituitary gland and the release of aldosterone from the adrenal cortex (sona glomerulosa).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Suggested Bibliography

  • Gheorghiade M, Cody RJ, Francis GS, et al.: Current medical therapy for advanced heart failure. Am Heart J 1998, 35:S231–5248.

    Article  Google Scholar 

  • Gillis JC, Markham A: Irbesartan: a review of its pharmacodynamic and pharmacokinetic properties and therapeutic use in the management of hypertension. Drugs 1997, 54: 885–902.

    Article  PubMed  CAS  Google Scholar 

  • Goa KL, Wagstaff AJ: Losartan potassium: a review of its pharmacology, clinical efficacy and tolerability in the management of hypertension. Drugs 1996, 51: 820–845.

    Article  PubMed  CAS  Google Scholar 

  • Hamroff G, Katz SD. Mancini D, et al.: Addition of angiotensin II receptors blockade to maximal angiotensinconverting-enzyme inhibition improves exercise capacity in patients with severe congestive heart failure. Circulation 1999, 99:990–992.

    Google Scholar 

  • Kang PM, Landau AJ, Eberhardt RT, et at: Angiotensin Il receptor antagonists: a new approach to blockade of the renin-angiotensin system. Ant Heart J 1994, 127: 1388.

    Article  CAS  Google Scholar 

  • Le Jemtel TH. Sonnenblick EH, Frishman WH: Diagnosis and management of heart failure. In Alexander RW, Schlant RC, Fuster V: Hurst’s the Heart 9th ed. New York: McGraw-Hill 1998: 745–781.

    Google Scholar 

  • Kostis JB, Frishman WH, Gradman AH: The renin angiotensin system, hypertension, and angiotensin receptor blockers (monograph). Philadelphia: Mosby-Wolfe Med Communications 1999.

    Google Scholar 

  • Markham A, Goa KL: Valasrtan: a review of this pharmacology and therapeutic use in essential hypertension. Drugs 1997, 54: 299–311.

    Article  PubMed  CAS  Google Scholar 

  • McClellan KJ, Goa KL: Candesartan cilexetil: a review of its use in essential hypertension. Drugs 1998, 56: 847–869.

    Article  PubMed  CAS  Google Scholar 

  • McClellan K1. Markham A: Telmisartan. Drugs 1998, 56: 1039–1044.

    Article  PubMed  CAS  Google Scholar 

  • Pitt B, Segal R. Martinez FA, e: u!. on behalf of the ELITE Study Investigators: Randomised trial of losartan versus captopril in patients over 65 with heart failure (Evaluation of Losartan in the Elderly Study: ELITE). Lancet 1997, 349: 747–752.

    Article  PubMed  CAS  Google Scholar 

  • Pohl M, Cooper M, Ulrey J, et al.: Safety and efficacy of irbesartan in hypertensive patients with type Il diabetes and proteinuria [abstract]. Am J Hvpertens 1997, 10:105A.

    Google Scholar 

  • Ruddy MC, Kostis JB, Frishman WH: Drugs that affect the renin-angiotensin system. In Cardiovascular Pharsnacotherapeutic.s Companion Handbook. Edited by Frishman WH, Sonnenblick EH. New York: McGraw-Hill; 1998: 107–151.

    Google Scholar 

  • Tonkon M, Awan N. Niazi I, et al.: Combination of irbesartan with conventional therapy including angiotensin converting enzyme inhibitors (abstract]. Heart Failure ’97. May 24–27,1997, Cologne.

    Google Scholar 

  • Vijay N. Alhaddad IA, Denny DM, et al.: Irehesartan compared with lisinopril in heart failure [abstract]. Heart Failure ’97. May 24–27, 1997, Cologne.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer Science+Business Media New York

About this chapter

Cite this chapter

Frishman, W.H., Cheng-Lai, A., Chen, J. (2000). Angiotensin-II Receptor Blockers. In: Frishman, W.H., Cheng-Lai, A., Chen, J. (eds) Current Cardiovascular Drugs. Current Medicine Group, London. https://doi.org/10.1007/978-1-4615-6767-7_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-6767-7_5

  • Publisher Name: Current Medicine Group, London

  • Print ISBN: 978-1-57340-135-7

  • Online ISBN: 978-1-4615-6767-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics