Abstract
Chronic renal disease evolves to end-stage renal failure through events, including enhanced intraglomerular pressure and plasma protein ultrafiltration, mediated at least in part by angiotensin II. Angiotensin- converting enzyme inhibitors reduce intracapillary pressure and ameliorate glomerular size-selective function, which may account for their antiproteinuric effect and renoprotective potential. Thus, the Ramipril Efficacy in Nephropathy study found a significant correlation between enhanced urinary protein excretion and faster disease progression in non- diabetic patients with proteinuric chronic renal disease. In proteinuric non- diabetic renal disease at comparable levels of blood pressure control, angiotensin-converting enzyme inhibitors reduce proteinuria and slow disease progression to end-stage renal failure safely and more effectively than non- angiotensin-converting enzyme therapy. On the contrary, most non-proteinuric chronic renal diseases progress slowly and do not benefit specifically from angiotensin-converting enzyme inhibition therapy.
Original language | English |
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Pages (from-to) | 489-495 |
Number of pages | 7 |
Journal | Current Opinion in Nephrology and Hypertension |
Volume | 6 |
Issue number | 5 |
Publication status | Published - 1997 |
ASJC Scopus subject areas
- Nephrology
- Internal Medicine