Literature DB >> 18548000

Racial differences in blood pressure response to angiotensin-converting enzyme inhibitors in children: a meta-analysis.

J S Li1, C M Baker-Smith, P B Smith, V Hasselblad, M D Murphy, R M Califf, D K Benjamin.   

Abstract

Angiotensin-converting enzyme (ACE) inhibitors are frequently used to treat hypertension in children.(1) ACE inhibitors alter the balance between the vasoconstrictive, salt-retentive, and cardiac hypertrophic properties of angiotensin II and the vasodilatory and natriuretic properties of bradykinin; they also alter the metabolism of other vasoactive substances.(2) Through these mechanisms, ACE inhibitors decrease systemic vascular resistance and promote natriuresis without increasing heart rate. This study evaluated the results of six trials of ACE inhibitors in children, using meta-analytic techniques to estimate the effect of race on blood pressure response.

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Year:  2008        PMID: 18548000      PMCID: PMC2614386          DOI: 10.1038/clpt.2008.113

Source DB:  PubMed          Journal:  Clin Pharmacol Ther        ISSN: 0009-9236            Impact factor:   6.875


  16 in total

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