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

Y. M. Pinto, H. Buikema, W. H. van Gilst, K. I. Lie

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Abstract

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
Original languageEnglish
Pages (from-to)85-90
JournalBasic Research in Cardiology
Volume91
Issue numberSuppl. 2
DOIs
Publication statusPublished - 1996

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