Role of ACE inhibitors in the management of arterial hypertension of hemodyalised patients
Costea, A.-C.; Costea, D.O.; David, C.; Grasa, C.N.
Revista Medico-Chirurgicala a Societatii de Medici Si Naturalisti Din Iasi 114(1): 29-33
2010
ISSN/ISBN: 0048-7848 PMID: 20509272 Document Number: 644803
By establishing the renal supleetion procedure, the patients with cronic renal failure also have an acceleration of arterial hypertension. The management of this situation calls for the understanding of the generating mechanisms (hipervolemia by the reduction of natriuresis and hiperreninemia) and the adaptation of the therapeutical approach for every patient. It imposes an individualized dialization prescription taking into account the residual renal function and an antihypertension treatment, in which the role of the conversion enzyme inhibitors is intensely debated.