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Behandlung von Herzerkrankungen mit AT1-Rezeptorantagonisten

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Angiotensin II AT1-Rezeptorantagonisten
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Zusammenfassung

Non-peptid-Angiotensin-II-Typ-l-(AT1)-Rezeptorantagonisten stellen eine Klasse von sehr wirksamen Medikamenten dar, die das Potential besitzen, die medikamentöse Therapie der arteriellen Hypertonie und der chronischen Herzinsuffizienz zu erweitern. Bei Patienten mit manifester arterieller Hypertonie ist die Langzeittherapie mit Losartan (50–200 mg/Tag) effektiv, um den Blutdruck auf physiologische Werte zu senken und pathologische Umbauprozesse („Remodeling“) im Myokard und dem Gefäßsystem zu verhindern. Bei chronischer Herzinsuffizienz zeigten experimentelle Untersuchungen und Studien mit Patienten nach Myokardinfarkt, daß die Therapie mit dem Non-peptid-AT1-Rezeptorantagonisten Losartan (25–100 mg/Tag) nahezu äquipotent ist im Vergleich zu ACE-Inhibitoren (beispielsweise Enalapril 20 mg/Tag).

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© 1999 Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt

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Schieffer, B., Drexler, H. (1999). Behandlung von Herzerkrankungen mit AT1-Rezeptorantagonisten. In: Dominiak, P., Unger, T. (eds) Angiotensin II AT1-Rezeptorantagonisten. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-93705-7_5

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  • DOI: https://doi.org/10.1007/978-3-642-93705-7_5

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-642-93706-4

  • Online ISBN: 978-3-642-93705-7

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