ACE Inhibitors and Angioedema

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Questions and Answers

What is the primary mechanism by which ACE inhibitors lower blood pressure?

  • By promoting vasoconstriction
  • By increasing heart rate
  • By inhibiting the renin-angiotensin-aldosterone system (correct)
  • By increasing blood volume

Which initial symptoms may indicate the onset of angioedema caused by ACE inhibitors?

  • Itchy lips and tongue (correct)
  • Swollen joints
  • Rash on the abdomen
  • Persistent cough

What severe complication can angioedema lead to if not treated promptly?

  • Cerebral hemorrhage
  • Cardiac arrest
  • Airway obstruction and respiratory failure (correct)
  • Severe hypertension

Angioedema associated with ACE inhibitors results from the accumulation of which substance?

<p>Bradykinin (B)</p> Signup and view all the answers

What effect does bradykinin have in the body?

<p>It promotes vasodilation (C)</p> Signup and view all the answers

Flashcards

ACE Inhibitors

A group of medications that lower blood pressure by blocking the renin-angiotensin-aldosterone system (RAAS).

Angioedema

A severe side effect of ACE inhibitors that involves swelling of the face, lips, tongue, or throat. It can progress to airway obstruction and respiratory failure.

Bradykinin

A hormone that causes blood vessels to widen, increasing blood flow.

Renin-Angiotensin-Aldosterone System (RAAS)

The system responsible for controlling blood pressure and water balance in the body. ACE inhibitors block this system.

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How ACE inhibitors cause angioedema?

ACE inhibitors prevent the breakdown of bradykinin, leading to its accumulation in the body. This can trigger the immune and inflammatory response that causes angioedema.

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Study Notes

ACE Inhibitors

  • ACE inhibitors, such as lisinopril and benazepril, lower blood pressure by inhibiting the renin-angiotensin-aldosterone system (RAAS).

Angioedema

  • Itchy lips and tongue are initial symptoms of angioedema, a severe side effect of ACE inhibitors.
  • Angioedema can lead to airway obstruction and respiratory failure if not treated promptly.
  • Angioedema is caused by the inhibition of bradykinin breakdown.
  • Bradykinin is a vasodilator.
  • Increased bradykinin levels trigger an immune and inflammatory response.
  • Swelling of the face, lips, tongue, or throat can result.

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