Angiotensin Receptor Blockers & ACE Inhibitors
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Questions and Answers

What is a primary therapeutic use of angiotensin receptor blockers (ARBs)?

  • Increasing blood glucose levels
  • Treating acute infections
  • Enhancing bone density
  • Slowing down diabetic nephropathy progression (correct)
  • Which condition is NOT a first-line treatment indication for angiotensin receptor blockers?

  • Acute asthma attacks (correct)
  • Hypertensive patients with chronic kidney disease
  • Systolic dysfunction
  • Prevention of ventricular remodeling
  • What is a likely effect of ARBs on renal function?

  • Increased albuminuria
  • Increase in intraglomerular pressures
  • Decrease in sodium reabsorption
  • Decreased intraglomerular pressures (correct)
  • Which ACE inhibitors require hepatic conversion to become active metabolites?

    <p>Captopril and lisinopril</p> Signup and view all the answers

    What effect do ACE inhibitors and ARBs have on albuminuria?

    <p>They decrease albuminuria</p> Signup and view all the answers

    Study Notes

    Angiotensin Receptor Blockers Therapeutic Uses

    • ARBs are a compelling treatment option for patients with diabetic nephropathy.
    • They slow the progression of diabetic nephropathy and reduce albuminuria.
    • They improve renal function by decreasing intraglomerular pressure.
    • The decreased intraglomerular pressure is achieved through efferent arteriolar vasodilation.
    • ARBs are first-line treatment for patients with systolic dysfunction.
    • ARBs are first-line treatment for the prevention of ventricular remodeling after myocardial infarction.
    • ARBs are first-line treatment for heart failure.
    • ARBs are first-line treatment for hypertensive patients with chronic kidney disease.

    ACE Inhibitors

    • ACE inhibitors are similar to ARBs in their effects on diabetic nephropathy.
    • ACE inhibitors are available as oral drugs or prodrugs.
    • Captopril and lisinopril are exceptions, requiring hepatic conversion to become active metabolites.
    • Captopril and lisinopril may be preferable for patients with significant liver impairment.

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    Description

    Explore the therapeutic uses and mechanisms of Angiotensin Receptor Blockers (ARBs) and ACE Inhibitors in treating conditions like diabetic nephropathy, heart failure, and chronic kidney disease. This quiz covers the effectiveness of these medications and their applications in various cardiovascular situations.

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