Inhibiting Tissue Angiotensin-Converting Enzyme

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Role of Tissue Angiotensin-Converting Enzyme Inhibition

Background Chronic treatment with high doses of angiotensin-converting enzyme (ACE) inhibitors prolongs survival after myocardial infarction. Since the plasma reninangiotensin system (RAS) is not consistently activated in the chronic phase after myocardial infarction, the beneficial effects of ACE inhibition have been attributed, in part, to inhibition of an activated tissue RAS. However, a rel...

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Inhibiting tissue angiotensin-converting enzyme: a pound of flesh without the blood?

Angiotensin-converting enzyme catalyzes the formation of angiotensin II (Ang II) from Ang I but also degrades bradykinin (BK). Ang II, acting through the AT1 receptor, is a potent vasoconstrictor, stimulates norepinephrine release from sympathetic nerve terminals in the heart, and causes hypertrophy of cardiac myocytes. BK, via activation of the BK2 receptor, stimulates the release of NO and pr...

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ژورنال

عنوان ژورنال: Circulation

سال: 1998

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.98.25.2788