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Telmisartan and cardioprotection

Authors Akhrass PR, McFarlane S

Published 15 November 2011 Volume 2011:7 Pages 677—683


Review by Single anonymous peer review

Peer reviewer comments 4

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Philippe R Akhrass, Samy I McFarlane
State University of New York, Downstate Medical Center, Brooklyn, NY, USA

Abstract: Cardiovascular risk reduction has been the target of several large clinical trials in the last decade. As the activation of the renin-angiotensin-aldosterone system (RAAS) plays a central role in the pathogenesis of atherosclerosis and cardiovascular disease, RAAS blockade has been suggested to be among the most efficient cardioprotective interventions, as revealed with the angiotensin converting enzyme (ACE) inhibitors trials. The angiotensin receptor blockers' (ARBs) efficacy in lowering blood pressure has been very well established. Telmisartan is however the first ARB to show a promising role in reducing cardiovascular risk in high-risk patients. This article will highlight the role of telmisartan in cardioprotection, underlying specifically the results of two major randomized controlled trials: ONTARGET (ONgoing Telmisartan Alone and in combination with Ramipril Global Endpoint Trial) and TRANSCEND (Telmisartan Randomized AssessmeNt Study in aCE-iNtolerant subjects with cardiovascular Disease).

Keywords: telmisartan, cardioprotection, ONTARGET, TRANSCEND

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