NEPHROPROTECTION IN PATIENTS WITH CHRONIC KIDNEY DISEASE WITH CHRONIC CARDIAC INSUFFICIENCY. ACEI MONOTHERAPY WITH ARB OR COMBINATIONAL THERAPY
https://doi.org/10.24884/1561-6274-2008-12-4-93-95
Abstract
In determining the indications for combination treatment of patents with chronic kidney disease (CKD) with the blockers of angiotensin I-converting enzyme (ARB) and antagonists of the angiotensin II receptors (ACEI), it is necessary to keep in mind the concomitant pathology, especially chronic heart insufficiency. Interdisciplinary approach is one of the possibilities, which is supported not only by nephrologists but also cardiologists. A wide discussion of possibilities and reasonability of combinational therapy of ARB and (ACEI) in patients with CHD keeping in mind the concomitant pathology with the statement of Russian nephrologists association is necessary. As it comes from today data, chronic heart insufficiency is not the reason for the refusal of such therapy.
About the Author
A. M. Shutov
Ульяновский государственный университет, г. Ульяновск
Russian Federation
Russian Federation
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Review
For citations:
Shutov A.M. NEPHROPROTECTION IN PATIENTS WITH CHRONIC KIDNEY DISEASE WITH CHRONIC CARDIAC INSUFFICIENCY. ACEI MONOTHERAPY WITH ARB OR COMBINATIONAL THERAPY. Nephrology (Saint-Petersburg). 2008;12(4):93-95. (In Russ.) https://doi.org/10.24884/1561-6274-2008-12-4-93-95
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