ACE INHIBITORS

ACE means Angiotensin-Converting Enzyme , so now we are going to talk about Angiotensin-converting enzyme (ACE) inhibitors , it helps to release your veins and arteries to lower your blood pressure . ACE inhibitors prevent an enzyme in your body from producing angiotensin II, a substance that narrows your blood vessels. This narrowing can cause high blood pressure and force your heart to work harder.
What is the function of ACE

Angiotensin-converting enzyme or ACE, is a central component of the renin–angiotensin system (RAS), which controls blood pressure by regulating the volume of fluids in the body. It converts the hormone angiotensin I to the active vasoconstrictor angiotensin II.

What are the drugs of ACE Inhibitors
  • Benazepril (Lotensin)
  • Captopril.
  • Enalapril (Vasotec)
  • Fosinopril.
  • Lisinopril (Prinivil, Zestril)
  • Moexipril.
  • Perindopril.
  • Quinapril (Accupril)

What is the mechanism of action of ACE Inhibitors

ACE inhibitors work by interfering with the body's renin-angiotensin-aldosterone system , it can shortly called as RAAS ,  renin-angiotensin-aldosterone system is a complex system responsible for regulating the body's blood pressure. The kidneys release an enzyme called renin in response to low blood volume, low sodium ( salt ) levels or high potassium levels.

Will ACE Inhibitors increase or decrease cardiac output .

ACE inhibitors decrease systemic vascular resistance but cause little change in heart rate. In normotensive and hypertensive subjects with normal left ventricular function , ACE inhibitors have little effect on cardiac output or pulmonary capillary wedge pressure.

What are the contraindications for ACE inhibitors

Contraindications to ACE Inhibitor use include hyperkalemia ,  renal artery stenosis, pregnancy (ACE Inhibitor or Australian Drug Evaluation Committee [ADEC] pregnancy category D) , or prior adverse reaction to an ACE Inhibitor including angioedema .

Who should not take ACE inhibitors

  • Pregnant women.
  • People with severe kidney failure.
  • People who have ever had a severe allergic reaction that caused their tongue and lips to swell, even if it was from a bee sting , should not take ACE inhibitors

What's the difference between a beta blocker and an ACE inhibitor

Beta-blockers treat many of the same conditions as ACE inhibitors , including high blood pressure , chronic heart failure, and stroke. Both types of medications also prevent migraines. Unlike ACE inhibitors, however, beta-blockers can help relieve angina (chest pain)




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