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DƯỢC LÍ Goodman & Gilman's The Pharmacological Basis of Therapeutics 12th, 2010

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ACE inhibitors are widely used drugs in the treatment

of hypertension, congestive heart failure, and diabetic

nephropathy, and they reduce mortality in patients

with a variety of cardiovascular risk factors (Chapter 26).

One effect of ACE inhibitors is to prevent the degradation

of bradykinin. Because bradykinin, by activating

its B 2

receptor, is responsible for many of the beneficial

cardioprotective effects of ACE inhibitors, the search is

on to find a suitable stable B 2

agonist for clinical evaluation.

A major problem for such applications is to

establish a safe therapeutic window between potentially

protecting the heart and avoiding pro-inflammatory

stimulation (Heitsch, 2003).

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933

CHAPTER 32

HISTAMINE, BRADYKININ, AND THEIR ANTAGONISTS

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