New Drugs for Resistant Hypertension: Pending Issue?

Francesco Fici, Nicolas Roberto Robles, Istemihan Tengiz, Guido Grassi
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Abstract

Antihypertensive pharmacological treatment, based on currently available drugs, has been shown to reduce the cardiovascular risk profile of the treated hypertensive patients by lowering elevated blood pressure values. However, the risk of the treated hypertensive patients remains elevated. This represents the rationale for developing new antihypertensive drugs capable to normalize cardiovascular risk related to uncontrolled high blood pressure. This paper is designed at reviewing new antihypertensive drugs for the treatment of drug-resistant hypertension. The review will focus in particular on the results obtained with non-steroidal mineralcorticoid receptors antagonists, aldosterone synthase inhibitors, brain renin-angiotensin blockers, hepatic angiotensinogen inhibitors, atrial natriuretic peptides and endothelin 1 receptors antagonists.

治疗顽固性高血压的新药:悬而未决的问题?
基于现有药物的降压药物治疗已被证明可通过降低高血压患者升高的血压值来降低心血管风险。然而,接受治疗的高血压患者的风险仍然升高。这代表了开发新的抗高血压药物的基本原理,这些药物能够使与不受控制的高血压相关的心血管风险正常化。本文旨在综述治疗耐药高血压的新型降压药。本综述将特别关注非甾体矿性皮质激素受体拮抗剂、醛固酮合成酶抑制剂、脑肾素-血管紧张素阻滞剂、肝血管紧张素原抑制剂、房利钠肽和内皮素1受体拮抗剂的研究结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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