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Urapidil is a sympatholytic antihypertensive drug.It acts as an α 1-adrenoceptor antagonist and as an 5-HT 1A receptor agonist. [1] Although an initial report suggested that urapidil was also an α 2-adrenoceptor agonist, [2] this was not substantiated in later studies that demonstrated it was devoid of agonist actions in the dog saphenous vein and the guinea-pig ileum. [3]
Angiotension converting enzyme. The pathogenesis of renovascular hypertension involves the narrowing of the arteries supplying the kidneys which causes a low perfusion pressure that is detected by the juxtaglomerular apparatus (via the macula densa cells, which act as baroreceptors; located on the afferent arteriole wall). [6]
For most people, recommendations are to reduce blood pressure to less than or equal to somewhere between 140/90 mmHg and 160/100 mmHg. [2] In general, for people with elevated blood pressure, attempting to achieve lower levels of blood pressure than the recommended 140/90 mmHg will create more harm than benefits, [3] in particular for older people. [4]
Antihypertensive agents comprise multiple classes of compounds that are intended to manage hypertension (high blood pressure). Antihypertensive therapy aims to maintain a blood pressure goal of <140/90 mmHg in all patients, as well as to prevent the progression or recurrence of cardiovascular diseases (CVD) in hypertensive patients with established CVD. [2]
Renal artery stenosis (RAS) is the narrowing of one or both of the renal arteries, most often caused by atherosclerosis or fibromuscular dysplasia. This narrowing of the renal artery can impede blood flow to the target kidney , resulting in renovascular hypertension – a secondary type of high blood pressure .
Go to any sports game—whether it’s a high school game or a pro one—and you’re bound to see athletes on the sidelines drinking Gatorade. It’s likely a staple at your local gym too. A ...
Ramipril can be considered in patients with bilateral or unilateral significant renal artery stenosis (RAS). [13] An early rise in serum creatinine above baseline is expected after initiation of therapy with Ramipril, however, monitoring serum biochemistry and renal function after initiation is crucial.
When Stevie Lyn Smith, RDN, lived in Washington, D.C., a few years ago, she trained for Ironman triathlons—and partook in the heavy happy hour culture.She’d have a few cocktails and get up the ...