[Angiotensin converting enzyme inhibitor and calcium antagonist combination. Which place in patients with a stable coronary artery disease?]

Therapie. 2011 Jan-Feb;66(1):17-24. doi: 10.2515/therapie/2010080. Epub 2011 Apr 7.
[Article in French]

Abstract

Cardiovascular diseases are one of the main causes of early morbidity and mortality within occidental world as well as in developing countries where they become a growing burden of public health. North-American recommendations and the ones of the European Society of Cardiology underline that medical treatment, risk factor management and life-style modifications are cornerstone of the treatment. Thanks to their impact on prognosis, angiotensin converting enzyme (ACE) inhibitors are obvious in stable coronary patients. Recently, some large trials have supported the benefits of combining calcium antagonist, amlodipine, and ACE inhibitor, perindopril, in patients with high cardiovascular risk, stable coronary patients or hypertensive patients. This combination has synergistic properties on blood pressure control and target-organ protection, thus reducing cardiovascular events over the long term.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use*
  • Animals
  • Calcium Channel Blockers / therapeutic use*
  • Clinical Trials as Topic
  • Coronary Disease / drug therapy*
  • Drug Therapy, Combination
  • Humans
  • Hypertension / drug therapy
  • Hypertension / physiopathology

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Calcium Channel Blockers