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Medical Forum / General / General / December 2004

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angiotensin II receptor blockers increase heart attack risk

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Zee - 24 Dec 2004 08:09 GMT
http://tinyurl.com/3sqv9

One of the hottest-selling drugs for treating high blood pressure
actually may increase the risk of heart attacks, Canadian researchers
say.

Their article, published in the British Medical Journal, warns that
although angiotensin II receptor blockers, or ARBs, reduce blood
pressure, they do not reduce the risk of heart attack.

In fact, ARBs appear to increase the risk by almost 20 per cent.

-------snip--------

They found that ARBs and ACE inhibitors reduce blood pressure equally
well. But ACE inhibitors reduce the risk of heart attack by about 20
per cent, while ARBs do not reduce the risk at all and, in some
instances, increase it. The likelihood of dying from a heart attack,
however, did not increase in patients taking ARBs.

Dr. Strauss said there is a widespread assumption that because ARBs
and ACE inhibitors lower blood pressure effectively, they work in an
identical manner. But there is growing evidence that is not the case,
he said. "We've had a really simplistic view about the mechanistic
differences between these two classes of drugs."

There are a number of ARBs on the market. They include valsartan, sold
under the brand name Diovan; irbesartan (Avapro), candesartan
(Atacand), and losartan (Cozaar).
Dr. Andrew B. Chung, MD/PhD - 24 Dec 2004 13:44 GMT
> http://tinyurl.com/3sqv9
>
[quoted text clipped - 5 lines]
> although angiotensin II receptor blockers, or ARBs, reduce blood
> pressure, they do not reduce the risk of heart attack.

Uh-oh.  Because of concern that this article might be in the spoof issue
of BMJ, I did search for Dr.  Strauss' "research" paper.  All that
turned up is an "editorial" by Dr. Strauss:

http://makeashorterlink.com/?Q2943291A

> In fact, ARBs appear to increase the risk by almost 20 per cent.

In truth, this really has not been determined with any certainty.

May God bless those who read the following:

http://makeashorterlink.com/?I24E5151A

May what I have written enlighten you and others.

Such is the work being done here for Christ's glory
(http://makeashorterlink.com/?U1E13130A).

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?K6F72510A

Is this spam?
http://makeashorterlink.com/?D13B21FF9
Frankie - 25 Dec 2004 00:43 GMT
Zee & Andrew,

Re:
Their article, published in the British Medical Journal, warns that
although angiotensin II receptor blockers, or ARBs, reduce blood
pressure, they do not reduce the risk of heart attack.
In fact, ARBs appear to increase the risk by almost 20 per cent.

The trial that discovered this problem, is the VALUE Trial.
A 7 page [Medscape] easy to read digest of this trial is:
"A Critique of the VALUE Trial Results and Their Interpretations"
http://www.medscape.com/viewarticle/487352

Written by: Richard H Grimm, Jr, MD, MPH, PhD
It's definitely not a spoof....
Frankie
 
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