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Doctor insights on: How Do Ace Inhibitors Help With Chf

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How do ACE inhibitors help with chf?

How do ACE inhibitors help with chf?

ACE-I: Reduces the resistance against which the failing heart has to pump, reduces the internal renin angiotensin aldosterone hormones that are increased with heart failure and can cause more problems, thus reduces the mortality of heart failure. ...Read more

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Dr. Joseph Shen
3,318 doctors shared insights

Heart Failure (Definition)

Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more


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How do ACE inhibitors reduce proteinuria with regard to nephrin levels?

How do ACE inhibitors reduce proteinuria with regard to nephrin levels?

Proteinuria and ACE: Ace-inhibtors reduced proteinuria (p) by reducing the vasoconstriction caused by angiotensin ii on the efferent arteriole (ea) of the glomerulus. Once this pressure is reduced, there is less back pressure in the glomerulus, thereby reducing the amount of p the patient has. Other agents, such as angiotensin receptor blockers can also do the same thing. ...Read more

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How do ACE inhibitors reverse microalbuminuria?

How do ACE inhibitors reverse microalbuminuria?

Unclear: I don't believe that the mechanism is well understood but they do act on the renal glomerulus, improving membrane integrity, reducing protein leakage, and thus do help microalbumenuria. In addition, they also lower blood pressure which is also beneficial. ...Read more

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Can you tell me about loop diuretics, analgesices, atb, arbs, ccbs, ACE inhibitors etc?

Can you tell me about loop diuretics, analgesices, atb, arbs, ccbs, ACE inhibitors etc?

Not in 400 letters!: This is too big of a question and cannot be answered in such a short format. You could ask something more specific so that we can help you. ...Read more

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Can beta blockers help with pulmonary edema?

Can beta blockers help with pulmonary edema?

Yes: Since pulmonary edema is commonly due to heart failure, controlling heart failure with beta blockers is beneficial. Some people can get worse and have worsening edema due to beta blockers. Beta blockers will not help if edema is due to non heart related issues. ...Read more

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How long do hypertension medications (diuretics vs ACE inhibitors vs Ca channel blockers vs etc.) take to achieve full effect?

How long do hypertension medications (diuretics vs ACE inhibitors vs Ca channel blockers vs etc.) take to achieve full effect?

Hours to weeks: The oral medications for treating high blood pressure start to work as soon as they are absorbed and the full effect of a single dose occurs within hours. Most blood pressure drugs sustain the reduction in BP for 24 hours so they can be taken once daily. When starting medication or changing dose there may be some further blood pressure reduction over the next several weeks. ...Read more

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Dr. Alvin Lin Dr. Lin
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How does zestril (lisinopril) help with controlling blood pressure?

Dr. Alvin Lin Dr. Lin
3 doctors agreed:
How does zestril (lisinopril) help with controlling blood pressure?

ACE inhibitor: Zestril is a brand of lisinopril which is in the ACE inhibitor class of blood pressure (BP) lowering medications. It works by affecting the kidneys, especially those w/diabetes, and heart in those w/heart failure. ACE inhibitors also lower death rates in those who've already suffered from a heart attack. Check out http://www.drugs.com/zestril.html. But don't forget 2 exercise regularly & eat right ...Read more

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How do calcium blockers and beta blockers work to fix hypertension?

How do calcium blockers and beta blockers work to fix hypertension?

Relax vessels/heart: Calcium channel blockers slow the entry of calcium into tiny muscles that encircle your blood vessels, thereby reducing their contraction and releasing some pressure. Beta blockers slow down the heart so that it doesn't push so much blood into the vessels, again reducing pressure. ...Read more

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Best rated meds for acute mild CHF to help heart pump better with fewer side effects?

Best rated meds for acute mild CHF to help heart pump better with fewer side effects?

Beta-blocker, ACE : Optimal medications depend on the specific cause. Considerations to help mild CHF can include metoprolol xl (toprol), Carvedilol (coreg), and Lisinopril (zestril). Furosemide (lasix (furosemide)) is often used to help remove excess fluid. A typical regimen can include a low dose Carvedilol plus Lisinopril with intermittent lasix (furosemide). These can be helpful; additionally, they have gone generic from the cost side. ...Read more

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How does coreg (carvedilol) compare to other bb's with regard to angina relief?

How does coreg (carvedilol) compare to other bb's with regard to angina relief?

Coreg (carvedilol): Coreg (carvedilol) is also effective for angina. The dose titration for angina needs to achieve rate control which is a bit different from the CHF dosing. ...Read more

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Do ACE inhibitors work better than Verapamil or CCBs for endothelial dysfunction?

Endothelial dysfnc: The endothelial cell lining controls the smooth muscle in artery walls. Endothelial dysfunction means that instead of making arteries relax, certain triggers make them constrict instead. This is part of the cause of atherosclerosis, erectile dysfunction, and other conditions. The best treatment depends on many clinical factors. Consider a consultation to address your particular case. ...Read more

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Will linsinopril help with heart rate?

Will linsinopril help with heart rate?

Lisinopril: In general Lisinopril doesn't affect heart rate much if at all. In a CHF patient, if Lisinopril increases the ef, the heart rate might decrease some. ...Read more

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Can ACE inhibitors or ARBs given to control Bp if s.cr is1.56 in patient with atrial fibrillation?

Can ACE inhibitors or ARBs given to control Bp if s.cr is1.56 in patient with atrial fibrillation?

ACE-ARB, CRF A-FI: ACE and ARB in chronic renal failure can be administered together. However will have no therapeutic effect on chronic atrial fibrillation. For arterial hypertension with chronic renal failure you will require to switch one of the current HPT med to a beta blocker. Such as Sotalol 80 mg twice a day (minimal dose), and have BP controlled twice a day, adjust as . Have you ever underwent cardio-versi ...Read more

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What does spironolactone do to help heart failure?

What does spironolactone do to help heart failure?

Not just a diuretic: The medication is a diuretic, and helps to remove fluid in those that are congested due to heart failure. However, it not only improves symptoms, but actually reduces risk of dying in CHF patients, probably due to inhibiting the renin-angiotensin system, which is dysregulated in heart failure patients and felt to have adverse consequences on the heart and vasculature. ...Read more

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Dr. Brian Le Dr. Le
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Is meloxicam safe to take in patients with diabetes and hypertension blood pressure? Someone please help me....

Dr. Brian Le Dr. Le
1 doctor agreed:
Is meloxicam safe to take in patients with diabetes and hypertension blood pressure? Someone please help me....

Possible: Meloxicam is a non steroid anti-inflammatory medication. It can cause increased blood pressure. Long term use can cause kidney dysfucntion, including kidney failure. Please discuss with your doctor about your concern. ...Read more

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Could you explain why ACE inhibitors are better for hypertension than Diuretics?

ACEs vs diuretics: They are not. Diuretics are, on the average much better and less expensive than ACEs. Especially if you are African American. ...Read more

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How do ACE inhibitors help with chf?

ACE-I: Reduces the resistance against which the failing heart has to pump, reduces the internal renin angiotensin aldosterone hormones that are increased with heart failure and can cause more problems, thus reduces the mortality of heart failure. ...Read more

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One of symptom of CHF is cough, can ACE inhibitors be used as it also causes cough.

One of symptom of CHF is cough, can ACE inhibitors be used as it also causes cough.

CHF: Treatment of congestive heart failure is complex. One of the most important medications is an ace inhibitor to improve the cardiac function. Although there is a potential side effect of a dry cough in a small percentage of patients using an acei, the benefit far outweighs the risk and it should be a first line medication. Speak with your cardiologist for details of dosing. ...Read more

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Why would someone with CHF be on an ACE inhibitor but not a diuretic?

Why would someone with CHF be on an ACE inhibitor but not a diuretic?

Usually both: Pharmacological treatment of heart failure include: Diuretics Beta Blockers Ace inh OR ARB (not both) and Aldosterone blockers. Sometimes, one is more useful than the other, and depending of circumstances, MDs may elect to omit one or two. Exercise, diet, weight loss, are always part of treatment of CHF. ...Read more

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Is 3 leaky heart valves something to be afraid of? No congestive heart failure and being treated with a ACE inhibitor and diuretic.

Is 3 leaky heart valves something to be afraid of? No congestive heart failure and being treated with a ACE inhibitor and diuretic.

Depends - ? severity: depends upon the severity, which ones, possible causes; often things need to be followed, your doctor should be able to give you good advice.... ...Read more

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What is better for hypertension: arbs or ACE inhibitors?

What is better for hypertension: arbs or ACE inhibitors?

No Difference: Ace and arb both are used to treat hypertension by similar mechanisms. They decrease blood flow to part of the kidney that causes an overall decrease in total blood pressure. The only difference is that with an ace you can develop a persistent dry cough. Once this occurs, you have an allergy to the ace. The arb treats the BP without the cough. ...Read more

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Do ACE inhibitors cause intestinal angioedema?

Do ACE inhibitors cause intestinal angioedema?

Possibly: In susceptible individuals, ace inhibitors can cause angioedema. This typically involves the lips or the face, but can affect any part of the skin and internal organs such as the intestines. It would be unusual for acei to cause angioedema of only the intestines, however. A thorough evaluation by an allergist can help you sort this out. ...Read more

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How is it that ACE inhibitors work to lower blood pressure?

Blood Pressure: Meds: Ace inhibitors block the conversion angiotensin i to angiotensin ii, which constricts the vessels, increases the following: salt retention in the kidney, sympathetic tone, aldosterone and ADH (vasopressin) (anti-diuretic hormone) secretion. The inhibition of this conversion decreases blood pressure and wall stress in the heart muscle. ...Read more

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What are the benefits of ACE inhibitors with type 1 diabetes?

What are the benefits of ACE inhibitors with type 1 diabetes?

It help: Compared with placebo ace inhibitors (captopril, lisinopril, enalapril, perindopril, and ramipril) are more effective at reducing progression to macroalbuminuria, and at increasing regression to normoalbuminuria in normotensive people with type 1 diabetes and microalbuminuria. ...Read more

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How do ACE inhibitors reduce proteinuria with regard to nephrin levels?

Proteinuria and ACE: Ace-inhibtors reduced proteinuria (p) by reducing the vasoconstriction caused by angiotensin ii on the efferent arteriole (ea) of the glomerulus. Once this pressure is reduced, there is less back pressure in the glomerulus, thereby reducing the amount of p the patient has. Other agents, such as angiotensin receptor blockers can also do the same thing. ...Read more

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Could you explain why ACE inhibitors are better for hypertension than Diuretics?

ACEs vs diuretics: They are not. Diuretics are, on the average much better and less expensive than ACEs. Especially if you are African American. ...Read more

See 1 more doctor answer
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Do ACE inhibitors work better than Verapamil or CCBs for endothelial dysfunction?

Endothelial dysfnc: The endothelial cell lining controls the smooth muscle in artery walls. Endothelial dysfunction means that instead of making arteries relax, certain triggers make them constrict instead. This is part of the cause of atherosclerosis, erectile dysfunction, and other conditions. The best treatment depends on many clinical factors. Consider a consultation to address your particular case. ...Read more

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Effect of ACE inhibitors making you feel calmer?

Effect of ACE inhibitors  making you feel calmer?

No: There is a common misconception that calm people don't have hypertension and treating antihypertensives will calm people. Overall that is not the case. There may be one exception.Beta blockers block adrenaline which can make one feel calmer. Acei other antihypertensives usually do not result in people feeling calmer. ...Read more

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What medications are classified as ACE inhibitors?

What medications are classified as ACE inhibitors?

They end in -pril: Look at the generic medication name. If it ends in "pril" it's an ace inhibitor. Common ones: lisinopril, enalapril, captopril, ramipril etc. Their cousins, arbs end in "artan" as in losartan, irbasartan, etc... ...Read more

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What are the distinctions between ACE inhibitors and arbs?

Ace vs arb: They are drugs which block functions at different points in the same pathway. Ace blocks an enzyme and arb blocks a receptor, their effects are similar. It's something like either cutting a wire to a spark plug or damaging the plug itself. Either way you don't get a spark. ...Read more

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Why do ACE inhibitors cause hyperkalemia?

Why do ACE inhibitors cause hyperkalemia?

Block aldosterone: The primary mechanism of action of a ace inhibitors is to interrupt the renin angiotensin system. One of the results is reduced aldosterone synthesis. Aldosterone is an important hormone responsible for regulating potassium excretion by the kidney. Thus blocking aldosterone reduces the capacity of the kidney to excrete potassium. ...Read more

Dr. Bennett Werner
764 doctors shared insights

Congestive Heart Failure (Definition)

A condition in which the heart muscle is weakened and cannot supply the body with ...Read more