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Home > Health Conditions > Hypertension > ACE Inhibitors

ACE Inhibitors

Click here for why I feel that Micardis® (telmisartan) should be the first line treatment for hypertension.

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  • ACE Inhibitors, ARBs Lower AF Risk in Hypertension - Medscape, 1/8/14 - "Compared with a beta-blocker and diuretic, the use of an ACE inhibitor reduced the incidence of atrial fibrillation 88% and 49%, respectively. There was no reduction in the incidence of atrial fibrillation when those treated with ACE inhibitors were compared with those who received calcium-channel antagonists. When the same analysis was repeated with ARBs, ARB use reduced the risk of atrial fibrillation 90% and 57%, respectively, when compared with beta-blockers and diuretics. Similarly, there was no reduction in risk when ARBs were compared with calcium-channel antagonists ... When the ARB-treated patients were compared with those who received an ACE inhibitor, the risk of atrial fibrillation was reduced 32%. None of the five medication classes tested differed with regard to the risk of stroke"
  • Lower Diabetes Incidence in Patients Treated With ACEIs and ARBs - Medscape, 5/25/11 - "Over an average follow-up of 4.0 +/- 1.0 years, there were 1284 (8.5%) incident cases of diabetes in active-treated and 1411 (9.3%) cases in placebo-treated patients in the ACE inhibitor trials, and there were 2330 (12.4%) cases in active-treated and 2669 (14.2%) cases in placebo-treated patients in the ARB trials. Overall, active therapy reduced diabetes incidence compared with placebo (odds ratio [OR], 0.8; 95% confidence interval [CI], 0.8-0.9; P < .01). ARBs significantly reduced diabetes incidence (OR, 0.8; CI, 0.8-0.9; P < .01). Incidence was also lower for ACEIs (OR, 0.8; CI, 0.7-1.0) but was only marginally significant (P = .07)"
  • Nutrigenomics shows blood pressure benefits of cocoa - Nutra USA, 3/8/11 - "The magnitude of the hypotensive effects of cocoa is clinically noteworthy; it is in the range that is usually achieved with monotherapy of beta-blockers or antiotensin-converting enzyme inhibitors ... recruited 16 volunteers aged between 20 and 45, and asked them to eat 75 grams of dark chocolate with 72 percent cocoa content every day for two weeks" - [Abstract]
  • Effects of cocoa extract and dark chocolate on angiotensin-converting enzyme and nitric oxide in human endothelial cells and healthy volunteers--a nutrigenomics perspective - J Cardiovasc Pharmacol. 2011 Jan;57(1):44-50 - "Evidence suggests that cocoa from the bean of Theobroma cacao L. has beneficial effects on cardiovascular disease. The aim of this study was to investigate if cocoa extract and dark chocolate influence angiotensin-converting enzyme (ACE) and nitric oxide (NO) in human endothelial cells (in vitro) and in healthy volunteers (in vivo) ... ACE activity and NO were measured at baseline and after 30, 60, and 180 minutes in 16 healthy volunteers after a single intake of 75 g of dark chocolate containing 72% cocoa. Significant inhibition of ACE activity (P < 0.01) and significant increase of NO (P < 0.001) were seen in HUVEC. In the study subjects, a significant inhibition of ACE activity (mean 18%) 3 hours after intake of dark chocolate was seen, but no significant change in NO was seen. According to ACE genotype, significant inhibition of ACE activity was seen after 3 hours in individuals with genotype insertion/insertion and deletion/deletion (mean 21% and 28%, respectively). Data suggest that intake of dark chocolate containing high amount of cocoa inhibits ACE activity in vitro and in vivo"
  • Olive leaf extract may help hypertension: Frutarom study - Nutra USA, 3/9/11 - "Olive leaf extract, at the dosage regimen of 500 mg twice daily, was similarly effective in lowering systolic and diastolic blood pressures in subjects with stage-1 hypertension as Captopril, given at its effective dose of 12.5–25 mg twice daily ... after eight weeks of treatment, both treatment groups experienced significant reductions in systolic and diastolic blood pressure from baseline. They added that such reductions were not significantly different between groups ... However, they reported that a significant reduction of triglyceride level was observed for the group receiving olive leaf extract, but not in Captopril group ... the anti-hypertensive activity “lies probably in its content of oleuropein acting synergistically with other active substances to exert both ACE inhibitory and calcium channel blocking activities."" - [Abstract] - See olive leaf extract at Amazon.com.
  • Olive (Olea europaea) leaf extract effective in patients with stage-1 hypertension: Comparison with Captopril - Phytomedicine. 2011 Feb 15;18(4):251-8 - "Mean SBP at baseline was 149.3+/-5.58mmHg in Olive group and 148.4+/-5.56mmHg in Captopril group; and mean DBPs were 93.9+/-4.51 and 93.8+/-4.88mmHg, respectively. After 8 weeks of treatment, both groups experienced a significant reduction of SBP as well as DBP from baseline; while such reductions were not significantly different between groups. Means of SBP reduction from baseline to the end of study were -11.5+/-8.5 and -13.7+/-7.6mmHg in Olive and Captopril groups, respectively; and those of DBP were -4.8+/-5.5 and -6.4+/-5.2mmHg, respectively. A significant reduction of triglyceride level was observed in Olive group, but not in Captopril group. In conclusion, Olive (Olea europaea) leaf extract, at the dosage regimen of 500mg twice daily, was similarly effective in lowering systolic and diastolic blood pressures in subjects with stage-1 hypertension as Captopril, given at its effective dose of 12.5-25mg twice daily" - See olive leaf extract at Amazon.com.
  • Why chocolate protects against heart disease - Science Daily, 11/10/10 - "ate 75 grams of unsweetened chocolate with a cocoa content of 72 percent. To analyze what happened with the ACE enzyme, blood samples were taken in advance and then a half hour, one hour, and three hours afterward ... In the sample taken three hours afterward, there was a significant inhibition of ACE activity. The average was 18 percent lower activity than before the dose of cocoa, fully comparable to the effect of drugs that inhibit ACE and are used as a first-choice treatment for high blood pressure"
  • Pine bark extract may benefit blood pressure-related kidney health - Nutra USA, 3/5/10 - "55 hypertensive patients to participate in the randomized, controlled study. Subjects were assigned to receive Ramipril [an ACE inhibitor] (10 mg per day), and 29 of these people were randomly selected to also receive Pycnogenol (150 mg per day) ... After six months in the Ramipril-only group the albumin levels decreased by 26 per cent to 64 mg per 24-hour period, while additional Pycnogenol produced levels that averaged 39 mg per 24-hour period, equivalent to a 57 per cent decrease ... Statistically significant decreases in patients’ blood pressure were also observed, with systolic and diastolic blood pressures dropping by more than 30 and 8 per cent, respectively in the Ramipril-only group, and by a further 3 to 6 per cent in the combination group ... Diastolic and systolic blood flow improved by 8 and 12 per cent, in the combination group" - [Abstract] - See Pycnogenol at Amazon.com.
  • Kidney flow and function in hypertension: protective effects of pycnogenol in hypertensive participants--a controlled study - J Cardiovasc Pharmacol Ther. 2010 Mar;15(1):41-6 - "evaluated the effects of Pycnogenol as an adjunct to angiotensin-converting enzyme (ACE)-inhibitor ramipril treatment of hypertensive patients presenting with early signs of renal function problems. One group of 26 patients was medicated with 10 mg ramipril per day only; a second group of 29 patients took Pycnogenol in addition to the ACE inhibitor over a period of 6 months ... Urinary albumin decreased from 87 +/- 23 to 64 +/- 16 mg/d with ramipril only. Additional Pycnogenol lowered albumin significantly better from 91 +/- 25 to 39 +/- 13 mg/day (P < .05). In both groups, serum creatinine was lowered; however, only in the combination treatment group did the effect reached statistical significance. In both groups, CRP levels decreased from 2.1 to 1.8 with ramipril and from 2.2 to 1.1 with the ramipril-Pycnogenol combination; the latter reached statistical significance. Kidney cortical flow velocity was investigated by Doppler color duplex ultrasonography. Both systolic and diastolic flow velocities increased significantly after 6 months medication with ramipril. The addition of Pycnogenol to the regimen statistically significantly further enhanced kidney cortical flow velocities, by 8% for diastolic flow and 12% for systolic flow, relative to values found for the group taking ramipril only" - See Pycnogenol at Amazon.com.
  • New Findings On Green Tea - Life Extension Foundation - "Green tea is a natural ACE inhibitor."
  • Conjugated Linoleic Acid Supplementation Enhances Antihypertensive Effect of Ramipril in Chinese Patients With Obesity-Related Hypertension - Am J Hypertens. 2009 Mar 19 - "Participants were randomized to a daily dose of 4.5 g/day CLA (nine 0.5-g capsules; a 50:50 isomer blend of c 9,t 11 and t 10,c 12 CLA) with 37.5 mg/day ramipril (group 1) or placebo with 37.5 mg/day ramipril (group 2) for 8 weeks ... Treatment with CLA significantly enhanced the reduction effect of ramipril on systolic BP and diastolic BP (P < 0.05). It also increased plasma adiponectin concentration (P < 0.05) and decreased plasma concentrations of leptin and angiotensinogen (P < 0.05); however, significant change was not observed in ACE activity" - See conjugated linoleic acid at Amazon.com.
  • Chicken Soup May Help Fight High Blood Pressure - Science Daily, 10/13/08 - "Saiga and colleagues extracted collagen from chicken legs and tested its ability to act as an ACE inhibitor in the laboratory studies. They identified four different proteins in the collagen mixture with high ACE-inhibitory activity. Given to rats used to model human high blood pressure, the proteins produced a significant and prolonged decrease in blood pressure"
  • Pine bark extract may boost diabetics' heart health - Nutra USA, 5/12/08 - "recruited diabetic subjects with an average age of 60 and randomly assigned them to receive daily supplements of Pycnogenol (125 mg) or placebo for 12 weeks ... All subjects were receiving pharmaceutical anti-hypertension treatment (angiotensin- converting enzyme [ACE] inhibitors) ... 58.3 per cent of subjects in the Pycnogenol group experienced blood pressure control, defined as attaining a stable systolic blood pressure, compared to 20.8 per cent in the placebo group ... use of ACE inhibitors was reduced by 50 per cent in the group receiving the pine bark extract ... a 23.7 mg/dL reduction in fasting blood glucose levels in the Pycnogenol group, compared to only 5.7 mg/dL in the placebo group" - See Pycnogenol at Amazon.com.
  • Pine extract prevents heart failure damage in mice - Reuters, 5/22/07 - "The effectiveness of Pycnogenol supplementation is a great option for many people who want an alternative to prescription medications such as beta-blockers or ACE inhibitors" - See Pycnogenol products at Amazon.com.

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