RT-199

14th International Congress
THE "NEW FRONTIERS"
OF ARRHYTHMIAS 2000

Jan. 29 - Feb. 5, 2000
Marilleva, Trento, Italy

RT-199

The antiarrhythmic properties of angiotensin converting enzyme inhibitors and angiotensin II receptor blockers

Pablo I. Altieri, María Crespo, Nelson Escobales, José F. Rodríguez, Héctor Banch.
Departments of Medicine, Physiology and Biochemistry, Medical Sciences Campus, University of Puerto Rico

Abstract

We will describe our experience with the mechanisms how angiotensin converting enzyme inhibitors and angiotensin II receptor blockers act as antiarrhythmic agents reducing the incidence of malignant arrhythmias and sudden death.
Clinical trials with Angiotensin II Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers have shown a reduction in sudden death1,3. The reason for this is unknown, but we think this is due to a reduction of ventricular arrhythmias. We have published that Angiotensin Converting Enzyme Inhibitors given to hypertensive and ischemic heart patients reduces the incidence of ventricular arrhythmias4,5. We will discuss in this article our experience with these drugs and discuss the possible mechanisms involved in the reduction of malignant arrhythmias in patients with hypertensive cardiovascular disease and ischemic heart disease.

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