Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.
Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.
What are angiotensin receptor blockers, and how do they work?
Angiotensin II is a very potent chemical formed in the blood that causes muscles surrounding blood vessels to contract, thereby narrowing
the vessels. This narrowing increases the pressure within the vessels and can cause high blood pressure (hypertension). Angiotensin II receptor blockers (ARBs) are medications that block the action of angiotensin II by preventing angiotensin II from binding to angiotensin II receptors on
the muscles surrounding blood vessels. As a result, blood vessels enlarge (dilate) and blood pressure is reduced. Reduced blood pressure makes it easier for the heart to pump blood and can improve heart failure. In addition, the progression of kidney disease
caused by the high blood pressure or
diabetes is slowed. ARBs
have effects that are similar to angiotensin converting enzyme (ACE) inhibitors,
but ACE inhibitors act by preventing the formation of angiotensin II rather than
by blocking the binding of angiotensin II to muscles on blood vessels.
The kidneys are a pair of bean-shaped organs that filter fluid and wastes from the blood to form urine. Urine flows from the kidneys to the bladder through tubes called ureters. Kidney dysplasia is a condition "...