Angiotensin Converting Enzyme (ACE) Inhibitors

Mechanism of Action

↓ angiotensin converting enzyme activity = ↓ conversion of angiotensin I to angiotensin II =

↓ aldosterone production =

  • ↓ sodium and fluid retention

  • ↓ potassium excretion, possibly leading to increased potassium levels

  • ↓ vasoconstriction = ↓ peripheral vascular resistance = ↓ after-load = ↑ cardiac output

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Indications for Use

Hypertension

  • Not recommended as a first line agent in patients without chronic kidney disease, diabetes, heart failure, or history of STEMI (see below)

  • Heuristic: Start as a first line agent in patients who also qualify for statin therapy

  • Start lisinopril 10 mg daily

    • Titrate by 10 mg every 4 weeks to maximum dose of 40 mg daily

    • Stop titrating once goal blood pressure is reached

Proteinuric Chronic Kidney Disease (Diabetic and Non-Diabetic)

  • Reduces progression of renal disease

  • Start ACE in patients with

    • Urine protein excretion > 1000 mg/day

      • Estimate 24-hour urine protein using urine protein:urine creatinine ratio

      • Urine protein/urine creatinine ≈ grams of protein excreted per day

      • 24 hour urine protein calculator

    • Diabetes mellitus type 1 or 2 and urine microalbumin:urine creatinine ratio greater than 30 mg/g/day

  • Recommended agent/dose: Enalapril 10 mg daily

Heart Failure with Reduced Ejection Fraction

  • Improve symptoms and reduce mortality in patients with LVEF < 40 %

  • Start lisinopril 10 mg daily; increase dose by 10 mg every 2 weeks to goal of 40 mg daily

Following ST-Elevation Myocardial Infarction

  • Decrease risk of heart failure s/p STEMI

  • Start lisinopril 5 mg daily within 24 hours of event provided that patient is stable

    • Increase dose by 10 mg per day while in the hospital

    • Titrate to goal of 40 mg daily; maintain or decrease dose if hypotension develops

  • Continue for at least 6 weeks after event

Adverse Effects

  • First-dose hypotension

  • Bradykinin-mediated

    • Persistent, dry, irritating, and non-productive cough

    • Angioedema

  • Fetal injury