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Article: Accept a 30% Rise in Baseline Creatinine.(when ACE inhibitor therapy is started)
- Article from:
- Internal Medicine News
- Article date:
- September 1, 2001
CopyrightCOPYRIGHT 2001 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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ORLANDO, FLA. -- "You should accept an increase in serum creatinine of 25%-30% over baseline levels when a patient starts an ACE inhibitor," according to Dr. George L. Bakris, associate chairman of the department of preventive medicine at Rush Presbyterian-St. Luke's Medical Center, Chicago.
Angiotensin-converting enzyme inhibitors slow the kidneys just like [beta]-blockers slow the heart. This simple analogy accounts for the frequent acute drop in kidney function with initial therapy There is little to fear from the effect, Dr. George L. Bakris said at a meeting on clinical nephrology sponsored by the National Kidney Foundation.
"Treat the patient, not ...