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The importance of renin-angiotensin-aldosterone system in pathogenesis of different clinical conditions is studied well. The key role of aldosterone receptor blockers, particularly spironolactone, in treatment of such conditions as primary hyperaldosteronism, resistant hypertension, edematous syndrome in congestive heart failure, nephrotic syndrome, and portal cirrhosis is considered in the article. Development of ideas about cardio-, vaso- and nephroprotective effects of these drugs is highlighted as well as their influence on patient prognosis.

About the Authors

V. I. Podzolkov
Sechenov First Moscow State Medical University
Russian Federation

Valery I. Podzolkov - MD, PhD, Professor, Head of Chair of Faculty Therapy N2, Director of the University Clinic №4

N. A. Dragomiretskaya
Sechenov First Moscow State Medical University
Russian Federation
Natalya A. Dragomiretskaya - MD, PhD, Assistant Professor, Chair of Faculty Therapy N2


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For citations:

Podzolkov V.I., Dragomiretskaya N.A. ALDOSTERONE ANTAGONISTS. MODERN VIEWS ON THE MECHANISM OF ACTION AND EFFECTS OF SPIRONOLACTONE. Rational Pharmacotherapy in Cardiology. 2017;13(2):263-269. (In Russ.)

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