Antiatherogenic Effects of Angiotensin II Receptor Blocker Olmesartan: Mechanisms, Intensity and Clinical Significance

S.M. Koval, L.A. Ryeznik, I.O. Snigurska, O.V. Mysnychenko


This review presents the evidence in the literature that suggest a key pathogenetic role of the renin-angiotensin system and its main neurohormone angiotensin II in the development of atherosclerosis and the powerful antiatherogenic properties of an angiotensin II receptor blocker olmesartan. It is shown that the antiatherogenic effect of olmesartan is presented through a strong antioxidant and antiinflammatory effects and its normalizing effect on endothelial function. A detailed analysis of the literature indicates that strong evidence of significant antiatherogenic action of olmesartan is obtained in the experimental, clinical, and prospective multicenter randomized trials (EUTOPIA, MORE, VIOS, OLIVUS, OLIVUS-Ex). These data substantiate the prospect of wide application of olmesartan in the treatment of hypertension, especially in combination with atherosclerosis.


angiotensin II receptor blockers; olmesartan; antiatherogenic effects


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