A 58 year old man with a 15 year history of type 2 diabetes mellitus is found to have persistent albuminuria on repeated testing. He also has diabetic retinopathy. His physician starts a medication that lowers intraglomerular pressure by preferentially dilating the efferent arteriole. Which of the following drugs was most likely prescribed?
- A)Furosemide
- B)Propranolol
- C)LisinoprilGABARITO
- D)Hydrochlorothiazide
- E)Amlodipine
Explicação
ACE inhibitors slow diabetic nephropathy by decreasing angiotensin II mediated efferent arteriolar constriction, which lowers intraglomerular pressure and reduces proteinuria. The presence of long standing diabetes with albuminuria and retinopathy strongly sup... Ver explicação completa e trilha adaptativa →