Optimization of renin-angiotensin-aldosterone inhibitor therapies for evidence-based indications: a call to action from the cardio-kidney community
- PMID: 40488540
- PMCID: PMC12287805
- DOI: 10.1002/ehf2.15262
Optimization of renin-angiotensin-aldosterone inhibitor therapies for evidence-based indications: a call to action from the cardio-kidney community
Conflict of interest statement
RPF reports non‐financial support from Fresenius Medical Care, Bayer, Astra Zeneca, Novo Nordisk, Fibrigen, Akebia, Boehringer, personal fees from Geroge Clinical, outside the submitted work; and RPF is employed by Arbor Research Collaborative for Health, who runs the DOPPS studies. Global support for the ongoing DOPPS Programs is provided without restriction on publications by a variety of funders. Funding is provided to Arbor Research Collaborative for Health and not to RPF directly.
MMYW reports personal fees from George Clinical (consultant), personal fees from Astra Zeneca (Advisory Board on CKD early identification and intervention in Primary Care), and grants from Michael Smith Health Research BC (Research salary support), outside the submitted work.
MM reports personal fees from The International Society of Nephrology (consultant) outside the submitted work.
DB reports grants from AstraZeneca, BHF, and KRUK[JD1], and personal fees from AstraZeneca, Bayer, and Vifor Pharma, outside the submitted work.
GBC reports personal fees from AstraZeneca and Bayer, outside the submitted work.
CAH reports equity (stock) of Boston Scientific, Johnson &Johnson, Merck, and Pfizer, grants from Relypsa/Vifor and Bristol‐Meyers Squibb, and personal fees from AstraZeneca, Bayer, Diamedica, Fibrogen, Merck, NxStage, and Relypsa/Vifor, outside the submitted work.
EVL reports personal fees from Akebia/Otsuka, Astra Zeneca, Bayer, GSK, Otsuka, Travere, Vertex, Vifor, Elsevier, McGraw‐Hill, Springer, and Wolters Kluwer, outside the submitted work.
CM reports personal fees from The International Society of Nephrology (employee), outside the submitted work.
AYW reports speaker fees from Astra Zeneca, Bayer AG and Fresenius Kabi, reports travel fees from Astra Zeneca, Bayer AG and Fresenius Kabi, served as advisory board member of Fresenius Kabi and served as Executive Committee member of CSL Behring sponsored trial. All other authors have nothing to disclose. [Correction added on 06 June 2025, after first online publication: Angela Yee‐Moon Wang's disclosures have been added in this version.]
Figures

Similar articles
-
Optimization of renin-angiotensin-aldosterone inhibitor therapies for evidence-based indications: A call to action from the cardio-kidney community.Am J Prev Cardiol. 2025 Jun 9;23:100663. doi: 10.1016/j.ajpc.2024.100663. eCollection 2025 Sep. Am J Prev Cardiol. 2025. PMID: 40687934 Free PMC article. No abstract available.
-
Optimization of Renin-Angiotensin-Aldosterone Inhibitor Therapies for Evidence-Based Indications: a Call to Action From the Cardio-Kidney Community.Kidney Int Rep. 2025 Jun 9;10(7):2081-2087. doi: 10.1016/j.ekir.2025.03.036. eCollection 2025 Jul. Kidney Int Rep. 2025. PMID: 40677344 Free PMC article. No abstract available.
-
Effects of sodium-glucose cotransporter-2 inhibitors and aldosterone antagonists, in addition to renin-angiotensin system antagonists, on major adverse kidney outcomes in patients with type 2 diabetes and chronic kidney disease: A systematic review and network meta-analysis.Diabetes Obes Metab. 2022 Nov;24(11):2159-2168. doi: 10.1111/dom.14801. Epub 2022 Jul 15. Diabetes Obes Metab. 2022. PMID: 35712807
-
The potential for improving cardio-renal outcomes in chronic kidney disease with the aldosterone synthase inhibitor vicadrostat (BI 690517): a rationale for the EASi-KIDNEY trial.Nephrol Dial Transplant. 2025 May 30;40(6):1175-1186. doi: 10.1093/ndt/gfae263. Nephrol Dial Transplant. 2025. PMID: 39533115 Free PMC article.
-
Renal and cardio-protective effects of direct renin inhibition: a systematic literature review.J Hypertens. 2009 Dec;27(12):2321-31. doi: 10.1097/HJH.0b013e3283310f92. J Hypertens. 2009. PMID: 19727007
References
-
- Heidenreich PA, Bozkurt B, Aguillar D, Allen LA, Byun JJ, Colvin MM, et al. 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation 2022;145:e895–e1032. doi: 10.1161/CIR.0000000000001063 - DOI - PubMed
-
- Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension 2018;71:1269–1324. doi: 10.1161/HYP.0000000000000066 Erratum in: Hypertension. 2018;71(6):e136‐e139. Erratum in: Hypertension 2018;72(3):e33 - DOI - PubMed
Publication types
Grants and funding
LinkOut - more resources
Full Text Sources
Miscellaneous