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February 8, 2026Revue Médicale Suisse0 citations

IECA versus ARA II, comment choisir ?

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CDCoralie DevènesBRBruno RodriguesDTDaniel Teta

Key Points

  • The aim is to review and compare the factors influencing the choice between IECA and ARA II in hypertension treatment.
  • Review of existing literature on IECA and ARA II
  • Comparison of efficacy, action duration, side effects, and costs
  • Analysis of prescription trends and guidelines
  • Both classes show similar efficacy in controlling hypertension
  • Differences exist in action duration, side effects, and overall costs
  • Lisinopril, an IECA, remains more commonly prescribed than ARA II.

Abstract

Renin-angiotensin system blockers have been a cornerstone of hypertension management since the late 1980s. Angiotensin converting enzyme inhibitors, particularly lisinopril, are prescribed more frequently than angiotensin receptor blockers for several reasons. However, current data show similar efficacy between the two classes, with notable differences in terms of action duration, side effects, and costs. This article reviews the factors that may influence the choice between these treatments.

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Cite This Study

Devènes et al. (2026) studied this question.

synapsesocial.com/papers/698827570fc35cd7a8845fc0https://doi.org/10.53738/revmed.2026.22.948.48289
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