RT Journal Article T1 Angiotensin II, angiotensin II antagonists and spironolactone and their modulation of cardiac repolarization A1 Delpón Mosquera, María Eva A1 Caballero Collado, Ricardo A1 Gómez García, Ricardo A1 Núñez Fernández, Lucía A1 Tamargo Menéndez, Juan AB Angiotensin II and aldosterone produce pro-arrhythmic effects by several mechanisms, including the modulation of voltage-dependent K(+) channels involved in human cardiac repolarization. Drugs that inhibit the renin-angiotensin-aldosterone system exert anti-arrhythmic actions that are related to the blockade of the pro-arrhythmic actions of angiotensin II and aldosterone. These anti-arrhythmic actions include inhibition of electrical and structural cardiac remodeling, inhibition of neurohumoral activation, reduction of blood pressure and stabilization of electrolyte disturbances. In this article, several angiotensin II AT(1) receptor antagonists (candesartan, E3174, eprosartan, irbesartan and losartan) and aldosterone receptor antagonists (canrenoic acid and spironolactone) that directly modulate the activity of the voltage-dependent K(+) channels are reviewed; the effects of these antagonists might be useful in the prevention and treatment of cardiac arrhythmias. PB Cell Press SN 0165-6147 YR 2005 FD 2005-03-01 LK https://hdl.handle.net/20.500.14352/100155 UL https://hdl.handle.net/20.500.14352/100155 LA eng NO Delpón E, Caballero R, Gómez R, Núñez L, Tamargo J. Angiotensin II, angiotensin II antagonists and spironolactone and their modulation of cardiac repolarization. Trends Pharmacol Sci. 2005 Mar;26(3):155-61. doi: 10.1016/j.tips.2005.01.006 NO Comisión Interministerial de Ciencia y Tecnología NO Red Temática de Investigación Cardiovascular NO Pfizer Foundation DS Docta Complutense RD 8 abr 2025