Angiotensin-converting enzyme inhibitors or angiotensin receptor blockers

Angiotensin-converting enzyme inhibitors or angiotensin receptor blockers has been studied in 3 papers since 2016: 3 observational studies in people; 1 in the past year. The newest paper, Oct 21, 2026: “Heterogeneous Renal Response to Therapy in Type 2 Diabetes: Albuminuria Categories”.

Intervention

3 papers study it4 findingsUpdated

1 new paper in 30 daysSee all 3 papers on angiotensin-converting enzyme inhibitors or angiotensin receptor blockers

At a glance

The findings reach people, from one lab or study. 2 independent labs in 2 countries.

“For the secondary outcome of ≥10% eGFR decline, higher adjusted odds were observed with ACEI/ARB monotherapy (OR, 1.48; 95% CI, 1.24-1.75)”
Heterogeneous Renal Response to Therapy in Type 2 Diabetes: Albuminuria CategoriesJournal of clinical medicine2026doi:10.3390/jcm15208181

1 of its findings points the other way.

Humans: a single group. Cells, worms or flies and mice: nothing yet.
  • 2 independent labs in 2 countries
  • 1 finding against
  • 2 of 4 findings with company ties
  • Humans3

What did studies of angiotensin-converting enzyme inhibitors or angiotensin receptor blockers find?

1

Studies of angiotensin-converting enzyme inhibitors or angiotensin receptor blockers measured one outcome, subarachnoid hemorrhage.

Subarachnoid hemorrhage

no changein humans1HR 1.04

1 study
  1. Angiotensin-converting enzyme inhibitors or angiotensin receptor blockers were not clearly linked with subarachnoid hemorrhage in humans (known unruptured intracerebral aneurysms) (HR 1.04 (0.95-1.13)).

    “Among 8034 patients with known unruptured intracerebral aneurysms, no difference in SAH with ACEI/ARBs was observed compared to alternative antihypertensive regimens”

    Humansknown unruptured intracerebral aneurysmsn = 8,034

    Angiotensin Inhibition Reduces the Risk of Subarachnoid Hemorrhage in Patients With Hypertension

    Stroke (Hoboken, N.J.)

More on Subarachnoid hemorrhage

What is angiotensin-converting enzyme inhibitors or angiotensin receptor blockers linked with?

3

Studies link angiotensin-converting enzyme inhibitors or angiotensin receptor blockers with 3 measures: urine albumin-to-creatinine ratio, ≥10% eGFR decline and subarachnoid hemorrhage.

Urine albumin-to-creatinine ratio

upin humans1

1 study
  1. Angiotensin-converting enzyme inhibitors or angiotensin receptor blockers are associated with urine albumin-to-creatinine ratio in humans (type 2 diabetes; baseline-adjusted analysis) (GMR 1.079, 95% CI 1.007–1.155).

    “higher adjusted geometric mean follow-up ACR was observed with ACEI/ARB monotherapy (GMR, 1.079; 95% CI, 1.007-1.155)”

    Humanstype 2 diabetes; baseline-adjusted analysismonotherapy

    Heterogeneous Renal Response to Therapy in Type 2 Diabetes: Albuminuria Categories

    Journal of clinical medicine

More on Urine albumin-to-creatinine ratio

≥10% eGFR decline

upin humans1OR 1.48

1 study
  1. Angiotensin-converting enzyme inhibitors or angiotensin receptor blockers are associated with ≥10% eGFR decline in humans (type 2 diabetes; adjusted comparison with neither therapy) (OR 1.48, 95% CI 1.24–1.75).

    “For the secondary outcome of ≥10% eGFR decline, higher adjusted odds were observed with ACEI/ARB monotherapy (OR, 1.48; 95% CI, 1.24-1.75)”

    Humanstype 2 diabetes; adjusted comparison with neither therapymonotherapy

    Heterogeneous Renal Response to Therapy in Type 2 Diabetes: Albuminuria Categories

    Journal of clinical medicine

Subarachnoid hemorrhage

downin humans1HR 0.94

1 study
  1. Angiotensin-converting enzyme inhibitors or angiotensin receptor blockers are linked with a lower risk of subarachnoid hemorrhage in humans (hypertension) (HR 0.94 (0.91-0.97), P<0.0001).

    “Patients on ACEI/ARBs with or without other antihypertensives (n = 4.8 million, follow-up: 6.3 years) had lower rates of SAH compared with those on alternative antihypertensive regimens”

    Humanshypertension

    Angiotensin Inhibition Reduces the Risk of Subarachnoid Hemorrhage in Patients With Hypertension

    Stroke (Hoboken, N.J.)

More on Subarachnoid hemorrhage

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Dec 2025: 0Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0Jul 2026: 0Aug 2026: 0Sep 2026: 0Oct 2026: 1Nov 2026: 01 paper in 12 months