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Cardiovascular endocrinology

Dual RAAS blockade has dual effects on outcome

Makani and colleagues report that dual blockade of the renin–angiotensin–aldosterone system is associated with harm despite previous studies showing that this approach decreases blood pressure and albuminuria. Do these results imply that we should abandon surrogate markers? Or should we become more creative in using them?

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Correspondence to Dick de Zeeuw.

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H. J. Lambers Heerspink declares consultancy agreements with the following companies: Abbott, Astellas, Johnson & Johnson, REATA, Takeda, Vitae. D. de Zeeuw declares consultancy agreements with the following companies: Abbott, Astellas, Bristol-Meyers Squibb, Hemocue, Johnson & Johnson, Novartis, Vitae, REATA, Takeda. All payments are directed to their institution.

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Heerspink, H., de Zeeuw, D. Dual RAAS blockade has dual effects on outcome. Nat Rev Endocrinol 9, 261–263 (2013). https://doi.org/10.1038/nrendo.2013.65

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