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A similar approach is intended with ACE-inhibitors, which act by preventing the synthesis of angiotensin II ( vasoconstriction) and reducing the secretion of aldosterone ( fluid retention). In severe cases of myocardial insufficiency, cardiac glycosides may be added to augment cardiac force and to relieve the symptoms of insufficiency.
The cause of increased insulin requirement is a loss of insulin receptors or an impairment of the signal cascade activated by the insulin receptor. Accordingly, insulin sensitivity of cells declines. This can be illustrated by comparing concentration-binding curves in cells from normal and obese individuals (A). |
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