Residual risk in cardiovascular and renal diseases and the potential role of aldosterone synthase inhibitors - Report - MDSpire

Residual risk in cardiovascular and renal diseases and the potential role of aldosterone synthase inhibitors

  • By

  • Kausik Umanath

  • Jamie P. Dwyer

  • Robert J. Mentz

  • May 29, 2026

  • 0 min

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Clinical Report: Residual Risk in Cardiac and Renal Disorders

Overview

Revise to emphasize the preliminary nature of clinical trial data and specify trial types.

Background

The renin-angiotensin-aldosterone system (RAAS) is crucial in regulating cardiovascular and kidney health. Despite existing therapies targeting RAAS, significant residual risk for adverse outcomes persists in patients with cardiorenal disease. Understanding and addressing this residual risk is essential for improving patient outcomes.

Data Highlights

No specific numerical data provided in the article.

Key Findings

  • Aldosterone dysregulation contributes to cardiovascular and kidney damage.
  • ASi agents may provide a new therapeutic option to mitigate residual risk in cardiorenal disease.
  • Clinical trials are ongoing to assess the efficacy of ASi in improving cardiorenal outcomes.
  • Finerenone has shown benefits in reducing CKD progression and cardiovascular events despite RAAS blockade.
  • Combination therapy with SGLT2 inhibitors and ASi may enhance treatment efficacy.

Clinical Implications

Healthcare professionals should consider the potential role of ASi in managing patients with cardiorenal disease, particularly those at high risk for adverse outcomes. Ongoing clinical trials will provide further insights into the effectiveness of these agents in clinical practice.

Conclusion

ASi represent a promising addition to the therapeutic landscape for cardiorenal disease, with the potential to address residual risk effectively. Continued research will clarify their role in improving patient outcomes.

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  5. 2025 High Blood Pressure (BP) Guideline - Professional Heart Daily | American Heart Association
  6. Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction | New England Journal of Medicine
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  8. 2025 High Blood Pressure (BP) Guideline - Professional Heart Daily | American Heart Association
  9. Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction | New England Journal of Medicine
  10. Efficacy and Safety of Baxdrostat in Uncontrolled and Resistant Hypertension | New England Journal of Medicine

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