A new study to be published in the May 17, 2011 issue of the Journal of the American College of Cardiology suggests that ACE inhibitors, a class of cardiac drugs, may be more efficacious when administered at night. ACE inhibitors are used to treat high blood pressure and heart disease, especially in people who have sustained a heart attack. They reduce the deleterious post-heart attack remodeling of heart tissue which usually occurs at night. By studying mice, the researchers found that those who were given the medication at night demonstrated better heart function and preservation of normal heart size than mice that were given the medication in the morning. The study calls to attention the need for more studies on the best times to administer cardiac drugs, since evidence shows that heart function runs on a cyclic pattern. For example, it is well known that the risk of heart attack is dramatically increased in the mornings for a variety of reasons. Therefore, giving medications to anticipate this would be more beneficial than taking a medication after one awakens.
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