June 19, 2026 · Mayo Clinic proceedings · DOI: 10.1016/j.mayocp.2026.05.016

Association Between Angiotensin Receptor Blocker Use and Cardiovascular Outcomes Compared With Angiotensin-Converting Enzyme Inhibitors in Patients With Atherosclerotic Cardiovascular Disease: A Real-World Cohort Study

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The authors aimed to evaluate the association between angiotensin receptor blocker (ARB) use and cardiovascular outcomes compared to angiotensin-converting enzyme inhibitor (ACEI) use in patients with atherosclerotic cardiovascular disease (ASCVD). Their findings from a large retrospective cohort study indicated that ARB users experienced a lower incidence of major adverse cardiovascular events (MACE) and individual components such as ischemic stroke and all-cause mortality compared to ACEI users. However, the authors caution that these results should be interpreted as non-causal, suggesting that differences in treatment patterns and patient characteristics may influence the outcomes.

Jheng-Yan Wu, Keng-Wei Lee, Sheng-Chi Huang, Hsuan-Yuan Chang, Yu-Min Lin

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