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Nature Reviews Endocrinology 1, 4–5 (1 November 2005) | doi:10.1038/ncpendmet0016

Mineralocorticoid-receptor blockade, hypertension and heart failure

John W Funder

Hypertension and heart failure can be treated with mineralocorticoid-receptor antagonists, although therapy is associated with an increased incidence of hyperkalemia. Data from three influential clinical trials—RALES, EPHESUS and 4E—are described and the findings discussed within the context of mineralocorticoid-receptor biology.