Over recent years, a number of imidazole derivatives that specifically bind
to the angiotensin II type 1 receptor, therafter called sartans, have been
developed and made available to the clinician. Whether targeting antihyper
tensive treatment with such a high specificity within the renin cascade may
carry major clinical advantage over inhibiting angiotensin converting-enzy
me remains to be demonstrated. In short-term studies, the efficacy of these
drugs at reducing blood pressure was similar to that of established compar
ators, whereas overall side effect profile was comparable to that of placeb
o.