This study compares the effects of once-daily versus twice-daily ramipril dosing on renal function in chronic kidney disease (CKD) patients with heart failure with reduced ejection fraction (HFrEF). Outcomes include changes in plasma renin activity, malondialdehyde, interleukin-6, albuminuria, and cystatin C after 30 days of therapy.
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Change in Plasma Renin Activity (PRA)
Timeframe: 30 days
Change in Malondialdehyde (MDA)
Timeframe: 30 days
Change in Interleukin-6 (IL-6)
Timeframe: 30 days
Change in Albuminuria
Timeframe: 30 days
Change in Cystatin C
Timeframe: 30 days