ACE functions as a regulator of blood pressure and electrolyte balance by controlling the production of angiotensin II. This hormone causes blood vessels to constrict and stimulates the release of aldosterone, which prompts the kidneys to retain sodium and water. Together, these effects elevate blood pressure and maintain circulatory stability during physiological changes.
Dysregulated ACE activity can contribute to high blood pressure (hypertension), heart failure, and chronic kidney disease. Individuals may experience symptoms like fatigue, headaches, chest discomfort, or swelling due to fluid retention. Excessive ACE activity is also associated with conditions involving inflammation or vascular damage.
Factors influencing ACE activity include genetic predisposition, obesity, high-sodium diets, and underlying cardiovascular disease. Stress, diabetes, and smoking may also impact the enzyme’s expression. Some people have naturally higher ACE levels, increasing their risk of hypertension or related health complications over time.
ACE inhibitors are medications commonly prescribed to lower blood pressure, treat heart failure, and protect kidney function in people with diabetes. These drugs block the conversion of angiotensin I to II, resulting in relaxed blood vessels and reduced blood pressure. Common examples include enalapril, lisinopril, and ramipril.
Seek medical evaluation if you have high blood pressure that is difficult to control, symptoms of heart failure, or unexplained kidney issues. Your doctor may recommend ACE inhibitor therapy or monitor ACE levels through blood tests. Early diagnosis and management can help prevent complications and improve long-term cardiovascular health.