ACE and metabolic syndrome: In this particular case, the team used a living donor, who was 61 years old, postmenopausal, an active smoker (20 pack years), and suffered from metabolic syndrome (overweight with a BMI of 30.9 kg/m2, a pharmacologically controlled arterial hypertension with ACE inhibitor, diuretic and imidazoline derivative, and type 2 diabetes under dietary control).