A double-blind, parallel-group comparison of flosequinan and enalapril in the treatment of chronic heart failure.

Abstract:

:The effects of flosequinan and enalapril on exercise capacity (bicycle exercise duration), quality-of-life symptomatology (visual analogue scales) and New York Heart Association (NYHA) grading, were compared in 61 patients with chronic heart failure (NYHA, grade III). Bicycle exercise duration improved similarly with flosequinan (+27%) and enalapril (+18%); in patients completing the study, flosequinan produced a significantly greater increase in exercise time at week 12, compared with enalapril (P = 0.02). Improvements in visual analogue scores relating to general health, energy and vitality, ability to perform physical activities and breathing performance, were equivalent for both drugs. Changes in NYHA classification showed that 27 (55%) of 49 patients completing the study had improved by at least one NYHA grade (15 (68%) patients on flosequinan; 12 (44%) on enalapril). The overall safety and tolerability of the two treatments was similar; 18 patients reported adverse effects while on flosequinan, compared with 19 patients on enalapril. Neither treatment was associated with any clinically important changes in haematological or biochemical variables, although some treatment-related effects were observed. This study confirms that flosequinan achieved similar efficacy to enalapril in the symptomatic relief of chronic heart failure. The effect of flosequinan on survival in chronic heart failure has not been tested; pending such studies, our data suggest that it may prove a useful alternative therapy in patients where ACE inhibitors are contraindicated or poorly tolerated.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Silke B,Tennet H,Fischer-Hansen J,Keller N,Heikkila J,Salminen K

doi

10.1093/oxfordjournals.eurheartj.a060320

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

1092-100

issue

8

eissn

0195-668X

issn

1522-9645

journal_volume

13

pub_type

临床试验,杂志文章,随机对照试验
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    pub_type: 杂志文章

    doi:10.1053/euhj.2002.3312

    authors: Chung NA,Lydakis C,Belgore F,Blann AD,Lip GY

    更新日期:2002-10-01 00:00:00

  • Intravascular ultrasound evaluation after sirolimus eluting stent implantation for de novo and in-stent restenosis lesions.

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    pub_type: 杂志文章

    doi:10.1016/j.ehj.2003.10.012

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    更新日期:2004-01-01 00:00:00

  • Association of estimated sleep duration and naps with mortality and cardiovascular events: a study of 116 632 people from 21 countries.

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehy695

    authors: Wang C,Bangdiwala SI,Rangarajan S,Lear SA,AlHabib KF,Mohan V,Teo K,Poirier P,Tse LA,Liu Z,Rosengren A,Kumar R,Lopez-Jaramillo P,Yusoff K,Monsef N,Krishnapillai V,Ismail N,Seron P,Dans AL,Kruger L,Yeates K,Leach

    更新日期:2019-05-21 00:00:00

  • Effects of cold stimulation on coronary haemodynamics during exercise in patients with coronary artery disease.

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a061847

    authors: de Servi S,Mussini A,Angoli L,Ferrario M,Bramucci E,Gavazzi A,Ghio S,Ardissino D,Specchia G

    更新日期:1985-03-01 00:00:00

  • Effects of diuretics on renal excretory function.

    abstract::From a clinicopharmacological standpoint, the urinary excretory potency of diuretics should be assessed comparatively, on the basis of placebo-controlled changes in 24 h natriuresis, following single oral doses administered to healthy adult subjects who are in steady-state habitual external sodium balance. The potency...

    journal_title:European heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/eurheartj/13.suppl_g.15

    authors: Reyes AJ

    更新日期:1992-12-01 00:00:00

  • Sudden cardiac death in children (1-18 years): symptoms and causes of death in a nationwide setting.

    abstract:AIMS:Hitherto, sudden cardiac death in children (SCDc)-defined as sudden cardiac death (SCD) in the 1-18 years old-has been incompletely described in the general population. Knowledge on incidence rates, causes of death and symptoms prior to death is sparse and has been affected by reporting and referral bias. METHODS...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/eht509

    authors: Winkel BG,Risgaard B,Sadjadieh G,Bundgaard H,Haunsø S,Tfelt-Hansen J

    更新日期:2014-04-01 00:00:00

  • Prevalence and correlates of coronary microvascular dysfunction in heart failure with preserved ejection fraction: PROMIS-HFpEF.

    abstract:Aims:To date, clinical evidence of microvascular dysfunction in patients with heart failure (HF) with preserved ejection fraction (HFpEF) has been limited. We aimed to investigate the prevalence of coronary microvascular dysfunction (CMD) and its association with systemic endothelial dysfunction, HF severity, and myoca...

    journal_title:European heart journal

    pub_type: 杂志文章,多中心研究

    doi:10.1093/eurheartj/ehy531

    authors: Shah SJ,Lam CSP,Svedlund S,Saraste A,Hage C,Tan RS,Beussink-Nelson L,Ljung Faxén U,Fermer ML,Broberg MA,Gan LM,Lund LH

    更新日期:2018-10-01 00:00:00

  • Silent healing of spontaneous plaque disruption demonstrated by intracoronary ultrasound.

    abstract::Intracoronary ultrasound was performed at diagnostic coronary angiography and 10 days later in a 45-year-old patient with a 3-day history of acute inferior myocardial infarction. Coronary angiography showed considerable stenosis (80%) in the distal right coronary artery (RCA) (pre the crux) and what appeared to be a d...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a061061

    authors: Ge J,Haude M,Görge G,Liu F,Erbel R

    更新日期:1995-08-01 00:00:00

  • Acute and subacute stent occlusion; risk-reduction by ionic contrast media.

    abstract:AIMS:Current data concerning the influence of X-ray contrast media on the incidence of thrombotic complications in interventional cardiology are controversial. The effect of ionic contrast media on acute (< or =72 h) and subacute (< or =30 days) stent thrombosis has not been investigated. METHODS:Three thousand, nine ...

    journal_title:European heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1053/euhj.2000.2319

    authors: Scheller B,Hennen B,Pohl A,Schieffer H,Markwirth T

    更新日期:2001-03-01 00:00:00

  • Risk factor exposure in individuals free from cardiovascular disease differs according to age at first myocardial infarction.

    abstract:BACKGROUND:The pathophysiology of myocardial infarction (MI) may differ depending on whether it occurs early or late in life. We tested the hypothesis that risk factor pattern differs according to the age at MI. METHODS:We performed a matched case-control study in the population-based Malmö Preventive Project (n = 33 ...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehw026

    authors: Gränsbo K,Almgren P,Nilsson PM,Hedblad B,Engström G,Melander O

    更新日期:2016-07-01 00:00:00

  • Evaluation of three methods for quantifying valvular regurgitation using gated equilibrium radionuclide ventriculography.

    abstract::The non-invasive quantification of mitral and aortic regurgitation using the left-to-right stroke count ratio (SCR) calculated with gated equilibrium radionuclide ventriculography (RNV), is affected by the overlap of atria and ventricles and the consequent difficult definition of the ventricular regions of interest (R...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a062176

    authors: Sciagrà R,Voth E,Tebbe U,Schicha H,Neuhaus KL

    更新日期:1987-10-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehi135

    authors: Wenaweser P,Rey C,Eberli FR,Togni M,Tüller D,Locher S,Remondino A,Seiler C,Hess OM,Meier B,Windecker S

    更新日期:2005-06-01 00:00:00

  • Defining the genetic architecture of hypertrophic cardiomyopathy: re-evaluating the role of non-sarcomeric genes.

    abstract:Aim:Hypertrophic cardiomyopathy (HCM) exhibits genetic heterogeneity that is dominated by variation in eight sarcomeric genes. Genetic variation in a large number of non-sarcomeric genes has also been implicated in HCM but not formally assessed. Here we used very large case and control cohorts to determine the extent t...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehw603

    authors: Walsh R,Buchan R,Wilk A,John S,Felkin LE,Thomson KL,Chiaw TH,Loong CCW,Pua CJ,Raphael C,Prasad S,Barton PJ,Funke B,Watkins H,Ware JS,Cook SA

    更新日期:2017-12-07 00:00:00

  • Quantification of beta-adrenoceptors and beta-adrenoceptor kinase on protein and mRNA levels in heart failure.

    abstract::The alterations of the beta-adrenoceptor adenylyl cyclase are reviewed. In failing myocardium, the down-regulation of beta 1-adrenoceptors is accompanied by a decrease in steady state mRNA levels, as studied with quantitative polymerase chain reactions in dilated and ischaemic cardiomyopathy. The density of beta 2-adr...

    journal_title:European heart journal

    pub_type: 杂志文章,评审

    doi:10.1093/eurheartj/15.suppl_d.30

    authors: Böhm M,Lohse MJ

    更新日期:1994-12-01 00:00:00

  • ACE inhibitors in non-ischaemic heart failure: results from the MEGA trials.

    abstract::Large-scale trials have demonstrated a consistent mortality reduction from angiotensin converting enzyme (ACE) inhibitor therapy for chronic heart failure. Nonetheless, the pharmacologic and physiologic mechanisms of this favourable affect and the appropriate target population remain controversial. ACE inhibitors exer...

    journal_title:European heart journal

    pub_type: 杂志文章,评审

    doi:10.1093/eurheartj/16.suppl_o.133

    authors: Cohn JN

    更新日期:1995-12-01 00:00:00

  • Stenosed bicuspid aortic valves in twins.

    abstract::Hereditary factors may have a part to play in the development of bicuspid aortic valve. This report concerns a pair of identical twins, probably monozygotic, who required aortic valve replacement as a result of aortic stenosis occurring in bicuspid aortic valves. This supports the contention that there may be a geneti...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a062276

    authors: Godden DJ,Sandhu PS,Kerr F

    更新日期:1987-03-01 00:00:00

  • Dose-related effects of ACE inhibition in man: quinapril in patients with moderate congestive heart failure. The Study Group on Neurohormonal Regulation in Congestive Heart Failure: Lausanne, Switzerland; Berlin, Düsseldorf, Munich, Germany.

    abstract::Early treatment with ACE inhibitors of even moderate heart failure is clinically beneficial, even though haemodynamic measurements cannot adequately quantitate such improvement. Neurohumoral assessment is, however, supposed to be more accurate. In 55 patients with moderate heart failure (ejection fraction < or = 35%),...

    journal_title:European heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/eurheartj/15.suppl_d.113

    authors: Nussberger J,Fleck E,Bahrmann H,Delius W,Schultheiss HP,Brunner HR

    更新日期:1994-12-01 00:00:00

  • In-hospital mortality of patients with atrial arrhythmias: insights from the German-wide Helios hospital network of 161 502 patients and 34 025 arrhythmia-related procedures.

    abstract:Aims:Atrial fibrillation (AFib) and atrial flutter (AFlut) are common arrhythmias with increased use of invasive procedures. A steady re-evaluation of relevant safety endpoints is recommended and both quality management and pay-for-performance programs are evolving. Therefore, the aims of this study were (i) to investi...

    journal_title:European heart journal

    pub_type: 杂志文章,多中心研究

    doi:10.1093/eurheartj/ehy528

    authors: König S,Ueberham L,Schuler E,Wiedemann M,Reithmann C,Seyfarth M,Sause A,Tebbenjohanns J,Schade A,Shin DI,Staudt A,Zacharzowsky U,Andrié R,Wetzel U,Neuser H,Wunderlich C,Kuhlen R,Tijssen JGP,Hindricks G,Bollmann A

    更新日期:2018-11-21 00:00:00

  • International Expert Consensus Document on Takotsubo Syndrome (Part II): Diagnostic Workup, Outcome, and Management.

    abstract::The clinical expert consensus statement on takotsubo syndrome (TTS) part II focuses on the diagnostic workup, outcome, and management. The recommendations are based on interpretation of the limited clinical trial data currently available and experience of international TTS experts. It summarizes the diagnostic approac...

    journal_title:European heart journal

    pub_type: 共识发展会议,杂志文章

    doi:10.1093/eurheartj/ehy077

    authors: Ghadri JR,Wittstein IS,Prasad A,Sharkey S,Dote K,Akashi YJ,Cammann VL,Crea F,Galiuto L,Desmet W,Yoshida T,Manfredini R,Eitel I,Kosuge M,Nef HM,Deshmukh A,Lerman A,Bossone E,Citro R,Ueyama T,Corrado D,Kurisu S,

    更新日期:2018-06-07 00:00:00

  • The Anglo-Scandinavian Cardiac Outcomes Trial: 11-year mortality follow-up of the lipid-lowering arm in the U.K.

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    journal_title:European heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/eurheartj/ehr333

    authors: Sever PS,Chang CL,Gupta AK,Whitehouse A,Poulter NR,ASCOT Investigators.

    更新日期:2011-10-01 00:00:00

  • Functional significance of angiotensin receptors in human myocardium. Significant differences between atrial and ventricular myocardium.

    abstract::We studied the effects of angiotensin (Ang) I and II in a variety of isolated human cardiac tissues contracting under physiological conditions (37 degrees C, 60 beats.min-1). Ang I and II consistently increased the peak developed force of human atrial muscles by 30-40%, an effect that was completely blocked by 10(-6) ...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/15.suppl_d.88

    authors: Holubarsch C,Schmidt-Schweda S,Knorr A,Duis J,Pieske B,Ruf T,Fasol R,Hasenfuss G,Just H

    更新日期:1994-12-01 00:00:00

  • Abnormal calcium handling in atrial fibrillation is linked to up-regulation of adenosine A2A receptors.

    abstract:AIMS:Atrial fibrillation (AF) is associated with abnormal sarcoplasmic reticulum (SR) calcium release, which is promoted by adenosine A(2A) receptor (A(2A)R) activation. Here, we tested the hypothesis that abnormal calcium release in AF is linked to A(2A)R remodelling. METHODS AND RESULTS:Western blotting and quantita...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehq464

    authors: Llach A,Molina CE,Prat-Vidal C,Fernandes J,Casadó V,Ciruela F,Lluís C,Franco R,Cinca J,Hove-Madsen L

    更新日期:2011-03-01 00:00:00

  • Lipoprotein-associated phospholipase A2 does not predict mortality or new ischaemic events in acute coronary syndrome patients.

    abstract:AIM:Lipoprotein-associated phospholipase A(2) (Lp-PLA(2)) has been suggested as an independent predictor of cardiovascular events in epidemiological studies. We sought to evaluate Lp-PLA(2) as a risk factor for future cardiovascular events in patients with acute coronary syndromes (ACS) and to elucidate the relationshi...

    journal_title:European heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/eurheartj/ehl565

    authors: Oldgren J,James SK,Siegbahn A,Wallentin L

    更新日期:2007-03-01 00:00:00

  • Sex differences in survival after myocardial infarction in Sweden; data from the Swedish National Acute Myocardial Infarction Register.

    abstract:AIMS:Women, particularly younger women, hospitalized with acute myocardial infarction have been found to have poorer prognosis than men. A large proportion of deaths due to myocardial infarction, however, occur in the pre-hospital phase. We set out to analyse age-specific sex differences in survival after myocardial in...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1053/euhj.2000.2368

    authors: Rosengren A,Spetz CL,Köster M,Hammar N,Alfredsson L,Rosén M

    更新日期:2001-02-01 00:00:00

  • ST segment analysis for assessment of coronary artery patency: comparison of surface ECG and Holter recordings.

    abstract::In a prospective trial in 124 patients with acute myocardial infarction, Holter and surface ECG recordings were obtained simultaneously and compared for their ability to assess thrombolysis-induced ST segment changes. Accuracy in predicting patency of the infarct-related artery was evaluated in both methods. Success o...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a060114

    authors: Zabel M,Hohnloser SH,Parussel A,Just H

    更新日期:1992-12-01 00:00:00

  • Tropheryma whippelii endocarditis confirmed by polymerase chain reaction.

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a060928

    authors: Wendler D,Mendoza E,Schleiffer T,Zander M,Maier M

    更新日期:1995-03-01 00:00:00

  • Is a systolic blood pressure target

    abstract:AIMS:Major guidelines recommend lowering systolic blood pressure (SBP) to <140 mmHg in all hypertensives, but evidence is missing whether this is beneficial in (i) uncomplicated hypertensives, (ii) grade 1 hypertensives, and (iii) elderly hypertensives. Providing this missing evidence is important to justify efforts an...

    journal_title:European heart journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/eurheartj/ehr039

    authors: Zhang Y,Zhang X,Liu L,Zanchetti A,FEVER Study Group.

    更新日期:2011-06-01 00:00:00

  • Microalbuminuria during acute myocardial infarction; a strong predictor for 1-year mortality.

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1053/euhj.2000.2582

    authors: Berton G,Cordiano R,Palmieri R,Cucchini F,De Toni R,Palatini P

    更新日期:2001-08-01 00:00:00

  • Haemodynamic effects of high doses of insulin during acute left ventricular failure in dogs.

    abstract::Haemodynamic effects of pharmacological doses of insulin during acute ischaemic heart failure were studied in 8 dogs. Severe depression of left ventricular function was induced by the injection of 50 micron plastic microspheres into the left main coronary artery. This was demonstrated by a significant increase in left...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a061885

    authors: Reikerås O,Gunnes P,Sørlie D,Ekroth R,Jorde R,Mjøs OD

    更新日期:1985-05-01 00:00:00

  • Sustained benefit at 10-14 years follow-up after thrombolytic therapy in myocardial infarction.

    abstract:AIMS:To investigate whether the benefit of thrombolytic therapy was sustained beyond the first decade. We report the 10-14 year outcome of 533 patients who were randomized to treatment with intracoronary streptokinase or to conventional therapy during the years 1980-1985. METHODS AND RESULTS:Details of survival and ca...

    journal_title:European heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1053/euhj.1998.1443

    authors: Maas AC,van Domburg RT,Deckers JW,Vermeer F,Remme WJ,Kamp O,Manger Cats V,Simoons ML

    更新日期:1999-06-01 00:00:00