Enalapril. An update of its pharmacological properties and therapeutic use in congestive heart failure.

Abstract:

:Enalapril provides significant haemodynamic, symptomatic and clinical improvement when added to maintenance therapy with digitalis and diuretics in patients with congestive heart failure [NYHA (New York Heart Association) classes II to IV]. These effects are not attenuated during long term therapy. More significantly, a clinical study demonstrated that enalapril reduces mortality when added to established therapy in patients with severe congestive heart failure (NYHA class IV) refractory to digitalis, diuretics and other vasodilators. Thus, ACE inhibitors such as enalapril offer a significant advance in the treatment of congestive heart failure. Because these drugs improve symptoms in patients with classes II to IV failure, and reduce mortality in patients with severe heart failure, they should be considered as first choice adjuvant therapy when a vasodilator is needed in addition to conventional treatment with digitalis and diuretics.

journal_name

Drugs

journal_title

Drugs

authors

Todd PA,Goa KL

doi

10.2165/00003495-198937020-00004

subject

Has Abstract

pub_date

1989-02-01 00:00:00

pages

141-61

issue

2

eissn

0012-6667

issn

1179-1950

journal_volume

37

pub_type

临床试验,杂志文章,评审

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