Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2001-5-11
pubmed:abstractText
Angiotensin-converting enzyme inhibitors improve endothelial function, inhibit experimental atherogenesis, and decrease ischemic events. The Quinapril Ischemic Event Trial was designed to test the hypothesis that quinapril 20 mg/day would reduce ischemic events (the occurrence of cardiac death, resuscitated cardiac arrest, nonfatal myocardial infarction, coronary artery bypass grafting, coronary angioplasty, or hospitalization for angina pectoris) and the angiographic progression of coronary artery disease in patients without systolic left ventricular dysfunction. A total of 1,750 patients were randomized to quinapril 20 mg/day or placebo and followed a mean of 27 +/- 0.3 months. The 38% incidence of ischemic events was similar for both groups (RR 1.04; 95% confidence interval 0.89 to 1.22; p = 0.6). There was also no significant difference in the incidence of patients having angiographic progression of coronary disease (p = 0.71). The rate of development of new coronary lesions was also similar in both groups (p = 0.35). However, there was a difference in the incidence of angioplasty for new (previously unintervened) vessels (p = 0.018). Quinapril was well tolerated in patients after angioplasty with normal left ventricular function. Quinapril 20 mg did not significantly affect the overall frequency of clinical outcomes or the progression of coronary atherosclerosis. However, the absence of the demonstrable effect of quinapril may be due to several limitations in study design.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0002-9149
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
87
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1058-63
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:11348602-Adult, pubmed-meshheading:11348602-Aged, pubmed-meshheading:11348602-Angioplasty, pubmed-meshheading:11348602-Angiotensin-Converting Enzyme Inhibitors, pubmed-meshheading:11348602-Coronary Angiography, pubmed-meshheading:11348602-Coronary Artery Disease, pubmed-meshheading:11348602-Disease Progression, pubmed-meshheading:11348602-Female, pubmed-meshheading:11348602-Humans, pubmed-meshheading:11348602-Incidence, pubmed-meshheading:11348602-Isoquinolines, pubmed-meshheading:11348602-Male, pubmed-meshheading:11348602-Middle Aged, pubmed-meshheading:11348602-Myocardial Ischemia, pubmed-meshheading:11348602-Proportional Hazards Models, pubmed-meshheading:11348602-Survival Analysis, pubmed-meshheading:11348602-Tetrahydroisoquinolines, pubmed-meshheading:11348602-Treatment Outcome, pubmed-meshheading:11348602-Ventricular Function, Left
pubmed:year
2001
pubmed:articleTitle
The QUinapril Ischemic Event Trial (QUIET): evaluation of chronic ACE inhibitor therapy in patients with ischemic heart disease and preserved left ventricular function.
pubmed:affiliation
Department of Medicine, Division of Cardiology, University of Michigan, Ann Arbor, Michigan 48109, USA.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Multicenter Study