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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1993-10-5
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pubmed:abstractText |
One hundred and seven patients with chronic heart failure (NYHA class II to IV) stabilized on digitalis and/or diuretics, recruited from 11 centres were randomized into a double-blind, placebo-controlled study to assess the effect of 12 weeks of cilazapril therapy on exercise tolerance and clinical status. Thirty-five patients were randomized to placebo and 72 to cilazapril at a starting dose of 1 mg daily; titration to cilazapril 2.5 mg at week 4 and 5 mg at week 8 (or matching placebo) was carried out in patients who did not improve clinically. Demographic characteristics, including exercise test duration increased from 402 s (+/- 17 SEM) at baseline to 462 s (+/- 19 SEM) at week 12 for the cilazapril group (+15%) and from 405 s (+/- 23 SEM) at baseline to 408 s (+/- 30 SEM) at week 12 in patients on placebo (+1%) (P < 0.001). In the placebo group, patients able to exercise for more than 6 min at baseline showed an increase in exercise duration at week 12 while those able to exercise for up to 6 min at baseline showed a decrease (P = ns). In contrast, cilazapril-treated patients showed an increase in exercise tolerance regardless of baseline exercise test duration; patients with the most impaired exercise tolerance at baseline showed a greater improvement than patients with mildly impaired baseline exercise tolerance (P < 0.05 vs placebo). NYHA class improved by at least one grade in 51% of the cilazapril group vs 32% in the placebo group (P = ns). At the end of the trial, 15% of the patients were non-responders on cilazapril vs 41% on placebo (P < 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0195-668X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
14 Suppl C
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
18-23
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8365423-Adult,
pubmed-meshheading:8365423-Aged,
pubmed-meshheading:8365423-Aged, 80 and over,
pubmed-meshheading:8365423-Cardiac Output, Low,
pubmed-meshheading:8365423-Cilazapril,
pubmed-meshheading:8365423-Double-Blind Method,
pubmed-meshheading:8365423-Exercise Test,
pubmed-meshheading:8365423-Exercise Tolerance,
pubmed-meshheading:8365423-Female,
pubmed-meshheading:8365423-Hemodynamics,
pubmed-meshheading:8365423-Humans,
pubmed-meshheading:8365423-Male,
pubmed-meshheading:8365423-Middle Aged,
pubmed-meshheading:8365423-Treatment Outcome
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pubmed:year |
1993
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pubmed:articleTitle |
Influence of angiotensin converting enzyme inhibition on exercise performance and clinical symptoms in chronic heart failure: a multicentre, double-blind, placebo-controlled trial.
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pubmed:affiliation |
Cardiovascular Division, F. Hoffmann-La Roche Ltd, Basel, Switzerland.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Multicenter Study
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