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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0030705,
umls-concept:C0035171,
umls-concept:C0041618,
umls-concept:C0042874,
umls-concept:C0072973,
umls-concept:C0220825,
umls-concept:C0332293,
umls-concept:C0392747,
umls-concept:C0443172,
umls-concept:C0741968,
umls-concept:C1442488,
umls-concept:C1519222,
umls-concept:C1521970,
umls-concept:C2603343
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pubmed:issue |
8
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pubmed:dateCreated |
1996-12-4
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pubmed:abstractText |
Atherosclerotic cardiovascular disease remains a major cause of mortality and morbidity in most developed countries. Experimental and clinical evidence suggests that angiotensin-converting enzyme inhibitors and vitamin E therapy may retard the atherosclerotic process; however, definitive proof in humans is lacking. The Study to Evaluate Carotid Ultrasound Changes in Patients Treated with Ramipril and Vitamin E (SECURE) is designed to assess the effects of ramipril--an angiotensin-converting enzyme inhibitor, at 2 doses: 2.5 mg daily (which has little effect on lowering blood pressure) and 10 mg daily--and the antioxidant vitamin E, 400 IU daily, on atherosclerosis progression in 732 patients using a factorial 3 x 2 study design. High-risk patients with a documented history of significant cardiovascular disease or with diabetes and additional risk factors were enrolled and will be followed for 4 years. The extent and progression of atherosclerosis are assessed noninvasively by B-mode carotid ultrasonography. The SECURE trial is a substudy of the larger Heart Outcomes Prevention Evaluation (HOPE) study of 9,541 high-risk patients evaluating the effects of ramipril and vitamin E on major cardiovascular events (cardiovascular death, myocardial infarction, and stroke). The 2 studies are complementary. Whereas HOPE is expected to provide information on major clinical outcomes, SECURE will shed light on the mechanisms by which these effects may be mediated.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
78
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
914-9
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8888665-Aged,
pubmed-meshheading:8888665-Angiotensin-Converting Enzyme Inhibitors,
pubmed-meshheading:8888665-Arteriosclerosis,
pubmed-meshheading:8888665-Carotid Artery Diseases,
pubmed-meshheading:8888665-Coronary Artery Disease,
pubmed-meshheading:8888665-Disease Progression,
pubmed-meshheading:8888665-Double-Blind Method,
pubmed-meshheading:8888665-Female,
pubmed-meshheading:8888665-Humans,
pubmed-meshheading:8888665-Intracranial Arteriosclerosis,
pubmed-meshheading:8888665-Male,
pubmed-meshheading:8888665-Ramipril,
pubmed-meshheading:8888665-Research Design,
pubmed-meshheading:8888665-Risk Factors,
pubmed-meshheading:8888665-Vitamin E
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pubmed:year |
1996
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pubmed:articleTitle |
Study design and baseline characteristics of the study to evaluate carotid ultrasound changes in patients treated with ramipril and vitamin E: SECURE.
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pubmed:affiliation |
Division of Cardiology and Preventive Cardiology, Hamilton Civic Hospitals Research Center, McMaster University, Ontario, Canada.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study
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