CONGESTIVE-HEART-FAILURE IN ELDERLY PATIENTS - CONTROLLED-STUDY OF DELAPRIL VERSUS CAPTOPRIL

被引:3
作者
ACANFORA, D
LANZILLO, T
PAPA, A
LONGOBARDI, G
FURGI, G
RENGO, C
MELILLO, E
RENGO, F
机构
[1] SCI RES MED CTR,I-82030 CAMPOLI MONTE TAB,ITALY
[2] UNIV NAPLES FEDERICO II,INST INTERNAL MED CARDIOL & CARDIOVASC SURG,CHAIR GERIATR,NAPLES,ITALY
关键词
D O I
10.1016/S0002-9149(99)80513-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In this controlled trial, 30 elderly patients with congestive heart failure, New York Heart Association (NYHA) classes II and III, were randomly assigned to treatment with captopril 25 mg three times daily or delapril 15 mg twice daily. At the end of an 8-week treatment period, clinical symptoms of heart failure were significantly relieved by both drugs, with a consistent and statistically significant improvement in patients' quality of life evaluated using a symptoms/activity scale (p < 0.001). None of the patients was judged NYHA class III at the end of the trial and 40% were assigned to class I (p < 0.01). There was a relevant, but not statistically significant, increase in exercise duration in both treatment groups (10% captopril group, 14% delapril group), but the number of patients discontinuing the exercise test for dyspnea was 50% less in the delapril group. Neither drug had evident effects on echocardiographic left ventricular parameters. Two patients treated with captopril and 3 with delapril complained of mild-to-moderate adverse reactions. The safety of both drugs was confirmed by laboratory tests.
引用
收藏
页码:F37 / F43
页数:7
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