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A comparison of intervention with losartan or captopril in acute myocardial infarction.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Spinar, Jindrich Vítovec, Jirí Špinarová, Lenka Pluhacek, L. Fischerová, Blanka Toman, Jirí |
| Copyright Year | 2000 |
| Abstract | AIM OF STUDY Angiotensin-converting enzyme (ACE) inhibitors prolong life, lower the progression of heart failure, and decrease the need for hospitalizations in patients after myocardial infarctions. It is still unclear whether these effects could also be achieved by blocking the angiotensin II (ATII) type 1 receptor. METHODS AND RESULTS We randomized 201 patients with acute myocardial infarction treated with either direct angioplasty, thrombolysis, or heparin alone to the ACE inhibitor captopril or the ATII antagonist losartan. The primary endpoints were safety, tolerability, and left ventricular parameters. The patients were followed for at least 15 days. The incidence of severe adverse events was similar in both groups, although cough presented less often in the losartan group. Captopril failed to prevent an increase in end-diastolic volume and did not influence left ventricular end-systolic volume. This effect led to an increase in the left ventricular ejection fraction (P<0. 001) without a change in wall-motion index. Losartan did not affect end-diastolic volume but decreased end-systolic volume (P<0.001), resulting in a significant increase in left ventricular ejection fraction (P<0.001) and a decrease in wall-motion index (P<0.001). CONCLUSION This study suggests that losartan is safe and well tolerated in patients after myocardial infarction. ATII antagonists seem to have a more pronounced effect on left ventricular remodeling than ACE inhibitors. |
| Starting Page | 91 |
| Ending Page | 100 |
| Page Count | 10 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://jirivitovec.cz/publ/eng/lst.pdf |
| PubMed reference number | 10742708v1 |
| Volume Number | 2 |
| Issue Number | 1 |
| Journal | European journal of heart failure |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Adverse event Angiotensin II Angiotensin-Converting Enzyme Inhibitors Angiotensins Captopril Coughing Diastole Ejection fraction (procedure) Heart failure Hospitalization Losartan Myocardial Infarction Patients Premature ventricular contractions Thrombolysis, function Ventricular Remodeling heparin |
| Content Type | Text |
| Resource Type | Article |
