No effects on myocardial ischaemia in patients with stable ischaemic heart disease after treatment with ramipril for 6 months

<p>Abstract</p> <p>Objective</p> <p>To assess the effects of a 6-month angiotensin-converting enzyme (ACE) inhibitor intervention on myocardial ischaemia.</p> <p>Method</p> <p>We randomized 389 patients with stable coronary artery disease to doub...

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Main Authors: Forslund Lennart, Juul-Möller Steen, Willenheimer Ronnie, Erhardt Leif
Format: Article
Language:English
Published: BMC 2001-04-01
Series:Current Controlled Trials in Cardiovascular Medicine
Subjects:
Online Access:http://cvm.controlled-trials.com/content/2/2/099
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author Forslund Lennart
Juul-Möller Steen
Willenheimer Ronnie
Erhardt Leif
author_facet Forslund Lennart
Juul-Möller Steen
Willenheimer Ronnie
Erhardt Leif
author_sort Forslund Lennart
collection DOAJ
description <p>Abstract</p> <p>Objective</p> <p>To assess the effects of a 6-month angiotensin-converting enzyme (ACE) inhibitor intervention on myocardial ischaemia.</p> <p>Method</p> <p>We randomized 389 patients with stable coronary artery disease to double-blind treatment with ramipril 5 mg/day (<it>n</it> = 133), ramipril 1.25 mg/day (<it>n</it> = 133), or placebo (<it>n</it> = 123). Forty-eight-hour ambulatory electrocardiography was performed at baseline, and after 1 and 6 months.</p> <p>Results</p> <p>Relevant baseline variables were similar in all groups. Changes over 6 months in duration of ≥ 1 mm ST-segment depression (STD), total ischaemic burden and maximum STD did not differ significantly between the treatment groups. There was no difference in the frequency of adverse events between the groups.</p> <p>Conclusion</p> <p>ACE inhibitor treatment has little impact on incidence and severity of myocardial ischaemia in patients with stable ischaemic heart disease.</p>
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spelling doaj.art-d152164df92442a2858e3be83802702d2022-12-22T01:37:16ZengBMCCurrent Controlled Trials in Cardiovascular Medicine1468-67082001-04-01229910510.1186/cvm-2-2-099No effects on myocardial ischaemia in patients with stable ischaemic heart disease after treatment with ramipril for 6 monthsForslund LennartJuul-Möller SteenWillenheimer RonnieErhardt Leif<p>Abstract</p> <p>Objective</p> <p>To assess the effects of a 6-month angiotensin-converting enzyme (ACE) inhibitor intervention on myocardial ischaemia.</p> <p>Method</p> <p>We randomized 389 patients with stable coronary artery disease to double-blind treatment with ramipril 5 mg/day (<it>n</it> = 133), ramipril 1.25 mg/day (<it>n</it> = 133), or placebo (<it>n</it> = 123). Forty-eight-hour ambulatory electrocardiography was performed at baseline, and after 1 and 6 months.</p> <p>Results</p> <p>Relevant baseline variables were similar in all groups. Changes over 6 months in duration of ≥ 1 mm ST-segment depression (STD), total ischaemic burden and maximum STD did not differ significantly between the treatment groups. There was no difference in the frequency of adverse events between the groups.</p> <p>Conclusion</p> <p>ACE inhibitor treatment has little impact on incidence and severity of myocardial ischaemia in patients with stable ischaemic heart disease.</p>http://cvm.controlled-trials.com/content/2/2/099angiotensin-converting enzyme inhibitorischaemic heart diseaseambulatory electrocardiographymyocardial ischaemia
spellingShingle Forslund Lennart
Juul-Möller Steen
Willenheimer Ronnie
Erhardt Leif
No effects on myocardial ischaemia in patients with stable ischaemic heart disease after treatment with ramipril for 6 months
Current Controlled Trials in Cardiovascular Medicine
angiotensin-converting enzyme inhibitor
ischaemic heart disease
ambulatory electrocardiography
myocardial ischaemia
title No effects on myocardial ischaemia in patients with stable ischaemic heart disease after treatment with ramipril for 6 months
title_full No effects on myocardial ischaemia in patients with stable ischaemic heart disease after treatment with ramipril for 6 months
title_fullStr No effects on myocardial ischaemia in patients with stable ischaemic heart disease after treatment with ramipril for 6 months
title_full_unstemmed No effects on myocardial ischaemia in patients with stable ischaemic heart disease after treatment with ramipril for 6 months
title_short No effects on myocardial ischaemia in patients with stable ischaemic heart disease after treatment with ramipril for 6 months
title_sort no effects on myocardial ischaemia in patients with stable ischaemic heart disease after treatment with ramipril for 6 months
topic angiotensin-converting enzyme inhibitor
ischaemic heart disease
ambulatory electrocardiography
myocardial ischaemia
url http://cvm.controlled-trials.com/content/2/2/099
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AT willenheimerronnie noeffectsonmyocardialischaemiainpatientswithstableischaemicheartdiseaseaftertreatmentwithramiprilfor6months
AT erhardtleif noeffectsonmyocardialischaemiainpatientswithstableischaemicheartdiseaseaftertreatmentwithramiprilfor6months