PMID- 1329478 OWN - NLM STAT- MEDLINE DCOM- 19921029 LR - 20190622 IS - 0002-9149 (Print) IS - 0002-9149 (Linking) VI - 70 IP - 10 DP - 1992 Oct 8 TI - Comparison of treatment with lisinopril versus enalapril for congestive heart failure. PG - 78C-83C AB - The effect of lisinopril 5-20 mg once daily or enalapril 5-20 mg once daily on exercise capacity, ventricular ectopic activity, and signs and symptoms of heart failure have been studied in 278 patients with mild-to-moderate (New York Heart Association [NYHA] classes II and III) heart failure in a randomized, double-blind, parallel-group study of 12 weeks' duration. Exercise duration was significantly increased by both angiotensin-converting enzyme (ACE) inhibitors after 6 and 12 weeks of treatment compared with their respective baseline values. There was a trend toward a greater increase in exercise duration on lisinopril after 12 weeks, although this did not reach statistical significance (p = 0.0748). There were no significant treatment differences with respect to the effect of the 2 drugs on ventricular ectopic counts, couplets, or nonsustained ventricular tachycardia. Both drugs were equally effective in improving NYHA grading and symptoms. Neither treatment had any significant effect on mean heart rate or mean blood pressures. Both treatments were equally well tolerated. The most commonly reported adverse events on both drugs were cough, dizziness, fall in blood pressure, vertigo, and myocardial infarction. The results of this study indicate that lisinopril 5-20 mg once daily is at least as effective and well tolerated as enalapril 5-20 mg once daily. FAU - Zannad, F AU - Zannad F AD - Department of Cardiology, Hopital Central, Nancy, France. FAU - van den Broek, S A AU - van den Broek SA FAU - Bory, M AU - Bory M LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - United States TA - Am J Cardiol JT - The American journal of cardiology JID - 0207277 RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - 0 (Dipeptides) RN - 0 (Placebos) RN - 69PN84IO1A (Enalapril) RN - E7199S1YWR (Lisinopril) RN - RWP5GA015D (Potassium) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Angiotensin-Converting Enzyme Inhibitors/administration & dosage/adverse effects/*therapeutic use MH - Arrhythmias, Cardiac/physiopathology/prevention & control MH - Blood Pressure/drug effects MH - Dipeptides/administration & dosage/adverse effects/*therapeutic use MH - Double-Blind Method MH - Electrocardiography, Ambulatory/drug effects MH - Enalapril/administration & dosage/adverse effects/*therapeutic use MH - Exercise Test MH - Female MH - Heart Failure/*drug therapy MH - Heart Rate/drug effects MH - Humans MH - Lisinopril MH - Male MH - Middle Aged MH - Physical Exertion/drug effects MH - Placebos MH - Potassium/blood EDAT- 1992/10/08 00:00 MHDA- 1992/10/08 00:01 CRDT- 1992/10/08 00:00 PHST- 1992/10/08 00:00 [pubmed] PHST- 1992/10/08 00:01 [medline] PHST- 1992/10/08 00:00 [entrez] AID - 0002-9149(92)91362-8 [pii] AID - 10.1016/0002-9149(92)91362-8 [doi] PST - ppublish SO - Am J Cardiol. 1992 Oct 8;70(10):78C-83C. doi: 10.1016/0002-9149(92)91362-8.