PMID- 1712273 OWN - NLM STAT- MEDLINE DCOM- 19910815 LR - 20181113 IS - 0012-6667 (Print) IS - 0012-6667 (Linking) VI - 41 Suppl 1 DP - 1991 TI - Cilazapril in congestive heart failure. A pilot study. PG - 54-61 AB - The haemodynamic effects of a single dose of cilazapril 2.5 or 5 mg were studied in 33 patients with stable chronic congestive heart failure who were receiving digitalis and diuretics. Subsequently, a double-blind comparison of the haemodynamic and clinical effects of 3 months' treatment with cilazapril 1.25 to 5 mg daily or placebo in 24 evaluable patients revealed that the acute haemodynamic improvement produced by a single dose of cilazapril was maintained in patients receiving repeated administration of the drug, but not in those randomly allocated the placebo. Acute cilazapril significantly decreased mean arterial pressure, systemic vascular resistance, pulmonary capillary wedge pressure, pulmonary artery pressure and right atrial pressure, while cardiac index and stroke volume index increased at rest and during submaximal exercise. After 3 months' treatment 11 of 13 cilazapril recipients improved their New York Heart Association (NYHA) class compared with 2 of 11 patients treated with placebo. This functional improvement was paralleled by a patient-perceived improvement in general well-being. FAU - Kiowski, W AU - Kiowski W AD - Division of Cardiology, University Hospital, Basel, Switzerland. FAU - Drexler, H AU - Drexler H FAU - Meinertz, T AU - Meinertz T FAU - Zuber, M AU - Zuber M FAU - Ritz, R AU - Ritz R FAU - Burkart, F AU - Burkart F FAU - Just, H AU - Just H LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PL - New Zealand TA - Drugs JT - Drugs JID - 7600076 RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - 0 (Pyridazines) RN - 19KW7PI29F (Cilazapril) SB - IM MH - Adult MH - Aged MH - Angiotensin-Converting Enzyme Inhibitors/*therapeutic use MH - Cilazapril MH - Drug Administration Schedule MH - Exercise Test MH - Female MH - Heart Failure/*drug therapy MH - Hemodynamics/drug effects MH - Humans MH - Male MH - Middle Aged MH - Pilot Projects MH - Pyridazines/*therapeutic use EDAT- 1991/01/01 00:00 MHDA- 1991/01/01 00:01 CRDT- 1991/01/01 00:00 PHST- 1991/01/01 00:00 [pubmed] PHST- 1991/01/01 00:01 [medline] PHST- 1991/01/01 00:00 [entrez] AID - 10.2165/00003495-199100411-00010 [doi] PST - ppublish SO - Drugs. 1991;41 Suppl 1:54-61. doi: 10.2165/00003495-199100411-00010.