PMID- 2539290 OWN - NLM STAT- MEDLINE DCOM- 19890515 LR - 20181113 IS - 0012-6667 (Print) IS - 0012-6667 (Linking) VI - 37 IP - 2 DP - 1989 Feb TI - Enalapril. An update of its pharmacological properties and therapeutic use in congestive heart failure. PG - 141-61 AB - Enalapril provides significant haemodynamic, symptomatic and clinical improvement when added to maintenance therapy with digitalis and diuretics in patients with congestive heart failure [NYHA (New York Heart Association) classes II to IV]. These effects are not attenuated during long term therapy. More significantly, a clinical study demonstrated that enalapril reduces mortality when added to established therapy in patients with severe congestive heart failure (NYHA class IV) refractory to digitalis, diuretics and other vasodilators. Thus, ACE inhibitors such as enalapril offer a significant advance in the treatment of congestive heart failure. Because these drugs improve symptoms in patients with classes II to IV failure, and reduce mortality in patients with severe heart failure, they should be considered as first choice adjuvant therapy when a vasodilator is needed in addition to conventional treatment with digitalis and diuretics. FAU - Todd, P A AU - Todd PA AD - ADIS Drug Information Services, Auckland, New Zealand. FAU - Goa, K L AU - Goa KL LA - eng PT - Clinical Trial PT - Journal Article PT - Review PL - New Zealand TA - Drugs JT - Drugs JID - 7600076 RN - 69PN84IO1A (Enalapril) SB - IM MH - Clinical Trials as Topic MH - Double-Blind Method MH - *Enalapril/administration & dosage/adverse effects/pharmacology/therapeutic use MH - Heart Failure/*drug therapy MH - Humans MH - Random Allocation RF - 120 EDAT- 1989/02/01 00:00 MHDA- 1989/02/01 00:01 CRDT- 1989/02/01 00:00 PHST- 1989/02/01 00:00 [pubmed] PHST- 1989/02/01 00:01 [medline] PHST- 1989/02/01 00:00 [entrez] AID - 10.2165/00003495-198937020-00004 [doi] PST - ppublish SO - Drugs. 1989 Feb;37(2):141-61. doi: 10.2165/00003495-198937020-00004.