PMID- 7778533 OWN - NLM STAT- MEDLINE DCOM- 19950713 LR - 20190622 IS - 0002-9149 (Print) IS - 0002-9149 (Linking) VI - 75 IP - 18 DP - 1995 Jun 16 TI - Congestive heart failure in elderly patients: controlled study of delapril versus captopril. PG - 37F-43F AB - In this controlled trial, 30 elderly patients with congestive heart failure, New York Heart Association (NYHA) classes II and III, were randomly assigned to treatment with captopril 25 mg three times daily or delapril 15 mg twice daily. At the end of an 8-week treatment period, clinical symptoms of heart failure were significantly relieved by both drugs, with a consistent and statistically significant improvement in patients' quality of life evaluated using a symptoms/activity scale (p < 0.001). None of the patients was judged NYHA class III at the end of the trial and 40% were assigned to class I (p < 0.01). There was a relevant, but not statistically significant, increase in exercise duration in both treatment groups (10% captopril group, 14% delapril group), but the number of patients discontinuing the exercise test for dyspnea was 50% less in the delapril group. Neither drug had evident effects on echocardiographic left ventricular parameters. Two patients treated with captopril and 3 with delapril complained of mild-to-moderate adverse reactions. The safety of both drugs was confirmed by laboratory tests. FAU - Acanfora, D AU - Acanfora D AD - Clinica del Lavoro Foundation, Institute of Care, Italy. FAU - Lanzillo, T AU - Lanzillo T FAU - Papa, A AU - Papa A FAU - Longobardi, G AU - Longobardi G FAU - Furgi, G AU - Furgi G FAU - Rengo, C AU - Rengo C FAU - Melillo, E AU - Melillo E FAU - Rengo, F AU - Rengo F LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Cardiol JT - The American journal of cardiology JID - 0207277 RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - 0 (Indans) RN - 9G64RSX1XD (Captopril) RN - W77UAL9THI (delapril) SB - IM MH - Aged MH - Angiotensin-Converting Enzyme Inhibitors/administration & dosage/adverse effects/*therapeutic use MH - Captopril/administration & dosage/adverse effects/*therapeutic use MH - Exercise Test/drug effects MH - Female MH - Heart Failure/*drug therapy/physiopathology MH - Humans MH - Indans/administration & dosage/adverse effects/*therapeutic use MH - Male MH - Quality of Life MH - Severity of Illness Index MH - Treatment Outcome MH - Ventricular Function, Left/drug effects EDAT- 1995/06/16 00:00 MHDA- 1995/06/16 00:01 CRDT- 1995/06/16 00:00 PHST- 1995/06/16 00:00 [pubmed] PHST- 1995/06/16 00:01 [medline] PHST- 1995/06/16 00:00 [entrez] AID - S0002-9149(99)80513-X [pii] AID - 10.1016/s0002-9149(99)80513-x [doi] PST - ppublish SO - Am J Cardiol. 1995 Jun 16;75(18):37F-43F. doi: 10.1016/s0002-9149(99)80513-x.