PMID- 8039405 OWN - NLM STAT- MEDLINE DCOM- 19940824 LR - 20191023 IS - 0197-2456 (Print) IS - 0197-2456 (Linking) VI - 15 IP - 3 DP - 1994 Jun TI - Survival of myocardial infarction long-term evaluation (SMILE) study: rationale, design, organization, and outcome definitions. PG - 201-10 AB - The rationale, design, organization, and outcome definitions of the Survival of Myocardial Infarction Long-term Evaluation (SMILE) study are described in detail. Recruitment of a total of 1500 patients (750 per treatment group) has been planned for this multicenter, double-masked, randomized, placebo-controlled trial investigating the effects of oral treatment with zofenopril calcium (7.5-30 mg twice a day) on the combined short-term total mortality and occurrence of severe refractory congestive heart failure in patients with acute anterior myocardial infarction (AMI). Secondary outcomes of the study include recurrent myocardial infarction, angina, and progression of congestive heart failure, as well as long-term mortality. Patients are initially treated in hospital within 24 hr from the onset of symptoms of AMI and their active follow-up is continued for 6 weeks. In addition, the patients will be passively followed for 12 months from the index AMI to assess vital status and the occurrence of congestive heart failure. The trial data are analyzed on an intention-to-treat basis. An international independent policy and safety monitoring board is acting as the overall supervisory body and is responsible for the ethical conduct of the trial. A scientific committee is responsible for the scientific aspects of the trial and for the regular review of the progress of the study. FAU - Ambrosioni, E AU - Ambrosioni E AD - Department of Internal Medicine, University of Bologna, Italy. FAU - Borghi, C AU - Borghi C FAU - Magnani, B AU - Magnani B LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - United States TA - Control Clin Trials JT - Controlled clinical trials JID - 8006242 RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - 290ZY759PI (zofenopril) RN - 9G64RSX1XD (Captopril) SB - IM MH - Administration, Oral MH - Adult MH - Angiotensin-Converting Enzyme Inhibitors/administration & dosage/adverse effects MH - Captopril/administration & dosage/adverse effects/*analogs & derivatives MH - Double-Blind Method MH - Female MH - Heart Failure/drug therapy/mortality MH - Humans MH - Long-Term Care MH - Male MH - Middle Aged MH - Myocardial Infarction/*drug therapy/mortality MH - Survival Rate MH - Treatment Outcome EDAT- 1994/06/01 00:00 MHDA- 1994/06/01 00:01 CRDT- 1994/06/01 00:00 PHST- 1994/06/01 00:00 [pubmed] PHST- 1994/06/01 00:01 [medline] PHST- 1994/06/01 00:00 [entrez] AID - 0197-2456(94)90057-4 [pii] AID - 10.1016/0197-2456(94)90057-4 [doi] PST - ppublish SO - Control Clin Trials. 1994 Jun;15(3):201-10. doi: 10.1016/0197-2456(94)90057-4.