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Ramipril in clinical studies


Authors: J. Špinar;  J. Vítovec
Published in: Kardiol Rev Int Med 2005, 7(3): 156-159

Overview

Ramipril is a long-term ACE inhibitor, widely prescribed in Europe, including Czech Republic. It is made in powers from 1,25 mg to 10 mg and in combination with hydrochlorothiazide. Its effect had been proved in mortality studies of heart failure after myocardial infarction (AIRE), secondary prevention of ischaemic heart disease (HOPE). It is proved in diabetics (MICRO HOPE), hypertonics and also in non-diabetic nephropathy. In HOPE study it led to the dicrease of the number of cerebral vascular events, myocardial infarctions and the dicreased necessity of revascularization. In epidemiologic overviews in Germany (MITRA) and Canada (QUEBEC) the patients after myocardial infarction treated with ramipril had a better prognosis than the patients treated with another ACE inhibitor. We also present the Czech experience with ramipril from 2 studies in hypertonics and from epidemiologic monitorings.

Key words:
ramipril – heart failure – myocardial infarction – hypertension – nephropathy


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Paediatric cardiology Internal medicine Cardiac surgery Cardiology
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