Effects of lisinopril on congestive heart failure in normotensive patients with diastolic dysfunction but intact systolic function

C. C. Lang, H. M. McAlpine, N. Kennedy, A. R. Rahman, B. J. Lipworth, A. D. Struthers

    Research output: Contribution to journalArticle

    14 Citations (Scopus)

    Abstract

    This study examined the effects of lisinopril on diastolic function in 12 normotensive patients (mean age 72 years) with symptomatic congestive heart failure, intact left ventricular systolic function and abnormal diastolic function secondary to ischaemic heart disease in a placebo-controlled double blind crossover study, with each treatment dosed orally for 5 continuous weeks. Compared to placebo, lisinopril significantly decreased blood pressure, increased plasma renin activity without altering heart rate or plasma norepinephrine. There was no statistically significant improvement with lisinopril in radionuclide derived peak filling rate and time to peak filling rate, in Doppler echocardiographic measurements of the ratio of peak flow velocity in early diastole to the peak flow velocity of atrial contraction (E:A ratio) and in visual analogue scales of symptoms.
    Thus, although angiotension converting enzyme inhibitors may have an established role in the treatment of heart failure secondary to left ventricular systolic dysfunction, its use in patients with isolated diastolic dysfunction remains unclear.
    Original languageEnglish
    Pages (from-to)15-19
    Number of pages5
    JournalEuropean Journal of Clinical Pharmacology
    Volume49
    Issue number1-2
    Publication statusPublished - Nov 1995

    Fingerprint Dive into the research topics of 'Effects of lisinopril on congestive heart failure in normotensive patients with diastolic dysfunction but intact systolic function'. Together they form a unique fingerprint.

  • Cite this