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Journal of Pharmacy Practice
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Endocrinologic Warfare: The Role of Angiotensin-Converting Enzyme Inhibitors in Congestive Heart Failure

Mark A. Munger

Division of Cardiology, University Hospitals of Cleveland, 2074 Abington Rd, Cleveland, OH 44106

Stephanie F. Gardner

Division of Cardiology, University Hospitals of Cleveland, 2074 Abington Rd, Cleveland, OH 44106

Robert C. Jarvis

Division of Cardiology, University Hospitals of Cleveland, 2074 Abington Rd, Cleveland, OH 44106

The angiotensin-converting enzyme (ACE) inhibitors represent the gold standard of vasodilator therapy for congestive heart failure through blunting of the endocrinologic manifestations of heart failure. The future role of these agents may be in the asymptomatic and mild stages of heart failure. ACE inhibitors have been shown to decrease morbidity and mortality with the natural history of this disease being altered. The future will bring many new ACE inhibitors to market, with the challenge for physicians and pharmacists to understand the important distinctions of each specific agent. © 1990 by W.B. Saunders Company.

Journal of Pharmacy Practice, Vol. 3, No. 5, 318-331 (1990)
DOI: 10.1177/089719009000300506


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