Document Detail

Identification, diagnosis and treatment of heart failure: could we do better?
MedLine Citation:
PMID:  8681319     Owner:  NLM     Status:  MEDLINE    
Numerous studies have shown that it is very difficult to diagnose mild heart failure accurately on clinical grounds alone. Routine echocardiography would help to solve this problem but studies have shown that this technique is greatly underused. Providing open access echocardiography, and/or targeting this resource to the most deserving cases by measuring plasma natriuretic peptides may help to optimize the use of this technique while improving the diagnosis of heart failure patients. Studies have also demonstrated the value, but apparent underuse, of angiotensin-converting enzyme (ACE) inhibitor therapy. Further questions for the management of heart failure patients have been presented by these investigations. Uncertainty remains over the appropriate timing of ACE inhibitor therapy and whether low or high doses are more effective. The ongoing ATLAS study aims to answer these questions and promotes an improvement in the treatment of heart failure patients.
A D Struthers
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Cardiology     Volume:  87 Suppl 1     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:  1996  
Date Detail:
Created Date:  1996-08-16     Completed Date:  1996-08-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  29-32     Citation Subset:  IM    
Department of Clinical Pharmacology, Ninewells Hospital and Medical School, Dundee, UK.
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MeSH Terms
Angiotensin-Converting Enzyme Inhibitors / therapeutic use*
Clinical Trials as Topic
Heart Failure* / diagnosis,  drug therapy
Reg. No./Substance:
0/Angiotensin-Converting Enzyme Inhibitors

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