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European Heart Journal 2004 25(16):1454-1470; doi:10.1016/j.ehj.2004.06.003
Copyright © 2004 by the European Society of Cardiology.
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ESC Expert consensus document

Expert consensus document on angiotensin converting enzyme inhibitors in cardiovascular disease

The Task Force on ACE-inhibitors of the European Society of Cardiology

Task Force Members, José López-Sendón, Chairperson (Spain)1, Karl Swedberg, (Sweden), John McMurray, (UK), Juan Tamargo, (Spain), Aldo P. Maggioni, (Italy), Henry Dargie, (UK), Michal Tendera, (Poland), Finn Waagstein, (Sweden), Jan Kjekshus, (Norway), Philippe Lechat, (France) and Christian Torp Pedersen, (Denmark)

The first 150 words of the full text of this article appear below.

ESC Committee for Practice Guidelines (CPG), Silvia G. Priori (Chairperson) (Italy), Maria Angeles Alonso García (Spain), Jean-Jacques Blanc (France), Andrzej Budaj (Poland), Martin Cowie (UK), Veronica Dean (France), Jaap Deckers (The Netherlands), Enrique Fernandez Burgos (Spain), John Lekakis (Greece), Bertil Lindahl (Sweden), Gianfranco Mazzotta (Italy), Keith McGregor (France), João Morais (Portugal), Ali Oto (Turkey), Otto A. Smiseth (Norway)

Document Reviewers, Maria Angeles Alonso García (CPG Review Coordinator) (Spain), Diego Ardissino (Italy), Cristina Avendano (Spain), Carina Blomström-Lundqvist (Sweden), Denis Clément (Belgium), Helmut Drexler (Germany), Roberto Ferrari (Italy), Keith A. Fox (UK), Desmond Julian (UK), Peter Kearney (Ireland), Werner Klein (Austria), Lars Köber (Denmark), Giuseppe Mancia (Italy), Markku Nieminen (Finland), Witold Ruzyllo (Poland), Maarten Simoons (The Netherlands) Kristian Thygesen (Denmark), Gianni Tognoni (Italy), Isabella Tritto (Italy), Lars Wallentin (Sweden)

Preamble

Guidelines and Expert Consensus documents aim to present all the relevant evidence on a particular issue in order to help physicians to weigh . . . [Full Text of this Article]

Classes of recommendations

Levels of evidence

Introduction

Pharmacology

Definition
ACE-Inhibitor classification
Pharmacokinetic profile
Mechanism of action
Effects of ACE-inhibitors
Haemodynamic effects
Neurohormonal effects
Antiproliferative effects
Renal effects
Other effects
Effects on fibrinolytic balance
Side-effects
Contraindications
Drug interactions
Dosing
Clinical efficacy and practical use

Heart failure
Target dose
ACE-I compared with angiotensin receptor blockers
Asymptomatic left ventricular systolic dysfunction
Diastolic failure
Acute myocardial infarction
Hypertension
Secondary prevention and high-risk of cardiovascular disease
Prevention of sudden cardiac death

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