Evidence map›Paper›PMID 10980901›Full record

ReviewCurrent cardiology reports2000

Therapeutic implications of escape from angiotensin-converting enzyme inhibition in patients with chronic heart failure.

P V Ennezat, M Berlowitz, E H Sonnenblick, T H Le Jemtel

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current cardiology reports, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

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  11. Prognostic value of vasoactive-inotropic score following continuous flow left ventricular assist device implantation.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

P V EnnezatAlbert Einstein College of Medicine, Division of Cardiology, Forchheimer Building, Room G 46,1300 Morris Park Avenue, Bronx, NY 10461, USA.
M Berlowitz
E H Sonnenblick
T H Le Jemtel
Albert Einstein College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The level of inhibition of the angiotensin-converting enzyme (ACE) provided by standard doses of ACE inhibitors may only be partial during long-term treatment in patients with severe chronic heart failure (CHF). Partial ACE inhibition with time is often referred to as escape from ACE inhibition and labeled ACE escape. Several lines of evidence suggest that ACE escape occurs in patients with severe CHF. Plasma levels of angiotensin II rise above initial values during long-term ACE inhibition, and the effects of ACE inhibitors on cardiac remodeling and lowering of sympathetic nervous system activity attenuate after 1 year of treatment. Moreover, angiotensin II type I receptor blockade (ARB) produces clinical and hemodynamic benefits in patients with CHF who are already receiving ACE inhibitors. The therapeutic implications of ACE escape include evaluation of higher- than-standard doses of ACE inhibitors and routine addition of ARB to ACE inhibition in patients with severe CHF. Data are reviewed to demonstrate that ACE escape reflects inadequate ACE dosage rather than a decrease in ACE inhibition occurring with time.

Indexed as

Angiotensin-Converting Enzyme InhibitorsAnimalsAntihypertensive AgentsBenzimidazolesBiphenyl CompoundsDrug Therapy, CombinationEnalaprilHeart FailureHumansRandomized Controlled Trials as TopicTetrazolesVentricular Dysfunction, LeftAngiotensin-Converting Enzyme InhibitorsAntihypertensive AgentsBenzimidazolesBiphenyl CompoundscandesartanEnalaprilTetrazoles

Identifiers

PMID10980901
OpenAlexW2080585081

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.