title: [Treatment of chronic refractory cardiac insufficiency with enalapril].
abstract: The objective is here to study the long and intermediate term clinical and haemodynamic effects of enalapril during chronic heart failure resistant to the classic digitalis-diuretics treatment. The study involves 16 patients (12 males and 4 females), with a mean age of 50 years. Before being given enalapril, 12 patients were at stage IV and 4 patients at stage II of the NYHA; the mean capillary pressure was quite elevated (30 +/- 6.3 mmHg), the cardiac index has collapsed (2.12 +/- 0.38 l.min.m2) and the stroke fraction (SF) is 0.28 +/- 0.08. At the 1st month control, there is a definite functional and haemodynamic improvement of the pre-charge as well as the post-charge. This improvement is still present at 6 months. The ventricular function is improved (SF = 0.38 +/- 0.13; p less than 0.001). The clinical tolerance of enalapril is excellent and the only adverse reaction is a transient deterioration of the renal function in a patient with diabetic glomerulopathy.
authors.affiliation: Service des Maladies Cardiovasculaires, Hôpital la Rabta, Tunis.
authors.forename: N
authors.initials: N
authors.lastname: Hannachi
authors.forename: R
authors.initials: R
authors.lastname: Mechmèche
authors.forename: M
authors.initials: M
authors.lastname: Ayari
authors.forename: M
authors.initials: M
authors.lastname: Ben Ismail
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004351:Drug Resistance; D004656:Enalapril / Q000009:adverse effects / Q000627:therapeutic use*; D005260:Female; D006333:Heart Failure / Q000188:drug therapy*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013997:Time Factors
chemical_list: D004656:Enalapril
vernacular_title: Traitement de l'insuffisance cardiaque chronique réfractaire par l'enalapril.