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Predictors of decreased renal function in patients with heart failure during angiotensin-converting enzyme inhibitor therapy: Results from the Studies of Left Ventricular Dysfunction (SOLVD)

American Heart JournalPublished 1 November 1999
Eric L. Knight, Robert J. Glynn, Kevein M. McIntyre, Helen Mogun, Jerry Avorn
Citations165
SJR quartileQ1
SJR score2.04
SNIP1.18

TL;DR

Enalapril use caused a 33% increase in the risk of decreased renal function in patients with CHF, and older age, diuretic therapy, and diabetes were associated with decreases renal function, whereas beta-blocker therapy and higher ejection fraction were renoprotective.

Abstract

Enalapril use caused a 33% increase in the risk of decreased renal function in patients with CHF. Diuretic use and advanced age increased this risk. Diabetes was associated with an increased risk of renal impairment in all patients with CHF, but this risk was reduced in the enalapril group compared with the placebo group. beta-Blocker therapy and higher ejection fraction were renoprotective in all patients regardless of therapy.

Keywords

Medicine