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Correspondence
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Volume 336:1023-1024 April 3, 1997 Number 14
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Amlodipine in Chronic Heart Failure

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 by Packer, M.
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To the Editor: When the findings of a clinical trial are diametrically the opposite of those anticipated, a reevaluation of the original premises of the study is appropriate. Packer et al. (Oct. 10 issue)1 reported that amlodipine reduced mortality in a subgroup of patients with "nonischemic dilated cardiomyopathy." No satisfactory explanation was provided for this unexpected result.

The use of the phrase "nonischemic dilated cardiomyopathy" suggests that the investigators considered that condition to be almost synonymous with idiopathic dilated cardiomyopathy, in which the coronary angiogram is normal. The proportion of patients in the trial classified as having "nonischemic dilated cardiomyopathy" . . . [Full Text of this Article]

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