To the Editor: The Heart Outcomes Prevention Evaluation Studyinvestigators (Jan. 20 issue)1 found that the administrationof ramipril to a population of high-risk patients significantlyreduced the rates of myocardial infarction, stroke, and deathfrom cardiovascular causes. However, the data provided in thisstudy raise questions as to whether angiotensin-convertingenzyme(ACE) inhibitors offer substantive clinical benefits over currenttherapeutic standards.
The authors state that "the benefits of ramipril were observedamong patients who were already taking a number of effectivetreatments, such as aspirin, beta-blockers, and lipid-loweringagents, indicating that the inhibition of angiotensin-convertingenzymeoffers an additional approach to . . . [Full Text of this Article]
References
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