North of England evidence based development project: guideline for angiotensin converting enzyme inhibitors in primary care management of adults with symptomatic heart failure
Why the study?
Does angiotensin converting enzyme inhibitor therapy improve outcomes in adults with symptomatic heart failure in primary care?
Population
Adults with symptomatic heart failure and evidence of impaired left ventricular function, or recent…
Design
Guideline
Authors
Discussion
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Member takes
Overview
Supports ACE inhibitor initiation in primary care for symptomatic HF with impaired LV function; confirms RCT benefits in Level 1 guidelines.
Structured PICO
Does angiotensin converting enzyme inhibitor therapy improve outcomes in adults with symptomatic heart failure in primary care?
P
Population
Adults with symptomatic heart failure and evidence of impaired left ventricular function, or recent myocardial infarction with impaired left ventricular function, attending general practice.
I
Intervention
Angiotensin converting enzyme (ACE) inhibitors
This guideline recommends that all adult patients with symptomatic heart failure and impaired left ventricular function should be prescribed an ACE inhibitor in primary care.
Cite This Study
Freemantle et al. (1998) studied this question.