Congestive heart failure and converting enzyme inhibition: failure of current prognostic criteria for predicting subsequent renal insufficiency. Issue 786 (April 1991)

• Record Type: Journal Article
• Authors: Odum, J.; Carson, P.; Russell, G.
• Is Part Of: Postgraduate medical journal. Volume 67:Issue 786(1991)
• Page Start: 354
• Page End: 357
• Publication Date: 1991-04
• Subjects: Medicine -- Periodicals; 610
• DOI: 10.1136/pgmj.67.786.354
• Languages: English
• ISSNs: 0032-5473

Abstract

Abstract : Angiotensin-1-converting enzyme inhibitors have an effective and established role in the treatment of patients with congestive heart failure. However, a small number of such patients will subsequently develop renal insufficiency. These patients may be identified prior to, or shortly after, commencement of therapy by recognized criteria. This report describes 4 patients with congestive heart failure who developed severe renal insufficiency secondary to either enalapril or captopril therapy in the absence of any currently recognized predisposing factors. One patient died.