ACE inhibitors can usually be started safely in primary care following exclusion of high risk patients requiring hospitalisation i . Diagnosis and management of heart failure. Top 5.4d . Unexpected finding from a protocol specified secondary endpoint. Further large trials are necessary to confirm these findings and investigate the possibility of a class effect.
Diuretics are an effective symptomatic treatment for acute and chronic heart failure.
Their impact on mortality has not been evaluated i . Diagnosis and management of heart failure. The Digitalis Investigation Group. The effect of digoxin on mortality and morbidity in patients with heat failure. Randomised study of effect of ibopamine on survival in patients with advanced severe heart failure.