pathology | Benefit (demonstrated or suggested) and harm | | | |
---|
acute myocardial infarction | All results are NS for efficacy | meta-analysis | | Trial | control | p<0.05 | harm | NS |
---|
| vs placebo | | | |
Trial | Treatments | Patients | Method |
---|
GISSI 3, 1994 | lisinopril (5 mg initial dose and then 10 mg daily) for 42 days (n=9435) vs. open control (n=9460) | Acute MI <24h of MI | open Factorial plan Sample size: 9435/9460 Primary endpoint: all cause mortality FU duration: 6 months |
|
atrial fibrillation | All results are NS for efficacy | meta-analysis | | Trial | control | p<0.05 | harm | NS |
---|
GISSI-3 (AF ancillary study), 2003 | vs placebo | | | AF 0.92 [0.83; 1.01] | Van den Burg, 1995 | vs placebo | | | AF recurrence 0.45 [0.13; 1.57] |
Trial | Treatments | Patients | Method |
---|
GISSI-3 (AF ancillary study), 2003 | lisinopril (n=8902) vs. placebo (n=8846) | Post–myocardial infarction | Sample size: 8902/8846 Primary endpoint: FU duration: 0.5 y | Van den Burg, 1995 | lisinopril (n=7) vs. placebo (n=11) | atrial fibrillation, congestive heart failure | double blind Parallel groups Sample size: 7/11 Primary endpoint: FU duration: 84 days |
|
diabetes type 2 | All results are NS for efficacy | meta-analysis | | Trial | control | p<0.05 | harm | NS |
---|
ALLHAT (lisi vs chlor, diabetic subgroup), 2002 | vs chlorthalidone | | | All deaths 0.99 [0.89; 1.10] Stroke 1.06 [0.89; 1.26] Fatal and nonfatal MI 1.03 [0.94; 1.13] Cardiovascular events 1.07 [0.99; 1.15] |
Trial | Treatments | Patients | Method |
---|
ALLHAT (lisi vs chlor, diabetic subgroup), 2002 | lisinopril 10 to 40 mg/d (n=2431) vs. chlorthalidone 12.5 to 25 mg/d (n=4498) | diabetic (subgroup) participants aged 55 years or older with hypertension | double-blind Parallel groups Sample size: 2431/4498 Primary endpoint: fatal CHD or nonfatal MI FU duration: 4.9 y |
|
heart failure | All results are NS for efficacy | meta-analysis | | Trial | control | p<0.05 | harm | NS |
---|
Zwehl, 1990 | vs control | | | all cause death or hospitalisation 0.84 [0.20; 3.43] | Giles, 1990 | vs control | | | all cause death or hospitalisation 0.32 [0.09; 1.10] | Rucinska-c (lisinopril), 1000 | vs control | | | all cause death or hospitalisation 1.07 [0.07; 16.32] | Gilbert, 1993 | vs control | | | all cause death or hospitalisation NaN [NaN; NaN] | | vs control | | | | | vs control | | | |
Trial | Treatments | Patients | Method |
---|
Zwehl, 1990 | (n=183) vs. (n=92) | | Sample size: 183/92 Primary endpoint: FU duration: | Giles, 1990 | (n=130) vs. (n=63) | | Sample size: 130/63 Primary endpoint: FU duration: | Rucinska-c (lisinopril), 1000 | (n=28) vs. (n=30) | | Sample size: 28/30 Primary endpoint: FU duration: | Gilbert, 1993 | lisinopril (n=14) vs. placebo (n=14) | subjects with heart failure | double blind Cross over Sample size: 14/14 Primary endpoint: FU duration: 12 weeks | International Study Group (Lewis), 1989 | lisnopril titrated up to 10mg daily (n=87) vs. placebo (n=43) | patients with congestive heart failure NYHA II-IV | double blind Parallel groups Sample size: 87/43 Primary endpoint: exercise tolerance FU duration: 12 weeks | ATLAS, 1999 | lisinopril low dose 2.5-5 mg daily (n=1596) vs. lisnopril high dose 32.5-35 mg daily (n=1568) | patients with New York Heart Association class II to IV heart failure
and an ejection fraction <=30% | double blind Parallel groups Sample size: 1596/1568 Primary endpoint: all cause mortality FU duration: 39 to 58 months |
|
hypertension | All results are NS for efficacy inferior to diuretics in terms of heart failure in ALLHAT (ACEI vs chlorthalidone), 2002 inferior to diuretics in terms of stroke (fatal & non fatal) in ALLHAT (ACEI vs chlorthalidone), 2002 inferior to diuretics in terms of Major cardiovascular events in ALLHAT (ACEI vs chlorthalidone), 2002 inferior to diuretics in terms of stroke (fatal & non fatal) in ALLHAT (ACEI vs amlodipine), 2002 | meta-analysis | | Trial | control | p<0.05 | harm | NS |
---|
ALLHAT (ACEI vs chlorthalidone), 2002 | vs diuretics | | heart failure 1.19 [1.07; 1.31] stroke (fatal & non fatal) 1.14 [1.02; 1.28] Major cardiovascular events 1.07 [1.03; 1.12] | all cause death 1.00 [0.94; 1.07] coronary heart disease 0.98 [0.91; 1.07] cardiovascular death 1.03 [0.94; 1.14] fatal MI 0.89 [0.73; 1.08] fatal stroke 1.20 [0.95; 1.52] end stage renal disease 1.10 [0.88; 1.37] non cardiovascular death 0.97 [0.88; 1.06] | ALLHAT (ACEI vs amlodipine), 2002 | vs diuretics | heart failure 0.87 [0.78; 0.96] | stroke (fatal & non fatal) 1.21 [1.06; 1.38] | all cause death 1.05 [0.97; 1.12] coronary heart disease 1.00 [0.91; 1.09] cardiovascular death 1.03 [0.92; 1.15] fatal MI 0.93 [0.75; 1.16] fatal stroke 1.27 [0.97; 1.67] Major cardiovascular events 1.03 [0.99; 1.08] end stage renal disease 0.98 [0.76; 1.25] non cardiovascular death 1.08 [0.97; 1.21] | ALLHAT (lisi vs chlor, diabetic subgroup), 2002 | vs diuretics | | | All deaths 0.99 [0.89; 1.10] Stroke 1.06 [0.89; 1.26] Fatal and nonfatal MI 1.03 [0.94; 1.13] Cardiovascular events 1.07 [0.99; 1.15] |
Trial | Treatments | Patients | Method |
---|
ALLHAT (ACEI vs chlorthalidone), 2002 | lisinopril 10 to 40 mg/d (n=9054) vs. chlorthalidone 12.5 to 25 mg/d (n=15255) | participants aged 55 years or older with hypertension and at least 1 other CHD risk factor | Double blind Parallel groups Sample size: 9054/15255 Primary endpoint: fatal CHD or nonfatal myocardial infarction FU duration: 4·9 y | ALLHAT (ACEI vs amlodipine), 2002 | Lisinopril 10 to 40 mg/d (n=9054) vs. amlodipine 2.5 to 10 mg/d (n=9048) | participants aged 55 years or older with hypertension and at least 1 other CHD risk fact | Double blind Parallel groups Sample size: 9054/9048 Primary endpoint: fatal CHD or nonfatal myocardial infarction FU duration: 4.9 y | ALLHAT (lisi vs chlor, diabetic subgroup), 2002 | lisinopril 10 to 40 mg/d (n=2431) vs. chlorthalidone 12.5 to 25 mg/d (n=4498) | diabetic (subgroup) participants aged 55 years or older with hypertension | double-blind Parallel groups Sample size: 2431/4498 Primary endpoint: fatal CHD or nonfatal MI FU duration: 4.9 y |
|