В работе проведен анализ применения ангиотензинпревращающего фермента (ИАПФ) у больных после перенесенного инфаркта миокарда (ИМ). Представлены данные контролируемых исследований, показывающих обоснованность применения ИАПФ для улучшения прогноза больных. Сделан вывод о том, что неназначение врачом ИАПФ больным после ИМ с явной или бессимптомной дисфункцией левого желудочка, а также больным сахарным диабетом (при отсутствии противопоказаний) является неоправданным.
The paper analyzes the use of angiotensin-converting enzyme (ACE) inhibitors in patients after prior myocardial infarction. It presents the data of controlled studies, which indicate that it is warranted to use ACE inhibitors to improve prognosis in patients. It is concluded that it is unreasonable for a physician not to prescribe ACE inhibitors to post-myocardial infarction patients with obvious or asymptomatic left ventricular dysfunction and to diabetic patients (if no contraindications).
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