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Cited by 582

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Comparative Effects of Therapy With Captopril and Digoxin in Patients With Mild to Moderate Heart Failure

Cohn, Jay·1988·JAMA: The Journal of the American Medical Association

Abstract

This multicenter, double-blind, placebo-controlled study compares the effects of captopril treatment with those of digoxin treatment during maintenance diuretic therapy in patients with mild to moderate heart failure. Compared with placebo, captopril therapy resulted in significantly improved exercise time (mean increase, 82 s vs 35 s) and improved New York Heart Association class (41% vs 22%), but digoxin therapy did not. Digoxin treatment increased ejection fraction (4.4% increase) compared with captopril therapy (1.8% increase) and placebo (0.9% increase). The number of ventricular premature beats decreased 45% in the captopril group and increased 4% in the digoxin group in patients with more than ten ventricular premature beats per hour. Treatment failures, increased requirements for diuretic therapy, and hospitalizations were significantly more frequent in patients receiving placebo compared with those receiving either active drug. Transitory hypotension occurred more frequently with administration of captopril. Captopril treatment is significantly more effective than placebo and is an alternative to digoxin therapy in patients with mild to moderate heart failure who are receiving diuretic maintenance therapy. (JAMA1988;259:539-544)

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Metadata

Authors
Cohn, J.
Venue
JAMA: The Journal of the American Medical Association
Published
1988-01-22
Volume
259
Issue
4
Pages
539
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
OpenAlex
W2098834360
Cited by
582
References
1
FWCI
47.94
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Comparative Effects of Therapy With Captopril and Digoxin in Patients With Mild to Moderate Heart Failure. https://app.cochat.ai/papers/10.1001/jama.1988.03720040031022
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Cohn, J. (1988). Comparative Effects of Therapy With Captopril and Digoxin in Patients With Mild to Moderate Heart Failure. JAMA: The Journal of the American Medical Association. https://doi.org/10.1001/jama.1988.03720040031022

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