Table 1.
Clinical data for 44 patients with heart failure treated with combination of spironolactone plus ACE inhibitors or AT1 receptor blockers
| Patient No | Age (years) | Type 2 diabetes | NYHA class | Spironolactone (mg/d) | ACE inhibitor or AT1 receptor blocker (mg/d) | Potassium (mmol/l)* | Serum creatinine (μmol/l)* | Creatinine clearance (ml/s)*† | Initial treatment | Potassium (mmol/l)‡ | Creatinine (μmol/l)‡ | Creatinine clearance (ml/s)‡ | Outcome |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 87 | Yes | III | 100 | Enalapril (10) | 7.09 | 165 | 0.42 | C | 3.40 | 122 | 0.57 | |
| 2 | 88 | No | III | 50 | Captopril (37.5) | 8.50 | 227 | 0.27 | C | 5.00 | 79 | 0.77 | |
| 3 | 86 | Yes | IV | 100 | Losartan (50) | 8.50 | 161 | 0.55 | HD | 4.80 | Long term HD | ||
| 4 | 88 | Yes | IV | 200 | Ramipril (1.25) | 8.27 | 363 | 0.22 | HD | 4.50 | Long term HD | ||
| 5 | 69 | Yes | III | 100 | Ramipril (5) | 7.80 | 201 | 0.50 | HD | 4.80 | 165 | 0.62 | |
| 6 | 74 | Yes | III | 100 | Benazepril (20) | 9.10 | 138 | 0.63 | HD | 3.60 | 133 | 0.65 | |
| 8 | 79 | Yes | III | 100 | Benazepril (5) | 7.20 | 171 | 0.60 | HD | 5.40 | 152 | 0.67 | |
| 8 | 66 | Yes | IV | 100 | Enalapril (5) | 6.40 | 394 | 0.22 | HD | 4.50 | Long term HD | ||
| 9 | 67 | No | IV | 50 | Enalapril (5) | 8.04 | 447 | 0.25 | HD | 3.94 | Long term HD | ||
| 10 | 66 | Yes | III | 50 | Losartan (50) | 7.96 | 108 | 1.12 | HD | 3.73 | 80 | 1.50 | |
| 11 | 66 | Yes | III | 50 | Losartan (50) | 6.20 | 215 | 0.50 | HD | 4.02 | 133 | 0.80 | |
| 12 | 69 | No | III | 50 | Captopril (50) | 8.00 | 750 | 0.13 | HD | 4.75 | 125 | 0.78 | |
| 13 | 73 | Yes | III | 50 | Losartan (50) | 7.50 | 126 | 0.60 | HD | 5.13 | 98 | 0.78 | |
| 14 | 56 | No | IV | 50 | Captopril (50) | 7.50 | 180 | 0.73 | HD | 4.20 | 145 | 0.90 | |
| 15 | 90 | Yes | III | 50 | Enalapril (10) | 6.30 | 109 | 0.50 | C | 4.49 | 120 | 0.45 | |
| 16 | 50 | Yes | IV | 50 | Enalapril (10) | 7.50 | 594 | 0.27 | HD | 3.80 | 153 | 1.02 | |
| 17 | 78 | Yes | III | 50 | Benazepril (5) | 7.40 | 126 | 0.65 | HD | 5.20 | 88 | 0.92 | |
| 18 | 77 | Yes | III | 50 | Moexipril (10) | 8.40 | 185 | 0.42 | HD | 4.35 | 195 | 0.40 | |
| 19 | 64 | Yes | III | 150 | Enalapril (10) | 6.73 | 231 | 0.37 | HD | 4.22 | 103 | 0.83 | |
| 20 | 88 | Yes | III | 50 | Captopril (50) | 6.80 | 192 | 0.35 | HD | 4.47 | Death | ||
| 21 | 83 | No | II | 100 | Captopril (50) | 7.36 | 462 | 0.18 | HD | 4.49 | 121 | 0.72 | |
| 22 | 75 | Yes | II | 100 | Enalapril (5) | 7.60 | 478 | 0.23 | HD | 4.30 | Death | ||
| 23 | 51 | Yes | III | 50 | Enalapril (5) | 7.32 | 295 | 0.59 | HD | 4.60 | Long term HD | ||
| 24 | 89 | Yes | III | 100 | Captopril (12.5) | 6.04 | 304 | 0.18 | C | 4.50 | 220 | 0.27 | |
| 25 | 76 | Yes | III | 100 | Captopril (150), telmisartan (80) | 8.66 | 358 | 0.23 | HD | 3.73 | 92 | 0.90 | |
| 26 | 81 | Yes | III | 200 | Ramipril (5) | 6.67 | 88 | 1.00 | HD | 4.84 | 109 | 0.80 | |
| 27 | 76 | Yes | II | 50 | Enalapril (10) | 7.40 | 548 | 0.17 | HD | 3.51 | 242 | 0.38 | |
| 28 | 67 | No | III | 25 | Enalapril (20) | 8.05 | 517 | 0.20 | HD | 4.03 | 234 | 0.45 | |
| 29 | 68 | Yes | III | 100 | Enalapril (10) | 8.19 | 288 | 0.43 | HD | 4.83 | 106 | 1.18 | |
| 30 | 70 | Yes | III | 50 | Benazepril (20) | 6.20 | 165 | 0.68 | C | 3.71 | 119 | 0.95 | |
| 31 | 85 | Yes | III | 150 | Captopril (50) | 6.50 | 242 | 0.27 | C | 4.18 | 117 | 0.55 | |
| 32 | 76 | Yes | III | 100 | Captopril (50) | 7.20 | 231 | 0.35 | HD | 4.22 | 105 | 0.78 | |
| 33 | 88 | Yes | III | 50 | Enalapril (10) | 7.80 | 288 | 0.22 | HD | 3.89 | 155 | 0.40 | |
| 34 | 91 | Yes | III | 100 | Captopril (50) | 7.10 | 380 | 0.20 | HD | 4.65 | 180 | 0.42 | |
| 35 | 69 | No | II | 100 | Captopril (50) | 7.60 | 340 | 0.28 | HD | 4.44 | 103 | 0.92 | |
| 36 | 73 | Yes | III | 50 | Enalapril (10) | 6.80 | 195 | 0.59 | HD | 4.50 | 110 | 1.05 | |
| 37 | 81 | No | IV | 50 | Enalapril (10) | 7.80 | 266 | 0.32 | HD | 4.29 | 241 | 0.35 | |
| 38 | 73 | Yes | III | 100 | Captopril (75) | 9.36 | 144 | 0.50 | HD | 4.56 | 97 | 0.75 | |
| 39 | 63 | Yes | II | 150 | Candesartan (16) | 9.65 | 940 | 0.13 | HD | 4.64 | 306 | 0.42 | |
| 40 | 90 | Yes | III | 150 | Enalapril (5) | 7.19 | 156 | 0.32 | C | 4.99 | 89 | 0.57 | |
| 41 | 90 | Yes | III | 100 | Enalapril (5) | 8.74 | 299 | 0.17 | HD | 5.30 | 131 | 0.38 | |
| 42 | 73 | Yes | III | 100 | Enalapril (400 | 8.94 | 288 | 0.25 | HD | 3.45 | Long term HD | ||
| 43 | 83 | Yes | III | 50 | Enalapril (10) | 8.97 | 246 | 0.27 | HD | 3.74 | 168 | 0.38 | |
| 44 | 76 | No | III | 200 | Captopril (150) | 8.75 | 319 | 0.27 | HD | 4.73 | 246 | 0.33 |
NYHA=New York Heart Association; HD-haemodialysis; C=conventional potassium lowering treatment (see text).
On admission.
Calculated by the Cockroft and Gault formula (for SI units).
At last follow up.