Table 1.
Trials exploring ACE inhibitor dosing regimens in heart failure
| Trial | ACE-I regimens (daily doses) | Major findings |
| NETWORK (n = 1532) | Enalapril 2.5 mg bid vs 5 mg bid vs 10 mg bid | No difference in hospitalizations for heart failure; trend |
| Follow-up: 5.5 months | towards fewer deaths with increasing dose | |
| ATLAS (n = 3164) | Lisinopril 2.5-5 mg od vs 32.5-35 mg od | Trends towards reduced total and CV mortality and |
| Follow-up:46 months | significant reduction in mortality and all-cause | |
| hospitalizations for high-dose lisinopril | ||
| CHIPS (n = 298) | Captopril 25 mg bid vs 50 mg bid | Trend towards reduced hospitalizations for heart failure and |
| Follow-up: 2 years | towards reduced fatal and nonfatal cardiac events for | |
| high-dose captopril | ||
| HEDS (n = 248) | Enalapril 20 mg vs 60 mg | No significant differences in survival, clinical and |
| Follow-up: 12 months | hemodynamic variables |
ACE-I = angiotensin-converting enzyme inhibitor; ATLAS = Assessment of Treatment with Lisinopril and Survival; CHIPS = Captopril in Heat Insufficient Patients Study; HEDS = High Enalapril Dose Study; NETWORK = Network of General Practitioners and Hospital Physicians Involved in the Study of Low versus High Doses of Enalapril in Patients with Heart Failure trial.