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Coronary artery disease

Use of ACE inhibitors in stable CAD—what is the truth?

The statement from the REACH investigators that angiotensin-converting-enzyme (ACE) inhibitors are not associated with improved outcome in stable coronary artery disease should be interpreted with caution to avoid generating confusion or depriving patients of preventative therapy. Such observational data do not enable definitive conclusions to be drawn on treatment efficacy.

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Figure 1: Beneficial effects of ACE inhibitors beyond blood-pressure reduction.

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Correspondence to Roberto Ferrari.

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Competing interests

The author has received research grants from Boehringer Ingelheim, Irbtech, Novartis, and Servier; speakers' bureau fees from Boehringer Ingelheim and Servier; and consultancy fees (advisory board) from Bayer, Boehringer Ingelheim, Novartis, and Servier.

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Ferrari, R. Use of ACE inhibitors in stable CAD—what is the truth?. Nat Rev Cardiol 11, 315–316 (2014). https://doi.org/10.1038/nrcardio.2014.56

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