St John Sutton M, Pfeffer M A
Department of Cardiology, University of Pennsylvania, Philadelphia, USA.
Cardiologia. 1994 Dec;39(12 Suppl 1):27-30.
Left ventricular remodeling post-infarction occurs in at least a third of patients post-infarction and is associated with diminished survival and an increased incidence of adverse cardiovascular events. This process, which has been well described in recent years, can be largely attenuated with the use of ACE-inhibitors and with it survival improved and adverse events minimized. Since it is currently not possible to identify people at risk from left ventricular remodeling, ACE-inhibitors should be administered to all patients within the first 48 hours of infarction.
