CHF med substitute.: Enalapril is an ace-i. It leads to vasodilatation and naturesis. Thereby decreasing the the cardiac pressures and work the heart has to do to work. Substitutes are nitrates with diuretic calcium channel blockers. It is contraindicated in bilateral renal stenosis new renal dysfunction and sulfa allergy to some of them.
Answered 4/2/2019
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