A…IHD
All SIHD Pts/ NSTEMI/STEMI.
1.Pts with EF <_ 40%. ( Class l )
2.Pts with HTN. ( Class l )
3.Pts with DM… ( Class l )
4 Pts with stable CKD… ( Class l )
5.Pts with other vascular disease ( Class lla)
6.All Anterior wall STEMI Pts ( Class l )
7.All pts with STEMI ( Class lla )
B…HF due to any aetiology…
All pts with EF <_ 40%… ( Class l )
#Contraindications;
1.Hypotension,Shock
2.Renal failure,
3.Bilateral Renal Artery Stenosis
4.History of worsening of renal function with ACE inhibitor/ARB exposure
5.Drug allergy
6.Prgnancy