Common causes of heart failure include coronary heart disease and high blood pressure.. ACE inhibitors not needed for many heart disease patients Many cardiovascular disease patients who already are receiving state-of-the-art therapy usually do not benefit from extra treatment with angiotensin converting enzyme inhibitors, according to outcomes of a new study funded by the National Center, Lung, and Blood Institute . The study supplies the most definitive proof to day of the effect of the drug in stable cardiovascular disease patients whose heart function was been shown to be at normal or near-normal levels, and whose heart disease was good managed already.Particularly, these patients with possibly aggressive prostate cancer should be actively treated and closely monitored in contrast to men with much less aggressive prostate tumor who may properly choose ‘watchful waiting,’ especially if they elderly are, the researchers state. Sorting out the few intense prostate tumors from the countless that are indolent is usually a problem that has plagued the treatment of prostate cancer, said Marja Nevalainen, M.D., Ph.D., assistant professor in the Division of Oncology at Lombardi In depth Cancer Center and principal investigator of the study. ‘Most patients identified as having prostate tumor have slow-developing tumors that don’t need intense therapy, but doctors do not have a real way to recognize the few men whose tumor is potentially dangerous.