Division of Cardiology, Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor.
Xapril is a pseudonym for an ACE inhibitor currently approved by the Food and Drug Administration for use in hypertension but not in chronic heart failure. A pseudonym was chosen rather than the name of the drug to focus attention on the general problem rather than the specific drug.
Received February 28, 1994; revision accepted May 28, 1994.