1 Captopril was evaluated as an adjuvant to diuretic and digoxin therapy in heart failure in old age, using walking ability, minute ventilation and oxygen consumption and plasma atrial natriuretic factor (ANF) (6) years, and the increase on exercise, seen in the controls (P < 0.01), was absent. In the patients the resting plasma ANF concentration was significantly affected by treatment (P = 0.03), being less on both AP, 245 (9), and AA, 214 (9) than on PP, 264 (10) pmol 1-1 (P = 0.02 and 0.03, respectively).7 Baseline serum ACE activity was induced on active treatment. The change in ACE activity at 3 h post an active dose was significantly greater on AP than AA (P = 0.005).The increased sensitivity to inhibition during once daily administration was reflected in mean arterial pressure. The pre-dose standing pressure was less on AP than on PP (P < 0.05), and the change in postural fall (pre-dose minus 2 h post), was greater (P = 0.004), but AA and PP were similar in these respects. 8 A linear model, taking account of structure of the study, change in ACE activity and standing blood pressure, showed a significant effect of treatment on distance walked in the SWT (P = 0.04), enhanced the overall effect on resting ANF (P = 0.02), but failed to reveal any effect on the ventilation to oxygen consumption ratio. 9 Putative adverse effects caused withdrawal in 6/26 patients in the pre-trial period,