Which condition is NOT an indication for using Ramipril?

Ramipril is primarily an angiotensin-converting enzyme (ACE) inhibitor that is used for several cardiovascular and renal conditions. The indications for Ramipril include managing high blood pressure (hypertension), treating heart failure, and reducing the risk of complications from cardiovascular events like myocardial infarction.

While Ramipril can be beneficial for patients with chronic kidney disease (CKD), especially in terms of controlling blood pressure and providing renal protection in certain situations, it is not considered a direct indication for its use. In many cases, managing CKD involves controlling blood pressure and using medications that lower proteinuria rather than solely utilizing ACE inhibitors as a frontline treatment. Therefore, it is not specifically indicated just for CKD without the presence of other conditions such as hypertension or heart failure.

In contrast, the other options directly align with established therapeutic uses for Ramipril, making them strong indications for its use.