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Spironolactone for Heart Failure with Preserved Ejection Fraction
by
Heitner, John F
, Desai, Akshay S
, Assmann, Susan F
, O'Meara, Eileen
, Claggett, Brian
, McKinlay, Sonja M
, Probstfield, Jeffrey L
, Fleg, Jerome L
, Pfeffer, Marc A
, Shaburishvili, Tamaz
, Harty, Brian
, Kenwood, Christopher T
, Shah, Sanjiv J
, Yang, Song
, Clausell, Nadine
, Anand, Inder S
, Solomon, Scott D
, Boineau, Robin
, Gordeev, Ivan
, Pitt, Bertram
, Lewis, Eldrin F
, Diaz, Rafael
, Sweitzer, Nancy K
in
Aged
/ Aged, 80 and over
/ Cardiovascular Diseases - mortality
/ Clinical outcomes
/ Creatinine
/ Dialysis
/ Double-Blind Method
/ Drug therapy
/ Ejection fraction
/ Female
/ Follow-Up Studies
/ Heart attacks
/ Heart diseases
/ Heart failure
/ Heart Failure - drug therapy
/ Heart Failure - mortality
/ Heart Failure - physiopathology
/ Hospitalization - statistics & numerical data
/ Humans
/ Hyperkalemia
/ Hypokalemia
/ Incidence
/ Kaplan-Meier Estimate
/ Male
/ Middle Aged
/ Mineralocorticoid Receptor Antagonists - adverse effects
/ Mineralocorticoid Receptor Antagonists - therapeutic use
/ Mortality
/ Patients
/ Spironolactone - adverse effects
/ Spironolactone - therapeutic use
/ Stroke Volume
/ Treatment Failure
/ Ventricle
2014
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Spironolactone for Heart Failure with Preserved Ejection Fraction
by
Heitner, John F
, Desai, Akshay S
, Assmann, Susan F
, O'Meara, Eileen
, Claggett, Brian
, McKinlay, Sonja M
, Probstfield, Jeffrey L
, Fleg, Jerome L
, Pfeffer, Marc A
, Shaburishvili, Tamaz
, Harty, Brian
, Kenwood, Christopher T
, Shah, Sanjiv J
, Yang, Song
, Clausell, Nadine
, Anand, Inder S
, Solomon, Scott D
, Boineau, Robin
, Gordeev, Ivan
, Pitt, Bertram
, Lewis, Eldrin F
, Diaz, Rafael
, Sweitzer, Nancy K
in
Aged
/ Aged, 80 and over
/ Cardiovascular Diseases - mortality
/ Clinical outcomes
/ Creatinine
/ Dialysis
/ Double-Blind Method
/ Drug therapy
/ Ejection fraction
/ Female
/ Follow-Up Studies
/ Heart attacks
/ Heart diseases
/ Heart failure
/ Heart Failure - drug therapy
/ Heart Failure - mortality
/ Heart Failure - physiopathology
/ Hospitalization - statistics & numerical data
/ Humans
/ Hyperkalemia
/ Hypokalemia
/ Incidence
/ Kaplan-Meier Estimate
/ Male
/ Middle Aged
/ Mineralocorticoid Receptor Antagonists - adverse effects
/ Mineralocorticoid Receptor Antagonists - therapeutic use
/ Mortality
/ Patients
/ Spironolactone - adverse effects
/ Spironolactone - therapeutic use
/ Stroke Volume
/ Treatment Failure
/ Ventricle
2014
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Spironolactone for Heart Failure with Preserved Ejection Fraction
by
Heitner, John F
, Desai, Akshay S
, Assmann, Susan F
, O'Meara, Eileen
, Claggett, Brian
, McKinlay, Sonja M
, Probstfield, Jeffrey L
, Fleg, Jerome L
, Pfeffer, Marc A
, Shaburishvili, Tamaz
, Harty, Brian
, Kenwood, Christopher T
, Shah, Sanjiv J
, Yang, Song
, Clausell, Nadine
, Anand, Inder S
, Solomon, Scott D
, Boineau, Robin
, Gordeev, Ivan
, Pitt, Bertram
, Lewis, Eldrin F
, Diaz, Rafael
, Sweitzer, Nancy K
in
Aged
/ Aged, 80 and over
/ Cardiovascular Diseases - mortality
/ Clinical outcomes
/ Creatinine
/ Dialysis
/ Double-Blind Method
/ Drug therapy
/ Ejection fraction
/ Female
/ Follow-Up Studies
/ Heart attacks
/ Heart diseases
/ Heart failure
/ Heart Failure - drug therapy
/ Heart Failure - mortality
/ Heart Failure - physiopathology
/ Hospitalization - statistics & numerical data
/ Humans
/ Hyperkalemia
/ Hypokalemia
/ Incidence
/ Kaplan-Meier Estimate
/ Male
/ Middle Aged
/ Mineralocorticoid Receptor Antagonists - adverse effects
/ Mineralocorticoid Receptor Antagonists - therapeutic use
/ Mortality
/ Patients
/ Spironolactone - adverse effects
/ Spironolactone - therapeutic use
/ Stroke Volume
/ Treatment Failure
/ Ventricle
2014
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Spironolactone for Heart Failure with Preserved Ejection Fraction
Journal Article
Spironolactone for Heart Failure with Preserved Ejection Fraction
2014
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Overview
In this trial, 3445 patients with heart failure and a preserved ejection fraction were assigned to spironolactone or placebo. At a mean of 3.3 years, there was no significant difference in death from cardiovascular causes, aborted cardiac arrest, or hospitalization for heart failure.
Many patients with heart failure have a normal or near-normal left ventricular ejection fraction.
1
–
4
Such patients share common signs and symptoms, as well as an impaired quality of life and a poor prognosis, with patients who have heart failure and a reduced ejection fraction.
5
–
8
However, the benefit of most medical therapies for heart failure is limited to those with a reduced ejection fraction, generally 40% or less.
1
,
2
,
9
The lack of favorable evidence from clinical-outcome trials involving patients with heart failure and a preserved left ventricular ejection fraction is reflected in current guidelines, which offer no specific . . .
Publisher
Massachusetts Medical Society
Subject
/ Cardiovascular Diseases - mortality
/ Dialysis
/ Female
/ Heart Failure - drug therapy
/ Heart Failure - physiopathology
/ Hospitalization - statistics & numerical data
/ Humans
/ Male
/ Mineralocorticoid Receptor Antagonists - adverse effects
/ Mineralocorticoid Receptor Antagonists - therapeutic use
/ Patients
/ Spironolactone - adverse effects
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