4.7 Editorial Material

Targeting sacubitril/valsartan for heart failure with mildly reduced or preserved ejection fraction

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Article Cardiac & Cardiovascular Systems

Sacubitril/valsartan in heart failure with mildly reduced or preserved ejection fraction: a pre-specified participant-level pooled analysis of PARAGLIDE-HF and PARAGON-HF

Muthiah Vaduganathan et al.

Summary: Pooled analyses of PARAGLIDE-HF and PARAGON-HF demonstrate that sacubitril/valsartan can significantly reduce the risk of heart failure exacerbation and cardiovascular and renal events in patients with heart failure. These data support the use of sacubitril/valsartan in patients with heart failure, particularly those with mildly reduced or preserved ejection fraction.

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Summary: This study examines the differences in heart failure (HF) etiology, treatment, and outcomes between countries with different levels of economic development. The findings highlight the importance of understanding these differences in order to improve HF prevention and treatment globally.

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Angiotensin-Neprilysin Inhibition in Patients With Mildly Reduced or Preserved Ejection Fraction and Worsening Heart Failure

Robert J. Mentz et al.

Summary: In patients with EF >40% stabilized after a WHF event, sacubitril/valsartan led to a greater reduction in plasma NT-proBNP levels and was associated with clinical benefit compared with valsartan alone, despite an increased occurrence of symptomatic hypotension.

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Summary: This article provides an overview of the 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure, including its aim, methods, and structure.

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S. D. Solomon et al.

Summary: The study shows that SGLT2 inhibitors are effective in reducing the risk of hospitalization for heart failure and cardiovascular death among patients with chronic heart failure and a left ventricular ejection fraction of 40% or less. However, whether they are effective in patients with a higher left ventricular ejection fraction remains uncertain.

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Contextualizing Risk Among Patients With Heart Failure

Stephen J. Greene et al.

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In-Hospital Initiation of Sodium-Glucose Cotransporter-2 Inhibitors for Heart Failure With Reduced Ejection Fraction

Vishal N. Rao et al.

Summary: SGLT-2 inhibitor therapy is well suited for initiation during heart failure hospitalization, with rapid clinical benefits and minimal risk. Delaying initiation to the outpatient setting may increase early postdischarge risks.

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Summary: Empagliflozin reduces the risk of cardiovascular death or hospitalization for heart failure in patients with heart failure and a preserved ejection fraction, regardless of the presence or absence of diabetes.

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Angiotensin-Neprilysin Inhibition in Heart Failure with Preserved Ejection Fraction

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NEW ENGLAND JOURNAL OF MEDICINE (2019)

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Spironolactone for Heart Failure with Preserved Ejection Fraction

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