Heart failure guidelines: What's new?

被引:10
作者
Papadimitriou, Lampros [1 ]
Hamo, Carine E. [1 ]
Butler, Javed [1 ]
机构
[1] SUNY Stony Brook, Dept Med, Div Cardiol, Stony Brook, NY 11794 USA
基金
美国国家卫生研究院;
关键词
Valsartan/sacubitril; Ivabradine; Guidelines; Heart failure; INHIBITOR IVABRADINE TRIAL; NEPRILYSIN INHIBITION; EJECTION FRACTION; RANDOMIZED-TRIAL; DOUBLE-BLIND; ENALAPRIL; OMAPATRILAT; SHIFT;
D O I
10.1016/j.tcm.2017.01.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Heart Failure is a global epidemic, affecting approximately 5 million adults in the U.S.A. The cornerstone of contemporary pharmacological therapy targets the over activated renin-angiotensin-aldosterone and sympathetic autonomic systems. The 2016 focused pharmacologic update on the current Heart Failure Guidelines introduces the use of two newly approved regimens valsartan/sacubitril and ivabradine. Over the last two decades, guideline directed medical therapy has accomplished significant improvement in survival rates among heart failure patients; however these novel compounds were reported to exert additional mortality and morbidity benefits, in heart failure subpopulations with reduced ejection fraction.
引用
收藏
页码:316 / 323
页数:8
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