
5.0, or 10.0 mg PO daily. The primary outcome of interest is a
composite end-point of cardiac death or HF hospitalization.
Conclusions
Although our understanding of the genetics and etiology of
HF has improved in the last two decades, the prognosis of
patients diagnosed with HF has not changed appreciably.
Amongst the newly established therapies, SGLT-2 inhibitors
offer the promise of additional medical therapy that can be
applied to a general HF population with moderate to severe
left ventricular systolic dysfunction. Interventional therapies
such as the mitral valve clip and AF ablation may improve
important patient related outcomes; however, their applicability
is limited to highly selected patient populations. None of
these therapies have been strongly recommended by current
practice guidelines, but it is expected that this may change in
their next iteration. The ongoing large-scale studies of OM
and vericiguat outlined above offer the promise of improving
outcomes in patients with HF.
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Canadian Journal of General Internal Medicine
26 Volume 15, Special Issue 1, 2020
Heart Failure Special Issue
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