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      Efficacy and Safety of Dapagliflozin in Heart Failure With Reduced Ejection Fraction According to Age: Insights From DAPA-HF

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          Abstract

          The DAPA-HF trial (Dapagliflozin and Prevention of Adverse-Outcomes in Heart Failure) showed that dapagliflozin added to other guideline-recommended therapies reduced the risk of mortality and heart failure hospitalization and improved symptoms in patients with heart failure and reduced ejection fraction. We examined the effects of dapagliflozin according to age, given potential concerns about the efficacy and safety of therapies in the elderly.

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          Most cited references11

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          An update on the clinical consequences of polypharmacy in older adults: a narrative review

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            Semiparametric regression for the mean and rate functions of recurrent events

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              Aliskiren, Enalapril, or Aliskiren and Enalapril in Heart Failure.

              Among patients with chronic heart failure, angiotensin-converting-enzyme (ACE) inhibitors reduce mortality and hospitalization, but the role of a renin inhibitor in such patients is unknown. We compared the ACE inhibitor enalapril with the renin inhibitor aliskiren (to test superiority or at least noninferiority) and with the combination of the two treatments (to test superiority) in patients with heart failure and a reduced ejection fraction.
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                Author and article information

                Journal
                Circulation
                Circulation
                Ovid Technologies (Wolters Kluwer Health)
                0009-7322
                1524-4539
                November 17 2019
                November 17 2019
                Affiliations
                [1 ]Universidad Nacional de Córdoba, Argentina
                [2 ]BHF Cardiovascular Research Centre, University of Glasgow, UK; Cardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy
                [3 ]Instituto do Coracao (InCor), Hospital das Clínicas Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
                [4 ]BHF Cardiovascular Research Centre, University of Glasgow, UK
                [5 ]General Clinical Research Center and Division of Cardiology, Taipei Veterans General Hospital and National Yang-Ming University, Taiwan
                [6 ]Department of Myocardial Disease and Heart Failure, National Medical Research Center of Cardiology of Russia, Moscow
                [7 ]Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA
                [8 ]Section of Endocrinology, Yale School of Medicine, New Haven, CT
                [9 ]Department of Cardiology, Rigshospitalet Copenhagen University Hospital, Denmark
                [10 ]Saint Luke's Mid America Heart Institute, University of Missouri- Kansas City; The George Institute for Global Health, University of New South Wales, Sydney, Australia
                [11 ]Center for Heart Diseases, University Hospital, Wroclaw Medical University, Poland
                [12 ]TIMI Study Group, Brigham and Women's Hospital, Boston, MA
                [13 ]Department of Biostatistics and Medical Informatics, University of Wisconsin, Madison
                [14 ]Late Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Warsaw, Poland
                [15 ]Late Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden
                Article
                10.1161/CIRCULATIONAHA.119.044133
                31736328
                4eede844-3a9d-4e34-9e0c-ebc5e3057d3f
                © 2019
                History

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