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May 7, 2005European Journal of Heart Failure

Patient Perception of the Effect of Treatment with Candesartan in Heart Failure. Results of the Candesartan in Heart failure: Assessment of Reduction in Mortality and morbidity (CHARM) programme

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Key result

Candesartan improved patient perception of symptoms compared to placebo, with more patients reporting improvement (37.7% vs 33.5%) and fewer reporting deterioration (10.8% vs 12.0%; p=0.017).

Why the study?

Does candesartan improve patient perception of symptoms in patients with symptomatic chronic heart failure?

Population

2,498 patients with symptomatic chronic heart failure (CHF) in North America

Comparison

Candesartan added to extensive background therapy vs Placebo added to extensive background therapy

Design

RCT, randomised

Follow-up

up to final visit (assessments at 6, 14, and 26 months)

Authors

EOEileen O’MearaHeart Failure & TransplantELEldrin F. LewisGeneral CardiologyCGC. B. GrangerGeneral Cardiology

Discussion

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Implication

Candesartan improves symptom perception in chronic HF; extends RCT evidence to patient-reported outcomes.

Study Design

Type

RCT (n=2,498)

Randomization

randomized

Multicenter

Yes

Structured PICO

Does candesartan improve patient perception of symptoms in patients with symptomatic chronic heart failure?

P
Population
2,498 patients with symptomatic chronic heart failure (CHF) in North America
I
Intervention
Candesartan added to extensive background therapy
C
Comparator
Placebo added to extensive background therapy
O
Outcome
Patient perception of symptoms using the McMaster Overall treatment evaluation (OTE) at the end of the study compared to baselinepatient reported

Main Result

Absolute Event Rate: 37.7% vs 33.5%

p-value: p=0.017

Candesartan significantly improves patient-reported symptom perception compared to placebo in patients with chronic heart failure.

Cite This Study

O’Meara et al. (2005) conducted an RCT in chronic heart failure (CHF) (n=2,498). candesartan vs. placebo was evaluated on McMaster Overall treatment evaluation (OTE) improvement (LVCF analysis) (p=0.017). Candesartan improved patient perception of symptoms compared to placebo, with more patients reporting improvement (37.7% vs 33.5%) and fewer reporting deterioration (10.8% vs 12.0%; p=0.017).

synapsesocial.com/papers/6a0ea5ec25c30b2cc7f9a3e3https://doi.org/10.1016/j.ejheart.2005.01.021

Topics

Heart failureHFrEF treatment
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical Features and Contemporary Management of Patients with Low and Preserved Ejection Fraction Heart Failure: Baseline Characteristics of Patients in the Candesartan in Heart failure—Assessment of Reduction in Mortality and Morbidity (CHARM) Programme2003 · 133 citations
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  4. 4Effect of candesartan on New York Heart Association functional classResults of the Candesartan in Heart failure: Assessment of Reduction in Mortality and morbidity (CHARM) programme2004 · 55 citations
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