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December 6, 2022Journal of Cardiovascular Medicine and CardiologyOpen Access

Heart Failure (HF): Recent innovations in clinical therapy and critical profiles of acute and chronic forms

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Why the study?

The authors aimed to expand the treatment indications in the 2021 ESC guidelines with subsequent findings to improve clinical understanding and inform future guideline editions.

Population

46 selected clinical trials and randomized controlled trials

Design

Systematic literature review

Key result

Recent ESC 2021 guidelines and new clinical studies highlight the efficacy of novel therapies like SGLT2 inhibitors and ARNI, as well as the importance of early risk prediction using biomarkers in managing acute and chronic heart failure.

Authors

PGPerrotta Giulio

Discussion

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Overview

Supports integration of SGLT2 inhibitors, ARNI, and biomarkers into heart failure care; extends ESC 2021 guidelines with updated trial evidence.

Study Design

Type

Systematic Review

Structured PICO

P
Population
Patients with acute and chronic heart failure (systematic review of 46 clinical trials and randomized controlled trials)
I
Intervention
Recent innovations in clinical therapy including dapagliflozin, empagliflozin, sacubitril/valsartan, vericiguat, and biomarker-guided risk prediction (NT-proBNP, cTn)

This systematic review summarizes recent clinical trial evidence to expand upon the ESC 2021 heart failure guidelines, emphasizing the integration of SGLT2 inhibitors, vericiguat, and novel biomarkers into clinical practice.

Limitations

  • Limited size of the population sample selected in some included studies
  • Conflict of interest determined by the fact that some research is funded by the same pharmaceutical company producing the drug used
  • limited size of the population sample selected in the reviewed studies
  • conflict of interest determined by the fact that some research is funded by the same pharmaceutical company producing the drug used

Cite This Study

Perrotta Giulio (2022) conducted a systematic review in Heart Failure. Recent innovations in clinical therapy (e.g., SGLT2 inhibitors, ARNI, biomarkers) was evaluated. Recent ESC 2021 guidelines and new clinical studies highlight the efficacy of novel therapies like SGLT2 inhibitors and ARNI, as well as the importance of early risk prediction using biomarkers in managing acute and chronic heart failure.

synapsesocial.com/papers/6a20a153e307124fcfcd336fhttps://doi.org/10.17352/2455-2976.000188
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Also Consider

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

  1. 1A study of the sequential treatment of acute heart failure with sacubitril/valsartan by recombinant human brain natriuretic peptide2021 · 14 citations
  2. 2Efficacy and Safety of Sacubitril/Valsartan in High-Risk Patients in the PIONEER-HF Trial2021 · 58 citations
  3. 3“She knows me best”: a qualitative study of patient and caregiver views on the role of the primary care physician follow-up post-hospital discharge in individuals admitted with chronic obstructive pulmonary disease or congestive heart failure2021 · 35 citations
  4. 4Trial of Intensive Blood-Pressure Control in Older Patients with Hypertension2021 · 777 citations
  5. 5Randomized evaluation of beta blocker and ACE-inhibitor/angiotensin receptor blocker treatment in patients with myocardial infarction with non-obstructive coronary arteries (MINOCA-BAT): Rationale and design2020 · 86 citations