Heart Failure with Mid-range Ejection Fraction: Lessons from CHARM
Author(s) -
Lars H. Lund
Publication year - 2018
Publication title -
cardiac failure review
Language(s) - English
Resource type - Journals
eISSN - 2057-7559
pISSN - 2057-7540
DOI - 10.15420/cfr.2018.11.2
Subject(s) - ejection fraction , candesartan , heart failure , medicine , cardiology , observational study , charm (quantum number) , fraction (chemistry) , chemistry , angiotensin ii , physics , nuclear physics , blood pressure , organic chemistry
The newly defined category of heart failure (HF) with mid-range ejection fraction (HFmrEF; EF 40–49 %) is beginning to be characterised but little is known about the potential for treating it. Trials and observational studies suggest that standard therapy for HF with reduced ejection fraction (HFrEF; EF <40 %) may also offer some benefit to patients with EF ≥40 %; however, any difference between its effects on HFmrEF and true HF with preserved ejection fraction (HFpEF) have until now not been explored. This study summarises randomised trial data from the CHARM programme that suggest that candesartan may improve outcomes in HFmrEF
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