Val-HeFT and angiotensin-receptor blockers in perspective: A tale of the blind man and the elephant

Autor: Marvin A. Konstam, Tognoni G, Cohn Jn
Rok vydání: 2002
Předmět:
Zdroj: Journal of Cardiac Failure. 8:56-58
ISSN: 1071-9164
DOI: 10.1054/jcaf.2002.32950
Popis: EDITOR SUMMARY Background: The role of angiotensin-receptor blockers (ARBs) in the therapy of chronic heart failure (CHF) has not been clarified. There are no large placebo-controlled trials with these agents. The second Evaluation of Losartan in the Elderly trial (ELITE-II) compared the ARB losartan with captopril in 3,152 patients ≥60 years old with New York Heart Association (NYHA) class II-IV and left ventricular ejection fraction ≤40% and did not establish the efficacy of the ARB or its equivalent to angiotensin-converting enzyme inhibitor. The Valsartan Heart Failure Trial was designed to determine whether addition of valsartan improved the outcomes of patients receiving standard therapy for heart failure, which in most cases included an ACE inhibitor. Methods and Results: A total of 5,010 patients with NYHA class II-IV CHF and ejection fraction
Databáze: OpenAIRE