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Heart failure in 2015

Better results from prevention than from additional treatment

In 2015, success in clinical trials in heart failure was obtained mainly from prevention, whereas treatments showed neutral or even adverse effects. A new glucose-lowering medication prevents development of heart failure. Treating central sleep apnoea might be harmful. In Chagas cardiomyopathy, benznidazole treatment did not affect long-term clinical outcomes.

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Figure 1: Effects of SGLT2 inhibitors.

References

  1. Levy, P. et al. Prevalence and impact of central sleep apnea in heart failure. Sleep Med. Clin. 2, 615–621 (2007).

    Article  Google Scholar 

  2. Cowie, M. R. et al. Adaptive servo-ventilation for central sleep apnea in systolic heart failure. N. Engl. J. Med. 373, 1095–1105 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Zinman, B. et al. Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes. N. Engl. J. Med. 373, 2117–2128 (2015).

    Article  CAS  PubMed  Google Scholar 

  4. Green, J. B. et al. Effect of sitagliptin on cardiovascular outcomes in type 2 diabetes. N. Engl. J. Med. 373, 232–242 (2015).

    Article  CAS  PubMed  Google Scholar 

  5. Pfeffer, M. A. et al. Lixisenatide in patients with type 2 diabetes and acute coronary syndrome. N. Engl. J. Med. 373, 2247–2257 (2015).

    Article  CAS  PubMed  Google Scholar 

  6. SPRINT Research Group. A randomized trial of intensive versus standard blood-pressure control. N. Engl. J. Med. 373, 2103–2116 (2015).

  7. Fabbro, D. L. et al. Trypanocide treatment among adults with chronic Chagas disease living in Santa Fe city (Argentina), over a mean follow-up of 21 years: parasitological, serological and clinical evolution. Rev. Soc. Bras. Med. Trop. 40, 1–10 (2007).

    Article  PubMed  Google Scholar 

  8. Morillo, C. A. et al. Randomized trial of benznidazole for chronic Chagas' cardiomyopathy. N. Engl. J. Med. 373, 1295–1306 (2015).

    Article  CAS  PubMed  Google Scholar 

  9. de Andrade, A. L. et al. Randomised trial of efficacy of benznidazole in treatment of early Trypanosoma cruzi infection. Lancet 348, 1407–1413 (1996).

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Lars Køber.

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The author has received honoraria as a speaker for Novartis and Servier.

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Køber, L. Better results from prevention than from additional treatment. Nat Rev Cardiol 13, 75–77 (2016). https://doi.org/10.1038/nrcardio.2015.205

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