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.
This is a preview of subscription content, access via your institution
Relevant articles
Open Access articles citing this article.
-
Stable but Progressive Nature of Heart Failure: Considerations for Primary Care Physicians
American Journal of Cardiovascular Drugs Open Access 14 May 2018
Access options
Subscribe to this journal
Receive 12 print issues and online access
$189.00 per year
only $15.75 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to the full article PDF.
USD 39.95
Prices may be subject to local taxes which are calculated during checkout

References
Levy, P. et al. Prevalence and impact of central sleep apnea in heart failure. Sleep Med. Clin. 2, 615–621 (2007).
Cowie, M. R. et al. Adaptive servo-ventilation for central sleep apnea in systolic heart failure. N. Engl. J. Med. 373, 1095–1105 (2015).
Zinman, B. et al. Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes. N. Engl. J. Med. 373, 2117–2128 (2015).
Green, J. B. et al. Effect of sitagliptin on cardiovascular outcomes in type 2 diabetes. N. Engl. J. Med. 373, 232–242 (2015).
Pfeffer, M. A. et al. Lixisenatide in patients with type 2 diabetes and acute coronary syndrome. N. Engl. J. Med. 373, 2247–2257 (2015).
SPRINT Research Group. A randomized trial of intensive versus standard blood-pressure control. N. Engl. J. Med. 373, 2103–2116 (2015).
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).
Morillo, C. A. et al. Randomized trial of benznidazole for chronic Chagas' cardiomyopathy. N. Engl. J. Med. 373, 1295–1306 (2015).
de Andrade, A. L. et al. Randomised trial of efficacy of benznidazole in treatment of early Trypanosoma cruzi infection. Lancet 348, 1407–1413 (1996).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The author has received honoraria as a speaker for Novartis and Servier.
PowerPoint slides
Rights and permissions
About this article
Cite this article
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
Published:
Issue date:
DOI: https://doi.org/10.1038/nrcardio.2015.205
This article is cited by
-
Stable but Progressive Nature of Heart Failure: Considerations for Primary Care Physicians
American Journal of Cardiovascular Drugs (2018)