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Should there be a role for sacubitril-valsartan in the management of patients with heart failure with preserved ejection fraction?

PARAGON HF trial
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Would you consider adding sacubitril-valsartan to the medication regimens of patients with heart failure with preserved ejection fraction?

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1 Answer
Mednet Member
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Cardiology · NYU Langone Health
Answered on

When it comes to HFpEF, we don't have a lot of effective therapies in our armamentarium. SGLT2 inhibitors have known cardiovascular benefits and were shown primarily to reduce hospitalization in EMPEROR-Preserved and DELIVER. Arguably, spironolactone can be included here despite a trial (TOPCAT) tha...

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