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Cited by 258

The DOI matches its Crossref record; 238 of the 238 references it cites were found in a registry or an index.

Highlights in Heart Failure

Open access
Tomasoni, Daniela, Adamo, Marianna, Lombardi, Carlo Mario, Metra, Marco·2019·ESC Heart Failure

Abstract

Heart failure (HF) remains a major cause of mortality, morbidity, and poor quality of life. It is an area of active research. This article is aimed to give an update on recent advances in all aspects of this syndrome. Major changes occurred in drug treatment of HF with reduced ejection fraction (HFrEF). Sacubitril/valsartan is indicated as a substitute to ACEi/ARBs after PARADIGM-HF (hazard ratio [HR], 0.80; 95% confidence interval [CI], 0.73 to 0.87 for sacubitril/valsartan vs. enalapril for the primary endpoint and Wei, Lin and Weissfeld HR 0.79, 95% CI 0.71–0.89 for recurrent events). Its initiation was then shown as safe and potentially useful in recent studies in patients hospitalized for acute HF. More recently, dapagliflozin and prevention of adverse-outcomes in DAPA-HF trial showed the beneficial effects of the sodium–glucose transporter type 2 inhibitor dapaglifozin vs. placebo, added to optimal standard therapy [HR, 0.74; 95% CI, 0.65 to 0.85;0.74; 95% CI, 0.65 to 0.85 for the primary endpoint]. Trials with other SGLT 2 inhibitors and in other patients, such as those with HF with preserved ejection fraction (HFpEF) or with recent decompensation, are ongoing. Multiple studies showed the unfavourable prognostic significance of abnormalities in serum potassium levels. Potassium lowering agents may allow initiation and titration of mineralocorticoid antagonists in a larger proportion of patients. Meta-analyses suggest better outcomes with ferric carboxymaltose in patients with iron deficiency. Drugs effective in HFrEF may be useful also in HF with mid-range ejection fraction. Better diagnosis and phenotype characterization seem warranted in HF with preserved ejection fraction. These and other burning aspects of HF research are summarized and reviewed in this article.

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Metadata

Authors
Tomasoni, D., Adamo, M., Lombardi, C. M., & Metra, M.
Venue
ESC Heart Failure
Published
2019-12-01
Volume
6
Issue
6
Pages
1105-1127
ISSN
2055-5822 (ISSN-L)
OpenAlex
W3003995118
Cited by
258
References
238
FWCI
15.00
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Highlights in Heart Failure. https://app.cochat.ai/papers/10.1002/ehf2.12555
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Tomasoni, D., Adamo, M., Lombardi, C. M., & Metra, M. (2019). Highlights in Heart Failure. ESC Heart Failure. https://doi.org/10.1002/ehf2.12555

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