Table 1.
Author, Year | Follow‐up (Months) | Intervention Group | Control Group | Clinical Characteristics | Ejection Fraction | Patients Treatment/Control (% Women) | Mean Age, Years (SD) |
---|---|---|---|---|---|---|---|
Sato 200220 | 15 months |
Spironolactone 25 mg/day+ACE inhibitor |
ACE inhibitor only | Essential Hypertension, LVH | >50% | 10/10 (45%) | 53 |
Grandi 200224 | 6 months |
Canerenone 50 mg/day+ACE inhibitor |
ACE inhibitor only | Essential HTN, LVH and LVDD | Normal | 17/17 (38%) | 56 |
Roonsitrong 200521 | 4 months |
Spironolactone 25 mg/day |
Placebo | Mild diastolic dysfunction | >50% | 15/15 (78%) | 71 |
Kosmala 201122 | 6 months |
Spironolactone 25 mg/day |
Placebo | Metabolic syndrome | >50% | 40/39 (54%) | 59 |
Kosmala 201323 | 6 months |
Spironolactone 25 mg/day |
Placebo | BMI >30+diastolic dysfunction | >50% | 58/55 (62%) | 58 |
Mottram 200426 | 6 months |
Spironolactone 25 mg/day |
Placebo | Hypertension, diastolic heart failure (NYHA class II) | >50% | 15/15 (63%) | 62 |
Liu 200629 | 6 months |
Spironolactone Mean dose: 47 mg/day |
Usual care | Diastolic heart failure (NYHA class II/III) | >50% | 40/38 (80%) | NA |
Mak 200927 | 12 months |
Eplerenone 25 to 50 mg/daily |
Usual care | HFPEF+evidence of diastolic dysfunction | >45% | 24/20 (54%) | 80 |
Deswal 201125 | 6 months |
Eplerenone 25 to 50 mg/daily |
Placebo | HFPEF (NYHA class II/III) | >50% | 21/23 (7%) | 70 |
Edlemann 201328 | 12 months |
Spironolactone 25 mg/day |
Placebo | HFPEF (NYHA class II/III) | >50% | 213/209 (52%) | 67 |
Kurrelmeyer 201430 | 6 months |
Spironolactone 25 mg/day |
Placebo | HFPEF (NYHA class II/III) | >50% | 24/24 (100%) | 71 |
ACE indicates angiotensin‐converting enzyme; BMI, body mass index; HFPEF, heart failure with preserved ejection fraction; HTN, hypertension; LVDD, left ventricular diastolic dysfunction; LVH, left ventricular hypertrophy; NA, not available; NYHA, New York Heart Association.