Table 1:
Major trials demonstrating mortality benefit with medical therapy in patients with heart failure with reduced ejection fraction (HFrEF)
Medication (Class) | Trial Name | Number of Patients Enrolled | Primary Outcome |
---|---|---|---|
Carvedilol (Beta Blocker) | CAPRICORN | 1,959 | All-cause mortality or hospital admission for cardiovascular problem |
Metoprolol XL (Beta Blocker) | MERIT-HF | 3,991 | All-cause mortality |
Trandolapril (ACE-inhibitor) | TRACE | 1,749 | All-cause mortality |
Captopril (ACE-inhibitor) | SAVE | 2,231 | All-cause mortality, cardiovascular mortality or morbidity |
Ramipril (ACE-inhibitor) | AIRE | 2,006 | All-cause mortality |
Losartan (ARB) | OPTIMAAL | 5,477 | All-cause mortality |
Valsartan (ARB) | VALIANT | 14,703 | All-cause mortality |
Eplerenone (MRA) | EPHESUS | 6,632 | All-cause mortality, cardiovascular mortality, heart failure hospitalizations, acute MI, stroke, or ventricular arrhythmias |
Valsartan-Sacubitril (ARNI) | PARADIGM-HF | 8,442 | Composite death from cardiovascular cases or hospitalizations for heart failure |
ACE-inhibitor = Angiotensin Converting Enzyme Inhibitor; ARB = Angiotensin Receptor Blocker; MRA = Mineralocorticoid Receptor Antagonists; ARNI = Angiotensin Receptor Neprilysin Inhibitor