Combination of Isosorbide Dinitrate and Hydralazine in Blacks with Heart Failure

This clinical trial, in which the study group was made up of black patients with heart failure, showed that the combination of isosorbide dinitrate and hydralazine significantly improves survival when added to standard therapy for heart failure. In this clinical trial of black patients with heart fa...

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Veröffentlicht in:The New England journal of medicine 2004-11, Vol.351 (20), p.2049-2057
Hauptverfasser: Taylor, Malcolm, Taylor, Anne L, Ziesche, Susan, Yancy, Clyde, Carson, Peter, D'Agostino, Ralph, Ferdinand, Keith, Adams, Kirkwood, Sabolinski, Michael, Worcel, Manuel, Cohn, Jay N
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container_end_page 2057
container_issue 20
container_start_page 2049
container_title The New England journal of medicine
container_volume 351
creator Taylor, Malcolm
Taylor, Anne L
Ziesche, Susan
Yancy, Clyde
Carson, Peter
D'Agostino, Ralph
Ferdinand, Keith
Adams, Kirkwood
Sabolinski, Michael
Worcel, Manuel
Cohn, Jay N
description This clinical trial, in which the study group was made up of black patients with heart failure, showed that the combination of isosorbide dinitrate and hydralazine significantly improves survival when added to standard therapy for heart failure. In this clinical trial of black patients with heart failure, the combination of isosorbide dinitrate and hydralazine significantly improved survival when added to standard therapy. Neurohormonal inhibitors alone or in combination slow the progression of left ventricular dysfunction, retarding the structural remodeling of the left ventricle that characterizes chronic heart failure and reducing the rates of death and complications among patients with heart failure. 1 – 10 Endothelial dysfunction, impaired bioavailability of nitric oxide, and increased oxidant stress also occur in patients with congestive heart failure and contribute to the remodeling process in experimental and clinical models of heart failure. 11 – 27 Augmentation of nitric oxide may therefore be an alternative or supplemental approach to slow or reverse progressive heart failure. The first Vasodilator Heart Failure Trial (V-HeFT . . .
doi_str_mv 10.1056/NEJMoa042934
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subjects Adult
African Americans
African Continental Ancestry Group
Aged
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular disease
Clinical trials
Double-Blind Method
Drug Combinations
Drug therapy
Drug Therapy, Combination
Female
General aspects
Heart
Heart Failure - drug therapy
Heart Failure - ethnology
Heart Failure - mortality
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Humans
Hydralazine - adverse effects
Hydralazine - therapeutic use
Isosorbide Dinitrate - adverse effects
Isosorbide Dinitrate - therapeutic use
Male
Medical sciences
Middle Aged
Nitric Oxide Donors - adverse effects
Nitric Oxide Donors - therapeutic use
Quality of Life
Survival Analysis
Treatment Outcome
Vasodilator Agents - adverse effects
Vasodilator Agents - therapeutic use
title Combination of Isosorbide Dinitrate and Hydralazine in Blacks with Heart Failure
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