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Volume 351:526-528 August 5, 2004 Number 6
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Treatment of Heart Failure with Spironolactone — Trial and Tribulations
John J.V. McMurray, M.D., and Eileen O'Meara, M.D.

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-Related Article
 by Juurlink, D. N.
-PubMed Citation
The application of evidence based on the results of clinical trials is a key aim of modern medical practice. Viewed from that perspective, the findings of Juurlink and colleagues in this issue of the Journal (pages 543–551) could be considered encouraging. The Randomized Aldactone Evaluation Study (RALES) showed that, when added to standard treatment (including an angiotensin-converting–enzyme [ACE] inhibitor), a low dose of the aldosterone antagonist spironolactone reduced the risk of death by 30 percent over an average follow-up period of two years among carefully selected patients with current or recent heart failure of New York Heart Association (NYHA) functional . . . [Full Text of this Article]


Source Information

From the Department of Cardiology, Western Infirmary, Glasgow, Scotland, United Kingdom.


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