The application of evidence based on the results of clinicaltrials is a key aim of modern medical practice. Viewed fromthat perspective, the findings of Juurlink and colleagues inthis issue of the Journal (pages 543551) could be consideredencouraging. The Randomized Aldactone Evaluation Study (RALES)showed that, when added to standard treatment (including anangiotensin-convertingenzyme [ACE] inhibitor), a lowdose of the aldosterone antagonist spironolactone reduced therisk of death by 30 percent over an average follow-up periodof two years among carefully selected patients with currentor 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.
This article has been cited by other articles:
Desai, A.
(2008). Hyperkalemia Associated With Inhibitors of the Renin-Angiotensin-Aldosterone System: Balancing Risk and Benefit. Circulation
118: 1609-1611
[Full Text]
Desai, A. S., Swedberg, K., McMurray, J. J.V., Granger, C. B., Yusuf, S., Young, J. B., Dunlap, M. E., Solomon, S. D., Hainer, J. W., Olofsson, B., Michelson, E. L., Pfeffer, M. A., on behalf of the CHARM Program Investigators,
(2007). Incidence and Predictors of Hyperkalemia in Patients With Heart Failure: An Analysis of the CHARM Program. J Am Coll Cardiol
50: 1959-1966
[Abstract][Full Text]
Martin, U., Coleman, J. J
(2006). Monitoring renal function in hypertension.. BMJ
333: 896-899
[Full Text]
Koch, E., Otarola, A., Kirschbaum, A.
(2005). A landmark for popperian epidemiology: refutation of the randomised Aldactone evaluation study. J. Epidemiol. Community Health
59: 1000-1006
[Abstract][Full Text]
McMurray, J., Cohen-Solal, A., Dietz, R., Eichhorn, E., Erhardt, L., Hobbs, F.D. R., Krum, H., Maggioni, A., McKelvie, R. S., Pina, I. L., Soler-Soler, J., Swedberg, K.
(2005). Practical recommendations for the use of ACE inhibitors, beta-blockers, aldosterone antagonists and angiotensin receptor blockers in heart failure: Putting guidelines into practice. Eur J Heart Fail
7: 710-721
[Abstract][Full Text]
McDonald, K.
(2005). Current guidelines in the management of chronic heart failure: Practical issues in their application to the community population. Eur J Heart Fail
7: 317-321
[Full Text]
Steinberg, E. P., Luce, B. R.
(2005). Evidence Based? Caveat Emptor!. Health Aff (Millwood)
24: 80-92
[Abstract][Full Text]
(2004). Spironolactone Use in Practice: Risk for Hyperkalemia?. Journal Watch Cardiology
2004: 4-4
[Full Text]
Opie, L. H.
(2004). Cellular Basis for Therapeutic Choices in Heart Failure. Circulation
110: 2559-2561
[Full Text]
(2004). Spironolactone Use in Practice: Risk for Hyperkalemia?. Journal Watch Cardiology
2004: 1-1
[Full Text]