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        Nitrates for the Management of Acute Heart Failure Syndromes, A Systematic Review

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        Nitrates_for_the_Management_AAM.pdf (PDF, 228Kb)
        Author
        Farag, Mohamed
        Shoaib, Ahmad
        Gorog, Diana A
        Attention
        2299/21325
        Abstract
        Intravenous nitrates are widely used in the management of acute heart failure syndrome (AHFS) yet with lack of robust evidence to support their use. We therefore sought to analyze all randomized studies that evaluated the effects of nitrates on clinical outcomes in patients with AHFS. In total, 15 relevant trials comparing nitrates and alternative interventions in 1824 patients were identified. All but 3 were conducted before 1998. No trials demonstrated a beneficial effect on mortality, apart from 1 trial reporting a reduction in mortality, which was related to the time of treatment. Retrospective review suggests that there is a lack of data to draw any firm conclusions concerning the use of nitrates in patients with AHFS. More studies are needed to evaluate the safety and efficacy of these agents in the modern era of guideline-directed use of heart failure therapy.
        Publication date
        2017-01-01
        Published in
        Journal of Cardiovascular Pharmacology and Therapeutics
        Published version
        https://doi.org/10.1177/1074248416644345
        Other links
        http://hdl.handle.net/2299/21325
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