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Spironolactone for heart failure - Diegori.it

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<strong>Spironolactone</strong> <strong>for</strong> <strong>heart</strong> <strong>failure</strong>13/06/2011 17:04in the placebo group). Were the differences in mortal<strong>it</strong>y and hosp<strong>it</strong>alization maintained aftercontrolling <strong>for</strong> NYHA class?. Thanks <strong>for</strong> your answer.J. Ena MD (Alicante. Spain)As you note, about one quarter of patients dropped out during the course of the study.The authors do not detail the reasons <strong>for</strong> dropping out, other than to say <strong>it</strong> was "becauseof a lack of response, because of adverse events, or <strong>for</strong> administrative reasons". Thesepatients were included in the analysis of the results.Although there were slightly more patients in severe CHF in the placebo group, thereduction in mortal<strong>it</strong>y was almost identical when subgroups according to NYHA classwere looked at. -- mjJanuary 24, 2000Letters to the Ed<strong>it</strong>or about this article, from the January 13 New England Journal of Medicine.Topics covered include:Was conventional therapy maximized?Danger of hyperkalemia in diabeticsDanger of hyperkalemia in the geriatric populationRole of the beta-adrenergic systemSubm<strong>it</strong> a commentJournal Club homepagehttp://www.journalclub.org/vol2/a72.htmlPage 8 of 8

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