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Comprehensive guideline-directed medical therapy strategies on health status outcomes in patients with heart failure: the LAQUA-HF randomised clinical trial.

期刊: Heart (British Cardiac Society) 日期: 2026-05-14 PMID: 42009572 浏览: 37
作者: Shiraishi, Ikemura, Ueda, Kohno, Nakano, Tanaka, Nagatomo, Ikoma, Ono, Numasawa, Sakamoto, Nishikawa, Takei, Hakuno, Nakamaru, Ieda, Urashima, Kohsaka
Shiraishi, Ikemura, Ueda, Kohno, Nakano, Tanaka, Nagatomo, Ikoma, Ono, Numasawa, Sakamoto, Nishikawa, Takei, Hakuno, Nakamaru, Ieda, Urashima, & Kohsaka (2026). Comprehensive guideline-directed medical therapy strategies on health status outcomes in patients with heart failure: the LAQUA-HF randomised clinical trial.. Heart (British Cardiac Society).
Shiraishi, Ikemura, Ueda, Kohno, Nakano, Tanaka, et al. Comprehensive guideline-directed medical therapy strategies on health status outcomes in patients with heart failure: the LAQUA-HF randomised clinical trial.. Heart (British Cardiac Society). 2026; PMID: 42009572
Shiraishi, Ikemura, Ueda, et al. Comprehensive guideline-directed medical therapy strategies on health status outcomes in patients with heart failure: the LAQUA-HF randomised clinical trial.[J]. Heart (British Cardiac Society). 2026.
@article{shiraishi2026,
  author = {Shiraishi and Ikemura and Ueda and Kohno and Nakano and Tanaka and Nagatomo and Ikoma and Ono and Numasawa and Sakamoto and Nishikawa and Takei and Hakuno and Nakamaru and Ieda and Urashima and Kohsaka},
  title = {Comprehensive guideline-directed medical therapy strategies on health status outcomes in patients with heart failure: the LAQUA-HF randomised clinical trial.},
  journal = {Heart (British Cardiac Society)},
  year = {2026},
  note = {PMID: 42009572},
}
TY  - JOUR
AU  - Shiraishi
AU  - Ikemura
AU  - Ueda
AU  - Kohno
AU  - Nakano
AU  - Tanaka
AU  - Nagatomo
AU  - Ikoma
AU  - Ono
AU  - Numasawa
AU  - Sakamoto
AU  - Nishikawa
AU  - Takei
AU  - Hakuno
AU  - Nakamaru
AU  - Ieda
AU  - Urashima
AU  - Kohsaka
TI  - Comprehensive guideline-directed medical therapy strategies on health status outcomes in patients with heart failure: the LAQUA-HF randomised clinical trial.
T2  - Heart (British Cardiac Society)
PY  - 2026
AN  - PMID:42009572
ER  - 

摘要

Introduction of guideline-directed medical therapy (GDMT) has transformed the care of heart failure (HF) with reduced ejection fraction, establishing four foundational drug classes. Yet, in clinical practice, many patients cannot initiate or maintain all four, and clinicians must pragmatically prioritise agents such as angiotensin receptor-neprilysin inhibitor and sodium-glucose cotransporter-2 inhibitor, whose comparative impacts are still explored. Moreover, the optimal loop diuretic to pair with modern GDMT, which enhances natriuresis, remains uncertain.

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