Look for Heart Failure Patients Who May Need an Aldosterone Antagonist
December 2017
Less than HALF of eligible heart failure patients take an aldosterone antagonist (spironolactone, eplerenone).
Think of an ACEI or ARB, beta-blocker, and aldosterone antagonist combo as a "3-legged stool" to reduce mortality in patients with heart failure with reduced ejection fraction (HFrEF) or "hef-ref."
Continue to start with an ACEI or ARB plus an "evidence-based" beta-blocker...metoprolol succinate, carvedilol, or bisoprolol.
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