7 research outputs found
Effect of aliskiren on post-discharge outcomes among diabetic and non-diabetic patients hospitalized for heart failure: insights from the ASTRONAUT trial
- Author
- Abaci Adnan
- Abaci Adnan
- Abhaichand Rajpal
- Abhaichand Rajpal
- Adams Kirkwood
- Adams Kirkwood
- Akin Mustafa
- Akin Mustafa
- Alvarenga Pablo
- Alvarenga Pablo
- Apro Dezso
- Apro Dezso
- Arneja Jaspal
- Arneja Jaspal
- Aron Wilma
- Aron Wilma
- Babcak Marian
- Babcak Marian
- Babilonia Noe A.
- Babilonia Noe A.
- Badak Ozer
- Badak Ozer
- Banker Darshan
- Banker Darshan
- Barbiero Mario
- Barbiero Mario
- Barnard Denise
- Barnard Denise
- Baschiera Fabio
- Bassan Roberto
- Bassan Roberto
- Behrens Steffen
- Behrens Steffen
- Belohlavek Jan
- Belohlavek Jan
- Bergin James
- Bergin James
- Berkovich Olga
- Berkovich Olga
- Berkowski Piotr
- Berkowski Piotr
- Bharani Anil
- Bharani Anil
- Blumberg Eduardo Salmon
- Blumberg Eduardo Salmon
- Boccanelli Alessandro
- Boccanelli Alessandro
- Bodanese Luiz
- Bodanese Luiz
- Boldueva Svetlana
- Boldueva Svetlana
- Borghi Claudio
- Borghi Claudio
- Boyarkin Mikhail
- Boyarkin Mikhail
- Brabec Tomas
- Brabec Tomas
- Branzi Angelo
- Branzi Angelo
- Braun-Dullaeus Ruediger
- Braun-Dullaeus Ruediger
- Brottman Michael
- Brottman Michael
- Brown Christopher
- Brown Christopher
- Brunotte Richard
- Brunotte Richard
- Bueno Manuel Gomez
- Bueno Manuel Gomez
- Burnham Kenneth
- Burnham Kenneth
- Böhm Michael
- Cabrera Jose Angel
- Cabrera Jose Angel
- Callister Tracy
- Callister Tracy
- Canesin Manoel
- Canesin Manoel
- Cangemi Dott Francesco
- Cangemi Dott Francesco
- Castagnino Jorge
- Castagnino Jorge
- Cavallini Claudio
- Cavallini Claudio
- Chang Kuan-Cheng
- Chang Kuan-Cheng
- Cherng Wen-Jin
- Cherng Wen-Jin
- Chockalingam Kulasekaran
- Chockalingam Kulasekaran
- Chung Eugene
- Chung Eugene
- Cizinsky Stella
- Cizinsky Stella
- Cohen Ariel
- Cohen Ariel
- Comin Josep
- Comin Josep
- Costard-Jaeckle Angelika
- Costard-Jaeckle Angelika
- Cotes Carlos
- Cotes Carlos
- Dan Gheorghe
- Dan Gheorghe
- De Keulenaer Gilles
- De Keulenaer Gilles
- De Lorenzi Ettore
- De Lorenzi Ettore
- de Sa Esteban Lopez
- de Sa Esteban Lopez
- De Santis Fernando
- De Santis Fernando
- De Servi Stefano
- De Servi Stefano
- Dendale Paul
- Dendale Paul
- Di Biase Matteo
- Di Biase Matteo
- Di Somma Salvatore
- Di Somma Salvatore
- Diez Mirta
- Diez Mirta
- Dizeo Claudio
- Dizeo Claudio
- Dluzniewski Miroslaw
- Dluzniewski Miroslaw
- Dorobantu Maria
- Dorobantu Maria
- Dragulescu Stefan
- Dragulescu Stefan
- Duengen Hans-Dirk
- Duengen Hans-Dirk
- Dunlap Stephanie
- Dunlap Stephanie
- Dzielinska Zofia
- Dzielinska Zofia
- Ebelt Henning
- Ebelt Henning
- Ebinc Haksun
- Ebinc Haksun
- Echeverria Luis
- Echeverria Luis
- Eisen Howard
- Eisen Howard
- Ershova Olga
- Ershova Olga
- Felix Stephan
- Felix Stephan
- Fernandez Alberto
- Fernandez Alberto
- Ferrolino Arthur M.
- Ferrolino Arthur M.
- Figulla Hans-Reiner
- Figulla Hans-Reiner
- Fischer Sven
- Fischer Sven
- Floresta Agata
- Floresta Agata
- Florez Noel
- Florez Noel
- Fomin Igor
- Fomin Igor
- Fonarow Gregg C.
- Freire Ramon Bover
- Freire Ramon Bover
- French William
- French William
- Fulmer James
- Fulmer James
- Gadkari Milind
- Gadkari Milind
- Galinier Michel
- Galinier Michel
- Garcia Magali
- Garcia Magali
- Geiss Ernst
- Geiss Ernst
- Gheorghiade Mihai
- Giannetti Nadia
- Giannetti Nadia
- Gimpelewicz Claudio R.
- Goette Andreas
- Goette Andreas
- Goloschekin Boris
- Goloschekin Boris
- Goncalvesova Eva
- Goncalvesova Eva
- Gonzalez Juanatey Jose Ramon
- Gonzalez Juanatey Jose Ramon
- Gordeev Ivan
- Gordeev Ivan
- Gordienko Alexander
- Gordienko Alexander
- Gosse Philippe
- Gosse Philippe
- Graf Kristof
- Graf Kristof
- Graham Susan
- Graham Susan
- Greco Dott Cosimo
- Greco Dott Cosimo
- Greco Oswaldo
- Greco Oswaldo
- Greene Stephen J.
- Gregor Pavel
- Gregor Pavel
- Guerrero Rodolfo Ahuad
- Guerrero Rodolfo Ahuad
- Gunawardena D.R.
- Gunawardena D.R.
- Gupta Vishal
- Gupta Vishal
- Habet Kalim
- Habet Kalim
- Haddad Haissam
- Haddad Haissam
- Hagerman Inger
- Hagerman Inger
- Hamann Frank
- Hamann Frank
- Hambrecht Rainer
- Hambrecht Rainer
- Hasbani Eduardo
- Hasbani Eduardo
- Hazelrigg Monica
- Hazelrigg Monica
- Heilman Karl
- Heilman Karl
- Heitzer Thomas
- Heitzer Thomas
- Hengstenberg Christian
- Hengstenberg Christian
- Henry Philippe
- Henry Philippe
- Herczeg Bela
- Herczeg Bela
- Hiremath Jagdish
- Hiremath Jagdish
- Hoffmann Stefan
- Hoffmann Stefan
- Hojerova Silvia
- Hojerova Silvia
- Hominal Miguel
- Hominal Miguel
- Hoppe Uta
- Hoppe Uta
- Hradec Jaromir
- Hradec Jaromir
- Hua Tsushung A.
- Hutyra Martin
- Hutyra Martin
- Huynh Thao
- Huynh Thao
- Ibañez Julio
- Ibañez Julio
- Isnard Richard
- Isnard Richard
- Izzo Joseph L.
- Izzo Joseph L.
- Jankowski Piotr
- Jankowski Piotr
- Jansky Petr
- Jansky Petr
- Jaramillo MĂłnica
- Jaramillo MĂłnica
- Joseph Susan
- Joseph Susan
- Jourdain Patrick
- Jourdain Patrick
- Juneman Elizabeth
- Juneman Elizabeth
- Kaeaeb Stefan
- Kaeaeb Stefan
- Karpov Yurii
- Karpov Yurii
- Kasperova Viera
- Kasperova Viera
- Katz Amos
- Katz Amos
- Katz Richard
- Katz Richard
- Keren Andre
- Keren Andre
- Kettner Jiri
- Kettner Jiri
- Khan Aziz
- Khan Aziz
- Kislyak Oxana
- Kislyak Oxana
- Kisters Klaus
- Kisters Klaus
- Klapholz Marc
- Klapholz Marc
- Kleinrok Andrzej
- Kleinrok Andrzej
- Knebel Fabian
- Knebel Fabian
- Kornacewicz-Jac Zdzislawa
- Kornacewicz-Jac Zdzislawa
- Kostenko Victor
- Kostenko Victor
- Kovar Frantisek
- Kovar Frantisek
- Krauze-Wielicka Magdalena
- Krauze-Wielicka Magdalena
- Kruells-Muench Juergen
- Kruells-Muench Juergen
- Kuchmin Alexey
- Kuchmin Alexey
- Kumbla Makund
- Kumbla Makund
- Kuo Chi-Tai
- Kuo Chi-Tai
- Kuo Jen-Yuan
- Kuo Jen-Yuan
- Kycina Peter
- Kycina Peter
- Lai Wen-Ter
- Lai Wen-Ter
- Lama Manuel Geraldia
- Lama Manuel Geraldia
- Le Tan Ju
- Le Tan Ju
- Lembo Giuseppe
- Lembo Giuseppe
- Lesogor Anastasia
- Leutermann-Oei Marie-Louise
- Leutermann-Oei Marie-Louise
- Lewis Basil
- Lewis Basil
- Lewis Eldrin F.
- Lippolis Nicholas
- Lippolis Nicholas
- Livarek Bernard
- Livarek Bernard
- Lopez Alejandro
- Lopez Alejandro
- Lopez MĂłnica
- Lopez MĂłnica
- Lueders Stephan
- Lueders Stephan
- Luna Alejandra
- Luna Alejandra
- Lundbye Justin
- Lundbye Justin
- Lupkovics Geza
- Lupkovics Geza
- Luquez Hugo
- Luquez Hugo
- Maggioni Aldo P.
- Mahajan Vijay
- Mahajan Vijay
- Maniyal Vijayakukmar
- Maniyal Vijayakukmar
- Manlutac Benjamin
- Manlutac Benjamin
- Marechal Patrick
- Marechal Patrick
- Marino Roberto Luis
- Marino Roberto Luis
- Marmor Alon
- Marmor Alon
- Marquez Lilia Lobo
- Marquez Lilia Lobo
- Martsevich Sergey
- Martsevich Sergey
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- Masini Dott Franco
- Mathur Atul
- Mathur Atul
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- Matoltsy Andras
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- Mazurek Walentyna
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- Mendoza Fernan
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- Metra Marco
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- Meymandi Sheba
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- Milesi Rodolfo
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- Militaru Constantin
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- Miriuka Santiago
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- Mitrovic Veselin
- Mody Freny
- Mody Freny
- Moe Gordon
- Moe Gordon
- Moiseev Valentin
- Moiseev Valentin
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- Monhart Zdenek
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- Mortara Andrea
- Murali Srinivas
- Murali Srinivas
- Muth Gerhard
- Muth Gerhard
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- Najjar Samer
- Nanjappa Manjunath
- Nanjappa Manjunath
- Neuder Yannick
- Neuder Yannick
- Neuenschwande Fernando
- Neuenschwande Fernando
- Nienaber Christoph
- Nienaber Christoph
- Nikolaidis Lazaros
- Nikolaidis Lazaros
- Novikova Nina
- Novikova Nina
- Nowalany-Kozie Ewa
- Nowalany-Kozie Ewa
- Nyman Kai
- Nyman Kai
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- Olbrich Hans-Georg
- Oliveira Mucio
- Oliveira Mucio
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- Omary Muhamad
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- Ong Hean Yee
- Oren Ron
- Oren Ron
- Orlikova Olga
- Orlikova Olga
- Pajari Risto
- Pajari Risto
- Pajes Giuseppe
- Pajes Giuseppe
- Pakhomova Inna
- Pakhomova Inna
- Palinkas Attila
- Palinkas Attila
- Parish David
- Parish David
- Patki Nitin
- Patki Nitin
- Peberdy Mary Ann
- Peberdy Mary Ann
- Percoco Dott Giovanni
- Percoco Dott Giovanni
- Perlman Richard
- Perlman Richard
- Perna Eduardo
- Perna Eduardo
- Peterka Martin
- Peterka Martin
- Peura Jennifer
- Peura Jennifer
- Phillips Roland
- Phillips Roland
- Picard François
- Picard François
- Pietilä Mikko
- Pietilä Mikko
- Pinna Jorge Garcia
- Pinna Jorge Garcia
- Piovaccari Giancarlo
- Piovaccari Giancarlo
- Pirelli Salvatore
- Pirelli Salvatore
- Poliacik Pavol
- Poliacik Pavol
- Poy Carlos
- Poy Carlos
- Premchand Rajendra
- Premchand Rajendra
- Prondzinsky Roland
- Prondzinsky Roland
- Quintero Adalberto
- Quintero Adalberto
- Ramos Silvina
- Ramos Silvina
- Ravikishore A.G.
- Ravikishore A.G.
- Reddy P. Naveen
- Reddy P. Naveen
- Reichert Petr
- Reichert Petr
- Reis Gilmar
- Reis Gilmar
- Remppis Bjoern
- Remppis Bjoern
- Roehnisch Jens-Uwe
- Roehnisch Jens-Uwe
- Romanowski Witold
- Romanowski Witold
- Rosocha Stefan
- Rosocha Stefan
- Rossol Siegbert
- Rossol Siegbert
- Rotter Achim
- Rotter Achim
- Santini Alberto
- Santini Alberto
- Santosh M.J.
- Santosh M.J.
- Saraiva Jose
- Saraiva Jose
- Schaufelberger Maria
- Schaufelberger Maria
- Schellong Sebastian
- Schellong Sebastian
- Schwinger Robert
- Schwinger Robert
- Schygiel Pablo
- Schygiel Pablo
- Selles Manuel Martinez
- Selles Manuel Martinez
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- Severi Silvia
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- Sheppard Richard
- Shochat Michael
- Shochat Michael
- Shogenov Zaur
- Shogenov Zaur
- Shvarts Yury
- Shvarts Yury
- Simanenkov Vladimir
- Simanenkov Vladimir
- Sirotiakova Jana
- Sirotiakova Jana
- Sitnikova Maria
- Sitnikova Maria
- Skalina Ivan
- Skalina Ivan
- Smolders Walter
- Smolders Walter
- Solar Miroslav
- Solar Miroslav
- Solomon Scott D.
- Soriano FranciscoRidocci
- Soriano FranciscoRidocci
- Sosa Carlos
- Sosa Carlos
- Spinar Jindrich
- Spinar Jindrich
- Stancak Branislav
- Stancak Branislav
- Stawowy Philipp
- Stawowy Philipp
- Stewart Robert
- Stewart Robert
- Striekwold Harry
- Striekwold Harry
- Sussex Bruce
- Sussex Bruce
- Szachniewicz Joanna
- Szachniewicz Joanna
- Szelemej Roman
- Szelemej Roman
- Szentivanyi Miroslav
- Szentivanyi Miroslav
- Tebbe Ulrich
- Tebbe Ulrich
- Tereschenko Sergey
- Tereschenko Sergey
- Tomcsanyi Janos
- Tomcsanyi Janos
- Torres Adriana
- Torres Adriana
- Toth Kalman
- Toth Kalman
- Toth Peter
- Toth Peter
- Tranquilino Francisco P.
- Tranquilino Francisco P.
- Tyrenko Vadim
- Tyrenko Vadim
- Tyurina Tatiana
- Tyurina Tatiana
- Ullman Bengt
- Ullman Bengt
- Ural Dilek
- Ural Dilek
- Vandekerckhove Hans
- Vandekerckhove Hans
- Vanhaecke Johan
- Vanhaecke Johan
- Vassanelli Corrado
- Vassanelli Corrado
- Vertes Andras
- Vertes Andras
- Vervoort Geert
- Vervoort Geert
- Vicho Raul
- Vicho Raul
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- Vico Marisa
- Viecca Maurizio
- Viecca Maurizio
- Vintila Marius
- Vintila Marius
- Visconti Luigi Oltrona
- Visconti Luigi Oltrona
- Vishnevsky Alexandr
- Vishnevsky Alexandr
- Vita Nestor
- Vita Nestor
- Vladoianu Mircea
- Vladoianu Mircea
- Volpe Massimo
- Volpe Massimo
- von Scheidt Wolfgang
- von Scheidt Wolfgang
- Vrolix Mathias
- Vrolix Mathias
- Werner Dierk
- Werner Dierk
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- Wexler Dov
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- Williams Celeste
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- Winterton John
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- Wong Raymond
- Wysokinski Andrzej
- Wysokinski Andrzej
- Yigit Zerrin
- Yigit Zerrin
- Yilmaz Mehmet
- Yilmaz Mehmet
- Yokusoglu Mehmet
- Yokusoglu Mehmet
- Yu Wen-Chung
- Yu Wen-Chung
- ZacĂ Valerio
- ZacĂ Valerio
- Zadionchenko Vladimir
- Zadionchenko Vladimir
- Zamolyi Karoly
- Zamolyi Karoly
- Zannad Faiez
- Zolty Ronald
- Zolty Ronald
- Publication venue
- Publication date
- 02/08/2017
- Field of study
Aims The objective of the Aliskiren Trial on Acute Heart Failure Outcomes (ASTRONAUT) was to determine whether aliskiren, a direct renin inhibitor, would improve post-discharge outcomes in patients with hospitalization for heart failure (HHF) with reduced ejection fraction. Pre-specified subgroup analyses suggested potential heterogeneity in post-discharge outcomes with aliskiren in patients with and without baseline diabetes mellitus (DM). Methods and results ASTRONAUT included 953 patients without DM (aliskiren 489; placebo 464) and 662 patients with DM (aliskiren 319; placebo 343) (as reported by study investigators). Study endpoints included the first occurrence of cardiovascular death or HHF within 6 and 12 months, all-cause death within 6 and 12 months, and change from baseline in N-terminal pro-B-type natriuretic peptide (NT-proBNP) at 1, 6, and 12 months. Data regarding risk of hyperkalaemia, renal impairment, and hypotension, and changes in additional serum biomarkers were collected. The effect of aliskiren on cardiovascular death or HHF within 6 months (primary endpoint) did not significantly differ by baseline DM status (P = 0.08 for interaction), but reached statistical significance at 12 months (non-DM: HR: 0.80, 95% CI: 0.64-0.99; DM: HR: 1.16, 95% CI: 0.91-1.47; P = 0.03 for interaction). Risk of 12-month all-cause death with aliskiren significantly differed by the presence of baseline DM (non-DM: HR: 0.69, 95% CI: 0.50-0.94; DM: HR: 1.64, 95% CI: 1.15-2.33; P < 0.01 for interaction). Among non-diabetics, aliskiren significantly reduced NT-proBNP through 6 months and plasma troponin I and aldosterone through 12 months, as compared to placebo. Among diabetic patients, aliskiren reduced plasma troponin I and aldosterone relative to placebo through 1 month only. There was a trend towards differing risk of post-baseline potassium ≥6 mmol/L with aliskiren by underlying DM status (non-DM: HR: 1.17, 95% CI: 0.71-1.93; DM: HR: 2.39, 95% CI: 1.30-4.42; P = 0.07 for interaction). Conclusion This pre-specified subgroup analysis from the ASTRONAUT trial generates the hypothesis that the addition of aliskiren to standard HHF therapy in non-diabetic patients is generally well-tolerated and improves post-discharge outcomes and biomarker profiles. In contrast, diabetic patients receiving aliskiren appear to have worse post-discharge outcomes. Future prospective investigations are needed to confirm potential benefits of renin inhibition in a large cohort of HHF patients without D
La contribuio de les petites i mitjanes empreses a l'ocupacio i al creixment
- Publication venue
- Caixa de Balears "SA NOSTRA"
- Publication date
- 01/09/2010
- Field of study
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- Ĺśpinar J
- Publication venue
- 'Massachusetts Medical Society'
- Publication date
- 01/01/2013
- Field of study
Contains fulltext :
125374.pdf (publisher's version ) (Open Access)BACKGROUND: Edoxaban is a direct oral factor Xa inhibitor with proven antithrombotic effects. The long-term efficacy and safety of edoxaban as compared with warfarin in patients with atrial fibrillation is not known. METHODS: We conducted a randomized, double-blind, double-dummy trial comparing two once-daily regimens of edoxaban with warfarin in 21,105 patients with moderate-to-high-risk atrial fibrillation (median follow-up, 2.8 years). The primary efficacy end point was stroke or systemic embolism. Each edoxaban regimen was tested for noninferiority to warfarin during the treatment period. The principal safety end point was major bleeding. RESULTS: The annualized rate of the primary end point during treatment was 1.50% with warfarin (median time in the therapeutic range, 68.4%), as compared with 1.18% with high-dose edoxaban (hazard ratio, 0.79; 97.5% confidence interval [CI], 0.63 to 0.99; P<0.001 for noninferiority) and 1.61% with low-dose edoxaban (hazard ratio, 1.07; 97.5% CI, 0.87 to 1.31; P=0.005 for noninferiority). In the intention-to-treat analysis, there was a trend favoring high-dose edoxaban versus warfarin (hazard ratio, 0.87; 97.5% CI, 0.73 to 1.04; P=0.08) and an unfavorable trend with low-dose edoxaban versus warfarin (hazard ratio, 1.13; 97.5% CI, 0.96 to 1.34; P=0.10). The annualized rate of major bleeding was 3.43% with warfarin versus 2.75% with high-dose edoxaban (hazard ratio, 0.80; 95% CI, 0.71 to 0.91; P<0.001) and 1.61% with low-dose edoxaban (hazard ratio, 0.47; 95% CI, 0.41 to 0.55; P<0.001). The corresponding annualized rates of death from cardiovascular causes were 3.17% versus 2.74% (hazard ratio, 0.86; 95% CI, 0.77 to 0.97; P=0.01), and 2.71% (hazard ratio, 0.85; 95% CI, 0.76 to 0.96; P=0.008), and the corresponding rates of the key secondary end point (a composite of stroke, systemic embolism, or death from cardiovascular causes) were 4.43% versus 3.85% (hazard ratio, 0.87; 95% CI, 0.78 to 0.96; P=0.005), and 4.23% (hazard ratio, 0.95; 95% CI, 0.86 to 1.05; P=0.32). CONCLUSIONS: Both once-daily regimens of edoxaban were noninferior to warfarin with respect to the prevention of stroke or systemic embolism and were associated with significantly lower rates of bleeding and death from cardiovascular causes. (Funded by Daiichi Sankyo Pharma Development; ENGAGE AF-TIMI 48 ClinicalTrials.gov number, NCT00781391.)