Evidence map›Paper›PMID 40741340›Full record

ReviewCardiac failure review2025

Improving the Management of Patients with Heart Failure with Reduced Ejection Fraction in Clinical Practice: The Case for Angiotensin Receptor-Neprilysin Inhibitor.

Massimo Iacoviello, Filippo Maria Sarullo, Claudio Bilato, Michele Correale, Gabriele Di Gesaro, Mauro Driussi, Andrea Passantino, Alessandra Villani, Andrea Di Lenarda

Abstract readReview
In one paragraph

Review in Cardiac failure review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Massimo IacovielloDepartment of Medical and Surgical Sciences, University of Foggia Foggia, Italy.ORCID https://orcid.org/0000-0001-9613-5062
Filippo Maria SarulloCardiac and Cardiovascular Rehabilitation Unit -Buccheri La Ferla Fatebenefratelli Hospital Palermo, Italy.ORCID https://orcid.org/0000-0003-2046-8316
Claudio BilatoU.O.C. Cardiologia Azienda ULSS 8 Berica - Ospedali dell'Ovest Vicentino Arzignano, Italy.ORCID https://orcid.org/0000-0003-3474-0579
Michele CorrealeSC Universitaria di Cardiologia AOU 'Ospedali Riuniti' Foggia Foggia, Italy.ORCID https://orcid.org/0000-0002-7863-253X
Gabriele Di GesaroAARNAS Ospedali Civico Di Cristina Benfratelli, UOC UTIC con Cardiologia Palermo, Italy.ORCID https://orcid.org/0000-0001-9301-6412
Mauro DriussiSOC Cardiologia, Dipartimento Cardiotoracico, Azienda Sanitaria Universitaria Friuli Centrale, Ospedale S. Maria della Misericordia Udine, Italy.ORCID https://orcid.org/0000-0003-3885-4485
Andrea PassantinoIstituti Clinici Scientifici Maugeri IRCCS, Cardiac Rehabilitation Unit of Bari Institute Bari, Italy.ORCID https://orcid.org/0000-0002-7045-576X
Alessandra VillaniUO Cardiologia, Dipartimento di Scienze Cardiovascolari, Neurologiche, Metaboliche, Istituto Auxologico Italiano IRCCS Milan, Italy.ORCID https://orcid.org/0000-0002-0952-5992
Andrea Di LenardaCardiovascular Centre, University Hospital and Health Services of Trieste Trieste, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The high risk of adverse outcomes in patients with heart failure with reduced ejection fraction (HFrEF) demands urgent efforts in the initiation of guideline-directed medical therapy to reduce morbidity and mortality. Angiotensin receptor-neprilysin inhibitor showed substantial benefits in reducing the risks of heart failure hospitalisation and cardiovascular mortality in HFrEF patients. Therefore, the European Society of Cardiology 2021 guidelines recommend angiotensin receptor-neprilysin inhibitor as a first-line therapy for HFrEF patients. The guidelines emphasise the importance of the early use and rapid titration of the 'four pillars' in HFrEF: angiotensin receptor-neprilysin inhibitor, β-blockers, sodium-glucose cotransporter 2 inhibitors and mineralocorticoid receptor antagonists. However, real-world application of the guidelines remains suboptimal, limiting patient outcomes. This statement paper investigates the barriers to the use of the 'four pillars', and aims to give guidance to improve their implementation in different HFrEF patient types.

Indexed as

angiotensin receptor–neprilysin inhibitorclinical inertiaHeart failure with reduced ejection fractionmineralocorticoid receptor antagonistssodium-glucose cotransporter 2 inhibitorsβ-blockers

Identifiers

PMID40741340
PMCPMC12308145

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.