Evidence map›Paper›PMID 40771308›Full record

ReviewCardiac failure review2025

Pharmacological Therapy of HFrEF in 2025: Navigating New Advances and Old Unmet Needs in An Eternal Balance Between Progress and Perplexities.

Massimo Mapelli, Filippo Maria Rubbo, Simona Costantino, Nicola Amelotti, Piergiuseppe Agostoni

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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. 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

5 authors.

Massimo MapelliCentro Cardiologico Monzino, IRCCS Milan, Italy.ORCID https://orcid.org/0000-0001-9985-7407
Filippo Maria RubboCentro Cardiologico Monzino, IRCCS Milan, Italy.ORCID https://orcid.org/0009-0006-7940-9811
Simona CostantinoCentro Cardiologico Monzino, IRCCS Milan, Italy.
Nicola AmelottiCentro Cardiologico Monzino, IRCCS Milan, Italy.
Piergiuseppe AgostoniCentro Cardiologico Monzino, IRCCS Milan, Italy.ORCID https://orcid.org/0000-0002-8345-6382

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent advances in medical therapy have significantly improved the prognosis of patients with heart failure and reduced ejection fraction (HFrEF). The established four pillars of HFrEF treatment - β-blockers, angiotensin-converting enzyme inhibitors or angiotensin receptor- neprilysin inhibitors, mineralocorticoid receptor antagonists and sodium-glucose cotransporter 2 inhibitors - serve as the foundation for ongoing innovations in this domain. However, these represent only the starting point for the therapy and management of heart failure. New medications, new devices and improvements in the use of diuretic therapy are fundamental and recent advancements. This article aims to highlight the latest findings in HFrEF treatment. While emphasising the optimism these developments bring, the article also addresses the significant unresolved challenges that persist in the management of this syndrome, which remains a leading global cause of mortality, morbidity and poor quality of life with high use of resources and healthcare costs.

Indexed as

angiotensin receptor–neprilysin inhibitorsdiureticsfinerenonegene therapyHeart failuresodium–glucose cotransporter 2 inhibitorsvericiguat

Identifiers

PMID40771308
PMCPMC12326316

What OpenQuestion holds

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LicenceCC BY-NC
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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.