ReviewInnere Medizin (Heidelberg, Germany)2026
[Update on the pharmacotherapy of chronic heart failure with reduced ejection fraction: from four to six pillars?]
Review in Innere Medizin (Heidelberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Contemporary pharmacotherapy of chronic heart failure with reduced ejection fraction (HFrEF) consists of angiotensin receptor-neprilysin inhibitors, beta blockers, mineralocorticoid receptor antagonists and sodium glucose cotransporter 2 inhibitors. In this year two more agents were added to the existing armamentarium: (1) digitoxin as inhibitor of sodium-potassium-ATPase and (2) vericiguat as stimulator of soluble guanylate cyclase. Vericiguat has already been shown to reduce cardiovascular death and heart failure hospitalization in patients with recent decompensation. This year it was tested in stable heart failure without prior recent decompensation; however, in this case there was no reduction for the combined endpoint of cardiovascular mortality and hospitalization. In the secondary endpoint analysis mortality was significantly reduced. In addition, a meta-analysis including combined data from patients with unstable and also stable heart failure confirmed the positive effects of vericiguat on cardiovascular death and heart failure hospitalization. In the DIGIT-HF study low-dose digitoxin (serum level 8-18 ng/l) significantly reduced death and heart failure hospitalization. Both studies provide evidence that digitoxin and vericiguat added significant benefits to the established 4‑pillar pharmacotherapy and the treatment of HFrEF will be expanded by two more pillars.
Indexed as
Identifiers
42329367What OpenQuestion holds
Registered trials
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.