treatment-na?ve HFrEF)InterventionLCZ696 (TD 200 mg twice daily)Aim for TD br / Avoid co-prescription with ACEIComparatorEnalapril (TD 10 mg twice daily)Consistent with current best practiceOutcome20% RRR CV death br / 21% RRR HF hospitalisationRobust and clinically relevant outcomes br / Consistent benefit across subgroups br / Symptom/quality-of-life benefits Open in a separate window ACEI = angiotensin converting enzyme inhibitor; ARB = angiotensin receptor blocker; ARNI = angiotensin receptor-neprilysin Inhibitor; BNP = B-type natriuretic peptide; CV = cardiovascular; HF = heart failure; HFrEF = heart failure with reduced left ventricular ejection fraction; LVEF = left ventricular ejection fraction; NTproBNP = N-terminal pro B-type natriuretic peptide; PARADIGM-HF = Prospective Comparison of ARNI with ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure; PICO = population, intervention, comparator, outcome; RRR = relative risk reduction; TD = target dose – CDK4/6 inhibitors in breast cancer

treatment-na?ve HFrEF)InterventionLCZ696 (TD 200 mg twice daily)Aim for TD br / Avoid co-prescription with ACEIComparatorEnalapril (TD 10 mg twice daily)Consistent with current best practiceOutcome20% RRR CV death br / 21% RRR HF hospitalisationRobust and clinically relevant outcomes br / Consistent benefit across subgroups br / Symptom/quality-of-life benefits Open in a separate window ACEI = angiotensin converting enzyme inhibitor; ARB = angiotensin receptor blocker; ARNI = angiotensin receptor-neprilysin Inhibitor; BNP = B-type natriuretic peptide; CV = cardiovascular; HF = heart failure; HFrEF = heart failure with reduced left ventricular ejection fraction; LVEF = left ventricular ejection fraction; NTproBNP = N-terminal pro B-type natriuretic peptide; PARADIGM-HF = Prospective Comparison of ARNI with ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure; PICO = population, intervention, comparator, outcome; RRR = relative risk reduction; TD = target dose

treatment-na?ve HFrEF)InterventionLCZ696 (TD 200 mg twice daily)Aim for TD br / Avoid co-prescription with ACEIComparatorEnalapril (TD 10 mg twice daily)Consistent with current best practiceOutcome20% RRR CV death br / 21% RRR HF hospitalisationRobust and clinically relevant outcomes br … Continue reading treatment-na?ve HFrEF)InterventionLCZ696 (TD 200 mg twice daily)Aim for TD br / Avoid co-prescription with ACEIComparatorEnalapril (TD 10 mg twice daily)Consistent with current best practiceOutcome20% RRR CV death br / 21% RRR HF hospitalisationRobust and clinically relevant outcomes br / Consistent benefit across subgroups br / Symptom/quality-of-life benefits Open in a separate window ACEI = angiotensin converting enzyme inhibitor; ARB = angiotensin receptor blocker; ARNI = angiotensin receptor-neprilysin Inhibitor; BNP = B-type natriuretic peptide; CV = cardiovascular; HF = heart failure; HFrEF = heart failure with reduced left ventricular ejection fraction; LVEF = left ventricular ejection fraction; NTproBNP = N-terminal pro B-type natriuretic peptide; PARADIGM-HF = Prospective Comparison of ARNI with ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure; PICO = population, intervention, comparator, outcome; RRR = relative risk reduction; TD = target dose