Heart failure & cardiomyopathies

Calcium Channel Blocker Use and Outcomes in Patients with Heart Failure and Mildly Reduced and Preserved Ejection Fraction

Eur J Heart FailPublished Pooled analysis of individual patient data from four randomised trials

Authors' conclusion

Although this is an observational analysis of non-randomized treatment, there was no suggestion that CCBs were associated with worse HF outcomes. Indeed, CCB use was associated with a lower incidence of pump failure death.

Study context

Population
Patients with HFmrEF/HFpEF from four large trials
Participants
16,954 patients4 trials
Comparison
CCB use vs no CCB
  • CCBn = 5,874
Outcome
Death, HF hospitalization, pump failure death, stroke
Methodological detailsobservational analysis of non-randomized treatment
  • Observational analysis of non-randomized treatment

Pooled result

As reported in the abstract

CCB vs No CCBHazard ratio (95% CI)
Pump failure death
0.76(0.60–0.96)
Stroke
1.26(1.06–1.50)

Further pooled results

Outcomes by CCB subtype (dihydropyridine vs non-dihydropyridine)

Pattern of outcomes broadly similar for both subtypes

Original publication

Calcium Channel Blocker Use and Outcomes in Patients with Heart Failure and Mildly Reduced and Preserved Ejection Fraction. Eur J Heart Fail. Published 5 October 2023. doi:10.1002/ejhf.3044

Composed by AI from the published abstract and checked against it. How Briefs are made →

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