Quadruple Therapy in HFrEF: What Happens Next?
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By
January 29, 2026
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3 min
A study published in JAMA Cardiology reveals that only 7.2% of eligible US patients hospitalized for heart failure with reduced ejection fraction (HFrEF) received guideline-recommended quadruple therapy at discharge. Conducted on 20,651 patients aged 65 and older, the research highlighted a high mortality risk, with 19% of patients dying within a year post-discharge and nearly 37% either dying or being readmitted for heart failure. The analysis suggests a significant clinical burden and high healthcare costs, reinforcing the need for improved medication adherence and access.
1. Only 7.2% of eligible patients received quadruple therapy. 2. 19% mortality within 1 year post-discharge. 3. 37% faced death or rehospitalization for heart failure. 4. Median healthcare cost per patient approached $28,000. 5. Study limited to patients aged 65 and older. 6. Medication adherence impacts outcomes. 7. Researchers noted financial relationships with industry partners. 8. Need for enhanced access to therapies highlighted.
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