N Engl J Med September 1999 PMID 10471456

The effect of spironolactone on morbidity and mortality in patients with severe heart failure. Randomized Aldactone Evaluation Study Investigators.

B Pitt, F Zannad, W J Remme, R Cody, A Castaigne, A Perez, J Palensky, J Wittes

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Mentions

109
Peak: 15 in Aug 2022
across 5 sources since May 2019

Extended reach

668,842
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Total likes

447

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May 2019 – Sep 2025

Where it's discussed

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AI synopsis

What people are saying

Numerous discussions highlight the significant outcomes from the RALES trial, with users citing the 30% reduction in mortality and decreased hospitalizations due to heart failure. Phrases like 'transformed treatment' and 'landmark study' convey the transformative potential attributed to spironolactone. The consistent repetition of these impactful results emphasizes the study's relevance, showing how the choice of words creates a strong narrative around its importance.

AgreementStrong agreement

The discussions reflect strong support for the findings of the RALES trial, with multiple posts emphasizing its significance in treatment protocols.

InterestHigh interest

There is a high level of curiosity surrounding the study's implications for heart failure management, as users reference and discuss its impact on mortality rates.

EngagementHigh engagement

Participants engage deeply with the content, analyzing specific outcomes and drawing connections to other studies in the field.

ImpactHigh impact

The consensus is that the findings from the study will have considerable influence on clinical practice, particularly in cardiology.

Abstract in brief

  • A study involving 1,663 patients with severe heart failure found that spironolactone, when added to standard treatment, significantly reduced overall death rates by 30% compared to a placebo.
  • Patients taking spironolactone also experienced a 35% lower rate of hospitalization for heart failure complications and showed improved symptoms according to the New York Heart Association functional class.
  • While spironolactone caused gynecomastia in 10% of men, serious side effects like hyperkalemia were rare in both treatment and placebo groups.

Top posts

Most liked on X and Bluesky
Fred Fernandes
@FredLAFernandes · X

Estudos clássicos sobre o assunto Espironolactona em IC leve https://t.co/0fC0m12KT1 Espironolactona em IC grave. https://t.co/TeVmDHis7d

May 15, 2020 · 117 likes · 11 shares · 58,376 followers View post →
Scotty Kirkpatrick M.D.
@drscottyk · X

Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can literally be the difference between life and death. https://t.co/jbNptPsi1S

Aug 25, 2022 · 69 likes · 14 shares · 2,788 followers View post →
CONAREC
@CONAREC_ORG · X

The effect of spironolactone on morbidity and mortality in patients with severe heart failure https://t.co/8djc87Mrvt

Apr 9, 2022 · 51 likes · 7 shares · 4,969 followers View post →
精神科薬剤師くわばらひでのり
@89089314 · X

スピロノラクトンが心不全患者の予後を劇的に改善したことを示したRALESを改めて読んでるんだけど、とても味わい深い。総死亡リスクのHRが0.70倍、NNTが9人だもんなぁ。 The effect of spironolactone on morbidity and mortality in patients with severe heart failure. https://t.co/DGiBMLIFXc

Jan 25, 2020 · 26 likes · 1 share · 8,784 followers View post →
Damien BARRAUD MD
@fluidloading · X

Pour le papier complet, c'est ici RALES, c'est l’acronyme de Randomized ALdactone Evaluation Study. Il s’agissait de tester les effets d’un médicament nommé spironolactone, ou aldactone (nom commercial), chez les patients insuffisants cardiaques. Simple. https://t.co/6oL1mbu8fB

Oct 2, 2024 · 23 likes · 14,927 followers View post →
David Juurlink
@DavidJuurlink · X

But she was also on spironolactone for heart failure, I think because of a blockbuster study published a few years earlier: The Randomized Aldactone Evaluation Study (RALES) https://t.co/BgSZmtZIKT /7

Mar 22, 2021 · 16 likes · 1 share · 66,096 followers View post →

All mentions

Spironolactone's Impact on Heart Failure Outcomes

This week, John Mandrola MD discusses the significant findings of a study involving 1,663 patients with severe heart failure. The research shows that spironolactone, when added to standard treatment, can reduce death…

Medscape · Sep 27, 2024 500 views
Rishan Juan Ignacio Tadeo
@ChocogatoRacing · X

Hola @grok, háblame del estudio RALES, The Effect of Spironolactone on Morbidity and Mortality in Patients with Severe Heart Failure

Sep 9, 2025 · 5,083 followers View post →
masa 薬剤師
@MasahideOr66774 · X

@enango スピロノラクトンを重症心不全患者(EF<35%)に投与試験(RALES試験NEJM1999年)では ・死亡率30%(0.60 to 0.82; P<0.001)低下 ・この効果は虚血性でも得られた https://t.co/v3fAWHFUT5 ・軽症心不全のEMPHASIS-HF試験でも良い結果 https://t.co/ERG2QoEkKC 今回、心筋梗塞で死亡等減少なしの結果??

Nov 22, 2024 · 40 followers View post →
masa 薬剤師
@MasahideOr66774 · X

@Cafe_Dogtor 重症心不全患者(EF<35%)にスピロノラクトン投与したRALES試験(NEJM1999年)では ・死亡率30%(0.60 to 0.82; P<0.001)低下 ・この効果は虚血/非虚血ともに得られたhttps://t.co/v3fAWHFUT5 ・軽症心不全のEMPHASIS-HF試験でも良い結果https://t.co/ERG2QoEkKC 今回、心筋梗塞で死亡等減少なしの結果?? https://t.co/ynI4fZo0sz

Nov 19, 2024 · 40 followers View post →
masa 薬剤師
@MasahideOr66774 · X

@twmu_cardiology 重症心不全患者(EF<35%)にスピロノラクトン投与したRALES試験(NEJM1999年)では死亡率30%(0.60 to 0.82; P<0.001)低下。 この効果は虚血/非虚血ともに得られた結果でした。 軽症心不全のEMPHASIS-HF試験でも良い結果。 今回、心筋梗塞で良い結果が得られなかったのか??? https://t.co/v3fAWHFUT5 https://t.co/UgiaYaNX4A

Nov 19, 2024 · 40 followers View post →
masa 薬剤師
@MasahideOr66774 · X

@tcross_news 重症心不全患者(EF<35%)にスピロノラクトン投与したRALES試験(NEJM1999年)では死亡率30%(0.60 to 0.82; P<0.001)低下。 この効果は虚血/非虚血ともに得られた結果でした。 軽症心不全のEMPHASIS-HF試験でも良い結果。 今回、心筋梗塞で良い結果が得られなかったのか??? https://t.co/v3fAWHFUT5

Nov 19, 2024 · 40 followers View post →
masa 薬剤師
@MasahideOr66774 · X

@irjpnmEqqEUJraX 重症心不全患者(EF<35%)にスピロノラクトン投与したRALES試験(NEJM1999年)では死亡率30%(0.60 to 0.82; P<0.001)低下。 この効果は虚血/非虚血ともに得られた結果でした。 軽症心不全のEMPHASIS-HF試験でも良い結果。 今回、心筋梗塞で良い結果が得られなかったのか??? https://t.co/v3fAWHFUT5 https://t.co/rZ1XA7GfDZ

Nov 19, 2024 · 40 followers View post →
masa 薬剤師
@MasahideOr66774 · X

@Office_j 重症心不全患者(EF<35%)にスピロノラクトン投与したRALES試験(NEJM1999年)では死亡率30%(0.60 to 0.82; P<0.001)低下。 この効果は虚血/非虚血ともに得られた結果でした。 軽症心不全のEMPHASIS-HF試験でも良い結果。 今回、心筋梗塞で良い結果が得られなかったのか??? https://t.co/v3fAWHFUT5 https://t.co/QiiWsMsyJZ

Nov 19, 2024 · 40 followers View post →
Damien BARRAUD MD
@fluidloading · X

Pour le papier complet, c'est ici RALES, c'est l’acronyme de Randomized ALdactone Evaluation Study. Il s’agissait de tester les effets d’un médicament nommé spironolactone, ou aldactone (nom commercial), chez les patients insuffisants cardiaques. Simple. https://t.co/6oL1mbu8fB

Oct 2, 2024 · 23 likes · 14,927 followers View post →
Lucas Krands
@labsarekindest · X

@era1521 @glenpyle Yes. The spironolactone trial in heart failure was stopped early (2 years) after definitive evidence accrued showing that deaths were much lower in the treated group. There are more modern examples. https://t.co/S9PkDDFVWf

Mar 1, 2024 · 1 like · 141 followers View post →
ERA - European Renal Association
@ERAkidney · X

15/

Feb 4, 2024 · 20,775 followers View post →
Damien BARRAUD MD
@fluidloading · X

@TBaubet @DavidJuurlink Etape 1 : publication sur l'intérêt de la spironolactone dans l'insuffisance cardiaque... https://t.co/6oL1mbu8fB

Dec 5, 2023 · 1 like · 14,927 followers View post →
yukisora@summer
@phar_sav · X

RT @goat_invest: @Moistjp Randomized ALdactone Evaluation Studyの頭文字でRALSE試験、これがスピロノラクトンの予後改善効果のエビデンスになる試験なんですね。こちらが一番最初のエビデンスでしょうか?しっかり1次情報…

Sep 24, 2023 · 3 shares · 7 followers View post →
やぎざいし
@goat_invest · X

@Moistjp Randomized ALdactone Evaluation Studyの頭文字でRALSE試験、これがスピロノラクトンの予後改善効果のエビデンスになる試験なんですね。こちらが一番最初のエビデンスでしょうか?しっかり1次情報まで確認しないとダメですね。ありがとうございます

Sep 23, 2023 · 11 likes · 3 shares · 12,760 followers View post →
Ahmed Mohsen
@drahmedmohsen85 · X

RT @cardiomet_CE: 11b) Adding #spironolactone to the standard of care #SOC among patients with severe #HF improved survival & reduced morb…

May 10, 2023 · 1 share · 22,953 followers View post →
cardio-met
@cardiomet_CE · X

11b) Adding #spironolactone to the standard of care #SOC among patients with severe #HF improved survival & reduced morbidity in the landmark Randomized Aldactone Evaluation Study (#RALES) trial

May 10, 2023 · 6 likes · 1 share · 4,163 followers View post →
DidemTurgut
@didemturgut_ · X

RT @ckd_ce: 11b) Adding #spironolactone to the standard of care #SOC among patients with severe #HF improved survival & reduced morbidity i…

May 8, 2023 · 1 share · 915 followers View post →
@CKD_ce
@ckd_ce · X

11b) Adding #spironolactone to the standard of care #SOC among patients with severe #HF improved survival & reduced morbidity in the landmark Randomized Aldactone Evaluation Study (#RALES) trial

May 3, 2023 · 8 likes · 1 share · 2,634 followers View post →
DoppelpaSS
@svb_sur_1904 · X

RT @syuichiao89: うそんこ言ってるから気を付けや

Mar 23, 2023 · 1 share · 419 followers View post →
青島周一@【書籍】「生成AIと学ぶ医学論文の読み方・考え方」発売中!
@syuichiao89 · X

うそんこ言ってるから気を付けや

Mar 23, 2023 · 5 likes · 1 share · 8,604 followers View post →
Scott Auerbach, MD
@ScottAuerbachMD · X

@GidMK Perhaps the RALES Trial, however, previous observational studies were limited by hyperkalemia. https://t.co/Wj0pyEVC5a

Feb 26, 2023 · 1 like · 833 followers View post →
Dr Rob
@drhungo · X

RALES - The Effect of Spironolactone on Morbidity and Mortality in

Jan 4, 2023 · 1 share · 3,180 followers View post →
Ryan Caputo, PharmD, BCCP
@RyanCaputo1 · X

REFERENCES: https://t.co/DHeQkVseWx https://t.co/EMv5WLE6tu

Dec 12, 2022 · 13 likes · 326 followers View post →
Viet Le DMSc PA-C FACC FAHA HF-Cert
@VietHeartPA · X

RT @cardiomet_CE: 21) Blockade of the #MR with spironolactone in pts w/#HFrEF (RALES; N = 1663) yielded 30% ⬇️ risk of death vs placebo (

Oct 27, 2022 · 9,795 followers View post →
cardio-met
@cardiomet_CE · X

21) Blockade of the #MR with spironolactone in pts w/#HFrEF (RALES; N = 1663) yielded 30% ⬇️ risk of death vs placebo (

Oct 27, 2022 · 4 likes · 4,163 followers View post →
Ahmed El Shaer
@AhmedElshaerMD · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 27, 2022 · 14 shares · 1,082 followers View post →
szczasny
@szczasny · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 27, 2022 · 14 shares · 107 followers View post →
Pedro Graziano Sanchez
@wikimagen · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 27, 2022 · 14 shares · 7,159 followers View post →
Valva Mitralis
@Mitrovalvology · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 26, 2022 · 14 shares · 4,134 followers View post →
Linda
@wordfinga · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 26, 2022 · 14 shares · 4,589 followers View post →
Carlos Rubén
@caruben89 · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 26, 2022 · 14 shares · 996 followers View post →
Muneeb Jan
@manutd91 · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 26, 2022 · 14 shares · 2,087 followers View post →
Gamal Alfakih
@GamalAlfakih4 · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 26, 2022 · 14 shares · 332 followers View post →
Hany Ragy
@Hragy · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 26, 2022 · 14 shares · 80,477 followers View post →
Fernando de la Guía
@Cardio_delaGuia · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 26, 2022 · 14 shares · 6,947 followers View post →
jeanne wonio
@jeannewonio · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 25, 2022 · 14 shares · 741 followers View post →
Dr. Shashank Joshi
@AskDrShashank · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 25, 2022 · 14 shares · 32,521 followers View post →
@MARTINSVEL
@MARTINSVEL · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 25, 2022 · 14 shares · 413 followers View post →
Viet Le DMSc PA-C FACC FAHA HF-Cert
@VietHeartPA · X

RT @drscottyk: Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can liter…

Aug 25, 2022 · 14 shares · 9,795 followers View post →
Scotty Kirkpatrick M.D.
@drscottyk · X

Spironolactone in HFrEF: 11% absolute risk reduction in mortality in just 2 years! Maximizing and optimizing GDMT can literally be the difference between life and death. https://t.co/jbNptPsi1S

Aug 25, 2022 · 69 likes · 14 shares · 2,788 followers View post →
DidemTurgut
@didemturgut_ · X

RT @ckd_ce: 21) Blockade of the MR with spironolactone in pts w/HFrEF (RALES; N = 1663) yielded 30% ⬇️ risk of death vs placebo (

Jun 30, 2022 · 1 share · 915 followers View post →
@CKD_ce
@ckd_ce · X

21) Blockade of the MR with spironolactone in pts w/HFrEF (RALES; N = 1663) yielded 30% ⬇️ risk of death vs placebo (

Jun 23, 2022 · 2 likes · 1 share · 2,634 followers View post →
Victor Laó
@JackShephard8 · X

RT @CONAREC_ORG: The effect of spironolactone on morbidity and mortality in patients with severe heart failure https://t.co/8djc87Mrvt

Apr 10, 2022 · 7 shares · 36 followers View post →
Salvador Rivera
@salvarivera · X

RT @CONAREC_ORG: The effect of spironolactone on morbidity and mortality in patients with severe heart failure https://t.co/8djc87Mrvt

Apr 10, 2022 · 7 shares · 217 followers View post →
Juan Felipe
@Juanfebeme · X

RT @CONAREC_ORG: The effect of spironolactone on morbidity and mortality in patients with severe heart failure https://t.co/8djc87Mrvt

Apr 10, 2022 · 7 shares · 26 followers View post →
Dr. ViveK Nuktey
@NukteVivek · X

RT @CONAREC_ORG: The effect of spironolactone on morbidity and mortality in patients with severe heart failure https://t.co/8djc87Mrvt

Apr 10, 2022 · 7 shares · 599 followers View post →
Dra Karla
@KarlaPoot4 · X

RT @CONAREC_ORG: The effect of spironolactone on morbidity and mortality in patients with severe heart failure https://t.co/8djc87Mrvt

Apr 10, 2022 · 7 shares · 82 followers View post →
Social Medicine Project
@SocialMedicine3 · X

RT @CONAREC_ORG: The effect of spironolactone on morbidity and mortality in patients with severe heart failure https://t.co/8djc87Mrvt

Apr 10, 2022 · 7 shares · 109 followers View post →
CONAREC
@CONAREC_ORG · X

The effect of spironolactone on morbidity and mortality in patients with severe heart failure https://t.co/8djc87Mrvt

Apr 9, 2022 · 51 likes · 7 shares · 4,969 followers View post →
CONAREC
@CONAREC_ORG · X

The effect of spironolactone on morbidity and mortality in patients with severe heart failure https://t.co/aLD5Zp8DiQ

Apr 9, 2022 · 4,969 followers View post →
Landmark Trials
@LandmarkTrials · X

Read the full article here: https://t.co/5PbWDxoImL

Mar 13, 2022 · 1 like · 846 followers View post →
@CKD_ce
@ckd_ce · X

28) In the RALES trial (

Feb 16, 2022 · 4 likes · 2,634 followers View post →
pinacol
@pinacol · X

【SY10-2】MRAと心不全 https://t.co/HPG6B0zz8U https://t.co/n5AqI7ginq #jsnp2021

Nov 16, 2021 · 1,616 followers View post →
cardio-met
@cardiomet_CE · X

21) Blockade of the MR with spironolactone in pts w/HFrEF (RALES; N = 1663) yielded 30% ⬇️ risk of death vs placebo (doi: 10.1056/NEJM199909023411001); the trial was stopped prematurely for efficacy, including ⬇️progressive #heartfailure ⬇️sudden death & ⬇️hosp for heart failure. https://t.co/lgDHQo1IhM

Nov 3, 2021 · 2 likes · 4,163 followers View post →
Samantha Smith
@Samanthas_2000 · X

(6/n) The incidence of this adverse effect has been quantified in said clinical trials. For example, the RALES study found that patients with heart failure treated with spironolactone had a 1.7% incidence of serious hyperkalemia versus 1.2% with placebo. https://t.co/Xf42J3hNQD

Sep 18, 2021 · 11 likes · 32 followers View post →
KIReports
@KIReports · X

RALES 1999

Sep 5, 2021 · 1 like · 13,603 followers View post →
Joel M. Topf, MD FACP
@kidney_boy · X

@Jwaitz @girish_nadkarni @hswapnil @medrants Slow your role there. Rales study did not require beta blockers, just an ACEi. https://t.co/uWXY6DkG6c https://t.co/g1iVIyK5YJ

Jul 10, 2021 · 3 likes · 63,314 followers View post →
Fizz-DI@比較と使い分け-KOJIMA Yushi
@Fizz_DI · X

心不全に「スピロノラクトン」を使ったら安全に死亡・入院が減ったで~ていうRALES試験。 N Engl J Med. 1999 Sep 2;341(10):709-17. https://t.co/9C8X0RtrnB RALES試験の外的妥当性を考えずに使いまくったら高K血症が増えた件。 N Engl J Med. 2004 Aug 5;351(6):543-51. https://t.co/WQztSDsDhp

Jun 19, 2021 · 10 likes · 1 share · 34,429 followers View post →
Yasser UMKCRCT
@ymhs92 · X

RALES: The use of spironolactone in patients with severe HF was associated with reduction in mortality related to HF and sudden death, as well as decreased hospitalizations for HF and improvement in functional status #UMKCRCT https://t.co/vJFG730Xwz

Apr 11, 2021 · 10 followers View post →
G. Ahmed,M.D
@AhemdDr · X

RT @DavidJuurlink: But she was also on spironolactone for heart failure, I think because of a blockbuster study published a few years earli…

Mar 22, 2021 · 1 share · 1,096 followers View post →
David Juurlink
@DavidJuurlink · X

But she was also on spironolactone for heart failure, I think because of a blockbuster study published a few years earlier: The Randomized Aldactone Evaluation Study (RALES) https://t.co/BgSZmtZIKT /7

Mar 22, 2021 · 16 likes · 1 share · 66,096 followers View post →
Matthew Sparks, MD
@Nephro_Sparks · X

@Proximal_Baxi @TWhittier_RUSH @NephRodby @kidney_boy @AnnaGaddy @NephroPeeps @Jwaitz @BookBurton @melhoenig @LeticiaRolonMD @amyaimei @DTomacruzMD And this https://t.co/uqATLqeKyQ Aldo FTW https://t.co/uEsREJwJLW

Mar 6, 2021 · 2 likes · 21,189 followers View post →
Sarah Hudson
@sarahhudsonuk · X

Moving forward to 1999 came RALES, supporting spironolactone use, following by EPHESUS in 2003 giving evidence for eplerenone in pts with LVSD post MI. https://t.co/MW8kWdubQv https://t.co/UX5QLLmkxP (Prof Pfeffers #ESCCongress talk) 6/ https://t.co/VeeCC0qtQb

Aug 31, 2020 · 3 likes · 8,070 followers View post →
Agustin Erbetta
@ErbettaAgustin · X

Quien quiere analizar un estudio icono de la insuficiencia cardíaca ? https://t.co/OX4ZF2F0Bk

May 22, 2020 · 2 likes · 866 followers View post →
Ary
@Ary_AntiPT · X

RT @FredLAFernandes: Estudos clássicos sobre o assunto Espironolactona em IC leve https://t.co/0fC0m12KT1 Espironolactona em IC grave. ht…

May 16, 2020 · 11 shares · 32,909 followers View post →
gabafeitina
@gabrielbasto_ · X

RT @FredLAFernandes: Estudos clássicos sobre o assunto Espironolactona em IC leve https://t.co/0fC0m12KT1 Espironolactona em IC grave. ht…

May 15, 2020 · 11 shares · 99 followers View post →
Siena
@senareis · X

RT @FredLAFernandes: Estudos clássicos sobre o assunto Espironolactona em IC leve https://t.co/0fC0m12KT1 Espironolactona em IC grave. ht…

May 15, 2020 · 11 shares · 2,338 followers View post →
true love
@nixgvs · X

RT @FredLAFernandes: Estudos clássicos sobre o assunto Espironolactona em IC leve https://t.co/0fC0m12KT1 Espironolactona em IC grave. ht…

May 15, 2020 · 11 shares · 9 followers View post →
Alissandra de Cássia
@unialis · X

RT @FredLAFernandes: Estudos clássicos sobre o assunto Espironolactona em IC leve https://t.co/0fC0m12KT1 Espironolactona em IC grave. ht…

May 15, 2020 · 11 shares · 27 followers View post →
Ronny Maciel
@GRQM · X

RT @FredLAFernandes: Estudos clássicos sobre o assunto Espironolactona em IC leve https://t.co/0fC0m12KT1 Espironolactona em IC grave. ht…

May 15, 2020 · 11 shares · 412 followers View post →
Slaoq
@tiviguri · X

RT @FredLAFernandes: Estudos clássicos sobre o assunto Espironolactona em IC leve https://t.co/0fC0m12KT1 Espironolactona em IC grave. ht…

May 15, 2020 · 11 shares · 78 followers View post →
Wily
@WilyWyllison · X

RT @FredLAFernandes: Estudos clássicos sobre o assunto Espironolactona em IC leve https://t.co/0fC0m12KT1 Espironolactona em IC grave. ht…

May 15, 2020 · 11 shares · 2,999 followers View post →
edursilva
@edu_rsilva · X

RT @FredLAFernandes: Estudos clássicos sobre o assunto Espironolactona em IC leve https://t.co/0fC0m12KT1 Espironolactona em IC grave. ht…

May 15, 2020 · 11 shares · 107 followers View post →
Fred Fernandes
@FredLAFernandes · X

Estudos clássicos sobre o assunto Espironolactona em IC leve https://t.co/0fC0m12KT1 Espironolactona em IC grave. https://t.co/TeVmDHis7d

May 15, 2020 · 117 likes · 11 shares · 58,376 followers View post →
peterbanitt
@peterbanitt · X

@CMichaelGibson Two decades and 8 months...spironolactone. https://t.co/yDrpn8Aket

Apr 29, 2020 · 356 followers View post →
Juan Senior
@jsenior64 · X

Pero en realidad el estudio había demostrado reducción del riesgo del desenlace primario y baja tasa de hipercalemia severa. https://t.co/1jcmyf5mql

Apr 19, 2020 · 11,070 followers View post →
☫кептагоп™Я☫
@kentaron1971 · X

RT @89089314: スピロノラクトンが心不全患者の予後を劇的に改善したことを示したRALESを改めて読んでるんだけど、とても味わい深い。総死亡リスクのHRが0.70倍、NNTが9人だもんなぁ。 The effect of spironolactone on morbid…

Jan 26, 2020 · 1 share · 12,467 followers View post →
精神科薬剤師くわばらひでのり
@89089314 · X

スピロノラクトンが心不全患者の予後を劇的に改善したことを示したRALESを改めて読んでるんだけど、とても味わい深い。総死亡リスクのHRが0.70倍、NNTが9人だもんなぁ。 The effect of spironolactone on morbidity and mortality in patients with severe heart failure. https://t.co/DGiBMLIFXc

Jan 25, 2020 · 26 likes · 1 share · 8,784 followers View post →
COR etc.
@cor_etc · X

RT @MedEdPGH: #EBMondays Oldie but goodie: RALES Trial Spironolactone 25mg daily added to the regimen of patients with HFrEF (EF<35%) wit…

Jan 7, 2020 · 5 shares · 45 followers View post →
けいしゅけ@AHEADMAP広報部
@keisyukeblog · X

Fizz先生のツイートに触発されて…。 RALES試験か。ふむ、試験対象群が65±12歳。 The effect of spironolactone on morbidity and mortality in patients with severe heart failure. Randomized Aldactone Evaluation Study Investigators. - PubMed - NCBI https://t.co/iQJpfhl43e

Aug 28, 2019 · 7 likes · 4,187 followers View post →
Daniel Cardona
@daniel02071 · X

RT @jsenior64: Posteriormente nos mostraron los efectos sobre desenlaces importantes; redujo la mortalidad en un 30% tanto por progresión c…

Jun 25, 2019 · 1 share · 154 followers View post →
Juan Senior
@jsenior64 · X

Posteriormente nos mostraron los efectos sobre desenlaces importantes; redujo la mortalidad en un 30% tanto por progresión como por muerte súbita. Recuerden un dato interesante sólo el 11% tomaban betabloqueadores. https://t.co/1jcmyf5mql

Jun 23, 2019 · 1 like · 1 share · 11,070 followers View post →
Humblebee
@addlibitum · X

RT @MedEdPGH: #EBMondays Oldie but goodie: RALES Trial Spironolactone 25mg daily added to the regimen of patients with HFrEF (EF<35%) wit…

May 14, 2019 · 5 shares · 668 followers View post →
Paris vergara
@parisson · X

RT @MedEdPGH: #EBMondays Oldie but goodie: RALES Trial Spironolactone 25mg daily added to the regimen of patients with HFrEF (EF<35%) wit…

May 13, 2019 · 5 shares · 1,065 followers View post →
Ali Alshehri
@prson55 · X

RT @MedEdPGH: #EBMondays Oldie but goodie: RALES Trial Spironolactone 25mg daily added to the regimen of patients with HFrEF (EF<35%) wit…

May 13, 2019 · 5 shares · 262 followers View post →
MedEd Pittsburgh
@MedEdPGH · X

#EBMondays Oldie but goodie: RALES Trial Spironolactone 25mg daily added to the regimen of patients with HFrEF (EF<35%) with NYHA class III-IV symptoms reduced mortality by 30%. https://t.co/NyckUb9p7U

May 13, 2019 · 8 likes · 5 shares · 5,322 followers View post →