Risk-Treatment Mismatch in the Pharmacotherapy of Heart Failure

Abstract
Heart failure affects more than 5 million people in Canada and the United States and is associated with a high mortality rate.1,2 Medications shown to reduce the mortality and morbidity of this condition include angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), and β-adrenoreceptor antagonists.3-5 These drug classes have been studied extensively and recommended strongly by disease management guidelines.6,7 Given the proven mortality benefits of these drugs, it is important to ensure that patients at the highest risk of death receive these therapies.8-12

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