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efeitos da inibição do sistema renina-angiotensina-aldosterona e do ...

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a trend towards an increase in LVEF (absolute difference between groups 2.3%, p=0.094). The<br />

addition of carvedilol was safe, haemodynamically well-tolerated, and not associated with<br />

symptomatic bradycardia.<br />

Conclusion: in patients with CCC optimisation of treatment with enalapril and spironolactone<br />

followed by the addition of carvedilol, was safe and associated with benefits in cardiac function<br />

and clinical status. Larger trials are needed to show effects on mortality and/or hospitalisation.<br />

156

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