Randomized Trialhigh evidence

Hydralazine-isosorbide dinitrate in chronic heart failure with reduced ejection fraction: the H-HeFT trial.

European heart journal·November 4, 2026·PMID 42978512

Why it matters

Despite prior evidence of benefit in selected populations, H-ISDN did not improve outcomes in a broad contemporary HFrEF cohort, challenging its routine use in this setting.

Infographic summary of Hydralazine-isosorbide dinitrate in chronic heart failure with reduced ejection fraction: the H-HeFT trial.
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