First, while finerenone significantly reduced worsening heart failure events, the reduction in cardiovascular death did not reach statistical significance (HR 0.93).
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Finerenone: Extending MRAs Prognostic Benefit to the Recently Hospitalized and More Symptomatic Patient with HFpEF.
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Indeed, patients initiated on finerenone within 7 days of a worsening heart failure event showed a trend toward greater absolute risk reduction compared to stable outpatients (RR 0.74; 95% CI 0.57–0.95), although it did not achieve formal statistical significance ( p for interaction = 0.07) [ 68 ] In TOPCAT, conversely, spironolactone provided less benefit to patients enrolled within a year of an HF hospitalization.