On the basis of an observed trend towards increased survival with the combination of isosorbide dintrate and hydralazine in patients with HFrEF in the Vasodilator Heart Failure Trial (V-HeFT) 1986, the V-HeFT II trial (1992), randomized patients with primarily NYHA II-III HFrEF on diuretics and digoxin at baseline to enalapril or isosorbide dintrate/hydralazine.
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Contemporary Pharmacologic Management of Heart Failure with Reduced Ejection Fraction: A Review.
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